There are instances in which the BP-measurement accuracy is affected by patients' habits or behaviors. Acute meal ingestion, caffeine or nicotine use can all affect BP readings, leading to errors in measurement accuracy.
Check for accuracy
“If the systolic blood pressure (the top number) on your cuff is within 10 points of the monitor, then it's generally accurate,” he says. Most home blood pressure machines last for about two or three years. After that, check it at your doctor's office annually to make sure it's still accurate.
A cuff that is too snug or too loose on the mid-upper arm can lead to greatly exaggerated blood pressure measurements, results of a community-based study show.
But home blood pressure monitors aren't always as accurate as they should be. "Home blood pressure monitors may be inaccurate in 5% to 15% of patients, depending on the threshold for accuracy used," according to Dr.
Acute meal ingestion, caffeine or nicotine use can all affect BP readings, leading to errors in measurement accuracy. If the patient has a full bladder, that can lead to an error in systolic BP of up to 33 mm Hg, and the white-coat effect can have an error of up to 26 mm Hg.
Everyone's blood pressure rises and falls many times during the course of a single day, sometimes even within minutes. Many factors contribute to these changes, including physical activity, emotion, body position, diet (especially salt and alcohol intake), and sleep deprivation.
Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening. Blood pressure is usually lower at night while sleeping.
It's actually quite normal. A difference of more than 10 points, though, could suggest trouble. In younger people, side-to-side differences in blood pressure can occur when a muscle or something else compresses an artery supplying the arm, or by a structural problem that prevents smooth blood flow through an artery.
What causes blood pressure to fluctuate from high to low? Anxiety, stress, drugs, alcohol, physical exercise, and a range of medical conditions such as sleep apnea and kidney disease can cause your blood pressure to fluctuate from high to low.
Arm position
Dependency of the arm below heart level leads to an overestimation of systolic and diastolic pressures and raising the arm above heart level leads to underestimation. The magnitude of this error can be as great as 10 mm Hg for systolic and diastolic pressures.
Your first blood pressure reading will almost always be higher than the second due to a wide range of factors, both environmental and psychological. These factors include white coat syndrome, stress, and having a full bladder.
The international BP guidelines for the use of home BP [12–14] have stated that when a series of readings is taken, a minimum of two readings should be taken at intervals of at least 1 min, and the average of those readings should be used to represent the patient's blood pressure.
Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in blood pressure.
Don't check your blood pressure too often.
Some people find that they become worried or stressed about small changes in their readings if they take them too often. Worrying can also raise your blood pressure in the short term, making your reading higher than it should be.
Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.
A repeated difference of more than 10 mm Hg in blood pressure measurement between the arms can be a sign of a health problem such as: Blocked arteries in the arms, known as peripheral artery disease. Diabetes. Kidney disease.
Systolic pressure (the first number in a blood pressure reading) measures the force with which the heart pumps blood into the arteries. Diastolic pressure (the second, lower number) reflects the pressure in the arteries when the heart rests between beats.
Normal pressure is 120/80 or lower. Your blood pressure is considered high (stage 1) if it reads 130/80. Stage 2 high blood pressure is 140/90 or higher. If you get a blood pressure reading of 180/110 or higher more than once, seek medical treatment right away.
Walking lowers systolic blood pressure by 4.11 mm Hg (95% CI, 3.01 to 5.22 mm Hg). It lowers diastolic blood pressure by 1.79 mm Hg (95% CI, 1.07 to 2.51 mm Hg) and resting heart rate by 2.76 beats per minute (bpm; 95% CI, 0.95 to 4.57 bpm).
Moderate or severe headaches, anxiety, shortness of breath, nosebleeds, palpitations, or feeling of pulsations in the neck are some signs of high blood pressure. Often, these are late signs that high blood pressure has existed for some time, therefore annual checks are recommended for all adults.
The arm that you are measuring your blood pressure in should be support on a firm surface (such as a table or desk) with your palm facing up and should be at the same level as your heart.