People age 18 and older with optimal blood pressure and no heart disease risk factors should have a blood pressure test at least once every 2 to 5 years. People age 40 and older — or younger with an increased risk of high blood pressure — should have a blood pressure test every year.
At the beginning, measure your blood pressure at least twice daily. Take it first in the morning before eating or taking any medications. Take it again in the evening. Each time you measure, take two or three readings to make sure your results are the same.
Measure your blood pressure twice a day, ideally in the morning and the evening, while you're sitting down. Each time take 2 readings, 1 minute apart. Continue to measure your blood pressure twice a day for 7 days.
Taking your blood pressure at home can help doctors see the trend. “But I caution patients not to take it every five minutes, which can happen if they are concerned about high readings. That becomes a bad cycle. Do it intermittently—once or twice a week,” she said.
Take your blood pressure at the same time every day. Take at least two readings, 1 or 2 minutes apart.
Blood pressure has a daily pattern. 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.
Something as simple as keeping yourself hydrated by drinking six to eight glasses of water every day improves blood pressure. Water makes up 73% of the human heart,¹ so no other liquid is better at controlling blood pressure.
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.
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.
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.
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.
While both numbers in a blood pressure reading are essential for diagnosing and treating high blood pressure, doctors primarily focus on the top number, also known as systolic pressure.
Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in blood pressure.
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.
Blood Pressure Cuff Placement
If the cuff is too small, it can add 2 to 10 points to your bp measurement. Be sure to roll up your sleeve for a blood pressure test and also let your doctor know if the cuff feels too tight around your arm.
Reactions to stress can affect blood pressure
The body releases a surge of hormones when under stress. These hormones cause the heart to beat faster and the blood vessels to narrow. These actions increase blood pressure for a time. There's no proof that stress by itself causes long-term high blood pressure.
Blood pressure changes throughout the day. Your blood pressure is typically at its lowest right after waking up. It tends to vary by up to 30% across the day. This is because of hormone changes, activity level, and eating.
(It's best to take your blood pressure from your left arm if you are right-handed. However, you can use the other arm if you have been told to do so by your healthcare provider.) Rest in a chair next to a table for 5 to 10 minutes. (Your left arm should rest comfortably at heart level.)
Your blood pressure should be checked in the morning, about an hour after you wake up, and in the evening, about an hour before you go to sleep, using the same arm each time. Taking 3 consecutive measurements (about 1 minute apart) will provide a more accurate understanding of your "true" blood pressure.
It's All About Lifestyle Change
It probably just means its working! W – Manage a healthy weight: Make changes to your diet and activity level – even a small amount will help! D – Eat a healthy diet: Start by adding more fruits and vegetables to your diet. S – Stop smoking and manage stress.
If you are seeing regular fluctuations in your blood pressure readings, you're not alone. Some variation in your blood pressure throughout the day is normal. In fact, there are a number of reasons for this including small changes in daily life, such as stress, exercise or even how well you slept the night before.
At each sitting, measure your blood pressure three times, but discard the first reading as it tends to be inaccurate. Write down the average of the second and third reading. Bringing your latest readings to an appointment helps give your doctor a good idea of what your blood pressure is outside of the office.
Caffeine may cause a short, but dramatic increase in your blood pressure, even if you don't have high blood pressure. It's unclear what causes this spike in blood pressure. The blood pressure response to caffeine differs from person to person.