The device should measure blood pressure on the upper arm, which produce a more reliable result than those that measure from the wrist.
Intra-arterial measurement of BP is the most accurate method, capable of giving a continuous picture. Indirect recordings give a rough estimate of intra-arterial pressure but less information about the relationship between individual subjects and their environment.
SEATTLE — Blood pressure measurements routinely taken at home are more likely to provide the basis for accurate diagnoses of hypertension than those taken in a clinic setting, according to a new study led by Kaiser Permanente investigators.
The sensitivity for the detection of hypertension was 90.6% when BP was measured only at right arm, and 83.4% when measured only at left arm. Corresponding sensitivity were 87.9% and 87.1% in men, and 95.4% and 76.9% in women.
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.
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.
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.
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.
Check it twice
It's ideal to measure your blood pressure twice a day for two weeks leading up to a doctor's appointment, or following a change in medication. At each sitting, measure your blood pressure three times, but discard the first reading as it tends to be inaccurate.
On average, leg blood pressure was 12.00 mmHg higher than arm blood pressure. The researchers identified groups of patients with certain characteristics where this difference was smaller or greater. They used data to make a model that can predict the highest arm blood pressure from leg blood pressure very accurately.
Get to the Heart of the Study Results
Dozens of at home blood pressure machines were tested in the study. According to the results, the participants' home blood pressure monitor readings were off by around 5 mmHg a shocking 70% of the time.
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.
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.
Take Second (and Maybe Third) BP Readings in Routine Follow-Up for Hypertension. In a third of patients with elevated blood pressures on initial readings, second readings were lower than 140/90 mm Hg.
It is recommended to wait at least 1 minute between blood pressure (BP) readings.
Perhaps the most common mistake in blood pressure measurement is allowing patients to sit or lie with their arms hanging by their side, since when the upper arm is below the level of the right atrium, the readings will be too high. If the arm is unsupported and held up by the patient, pressure will be even higher2.
Don't eat or drink anything 30 minutes before you take your blood pressure. Empty your bladder before your reading. Sit in a comfortable chair with your back supported for at least 5 minutes before your reading. Put both feet flat on the ground and keep your legs uncrossed.
Ignore the first day's readings altogether, because they might not be accurate as you're not familiar with your monitor yet. At the end of the week you will have a useful picture of what your blood pressure is normally like.
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. It's normal to see some variance throughout the day but you should consult a doctor if you exhibit symptoms of labile hypertension.
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.
Traditionally, healthcare providers have taken blood pressure readings on the left arm. That's because the heart sits slightly to the left of the midline in your chest. The body's largest blood vessel, the aorta, exits the left side of the heart and transports blood through blood vessels throughout the body.
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.
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.