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The auscultatory method of blood pressure measurement employs a stethoscope (for listening) and a sphygmomanometer (measures pressure). The sphygmomanometer is a Mercury or aneroid manometer attached to an inflatable cuff. The cuff is fitted to the upper arm, at the same height as the heart, then inflated until the brachial artery is pressed shut. The examiner listens to the sounds of the artery at the elbow with the stethoscope, first for quiet (no flow), then, as the pressure in the cuff is slowly released, for the "whooshing" of pent-up blood starting to flow again. The pressure at which this sound is heard is systolic BP (peak pressure). Cuff pressure is continuously lowered until the artery again makes no sound, which marks diastolic BP.

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