Small differences in blood pressure readings between the right and left arm are normal. But large ones suggest the presence of artery-clogging plaque in the vessel that supplies blood to the arm with higher blood pressure.
Conclusions. Single-arm measurements, compared to double-arm measurements, may underestimate the prevalence of hypertension. However, if double-arm measurements are unavailable, right arm is preferred for measurement of BP, especially in women.
In a 2019 scientific statement detailing proper blood pressure measurement, the AHA recommended taking readings from both arms during an initial patient visit and using the arm with the higher reading for measurements at subsequent visits.
After being admitted to the Intensive Care Unit, the mean arterial pressure on the left arm was noted to be significant higher. On physical examination, both lower limbs were dusky in appearance because of poor perfusion.
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.
The first is typically the highest, and the average should be used as the blood pressure reading.
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.
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.
A slight interarm difference in blood pressure is common and does not pose a health risk. But if the systolic or diastolic difference between arms is greater than 10 mmHg, it becomes cause for concern. The larger the difference, the greater additional health risk.
In some people with aortic dissection, pulses in the arms and legs are diminished or absent. Depending on the location of the dissection along the aorta, there may be a difference in blood pressure between the right and left arm.
The left common carotid and left subclavian arteries to come directly off the aorta. These differences mean that the risk for increased turbulence leading to arterial thrombosis is not the same for the right and left subclavian arteries.
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.
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.
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 should be checked while seated after a few minutes of rest. Take at least two readings a minute apart each time. Wait at least 30 minutes after having caffeine, alcohol, smoking, or exercising before taking your blood pressure.
In the morning, the body releases hormones such as adrenaline and noradrenaline. These hormones give you boosts of energy but can also raise your blood pressure. The morning increase in blood pressure is usually seen between 6:00 AM and noon (Figure 1).
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.
Blood pressure readings taken at home were consistent with ABPM. Blood pressure readings based on follow-up clinic visits were significantly lower for the systolic measure, leading to over half of the people with hypertension based on ABPM being missed.
Guidelines for the management of hypertension recommend that blood pressure (BP) should be measured twice at every visit; it should be measured in both arms at the first visit, and the right arm BP or higher BP should be recorded.
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.
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.
When it comes to blood pressure, one reading may not be enough. Forty-six percent of Americans have high blood pressure, but studies show when it's taken twice at your doctor's office - with at least one minute in between - the second reading is typically lower and a more accurate measurement.
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.