Blood
Pressure Monitoring
Rx
information from Jenny Aveson, CVS / Pharmacy, Richmond, Virginia
About 33% of Americans have hypertension (high blood
pressure), and another 25% have "prehypertension" because
their blood pressure is at the high end of normal. Good blood
pressure control depends on good measurements. Experts now strongly
encourage patients to monitor their own blood pressure in order to avoid
the "white coat" effect and get more readings. The average
blood pressure better predicts cardiovascular events (heart attack,
stroke, etc.).
Which
type of monitor is best? A blood pressure monitor with a cuff that
goes around the upper arm is more accurate than a wrist or finger
monitor. Also, digital monitors inflate automatically and are easy
to read. Be sure to get a cuff that fits - too small or too large can
affect blood pressure by as much as 30mmHg. Some reputable monitor
manufacturers are Omron, Lumiscope and LifeSource. Many store
brands are made by these same companies and they cost less.
Using proper technique to measure blood pressure is essential for an
accurate reading. Have the arm rested and at heart level.
Diastolic pressure (the "bottom" number) increases by up
to 10% when the arm is not supported. Having the arm above or
below heart level can throw the reading off by up to 10mmHg. Also,
sit with your back supported, feet flat on the floor and upper arm bare
(no shirt sleeve).
It is
best to rest at least 5 minutes before the reading or 30 minutes if you
just exercised. Take three readings one minute apart and average
them. Caffeine and nicotine can increase blood pressure.
Take your reading before using these. Otherwise, wait 30
minutes after nicotine use and a coupe of hours after caffeine.
_________________________
Thank you, Central Virginia Post-Polio Support Group, for
sharing Jenny’s information. |