How accurate are home blood pressure monitors?

"Home blood pressure monitors may be inaccurate in 5% to 15% of patients, depending on the threshold for accuracy used," according to Dr. Swapnil Hiremath, a kidney specialist at Ottawa Hospital in Canada.
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How do I know if my home blood pressure monitor is accurate?

Before buying a blood pressure monitor, check with your doctor to be sure the monitor has been validated — meaning its readings are accurate and repeatable. Once a year, check the accuracy of your monitor by bringing it to your doctor's office and comparing your monitor's readings with those taken by the doctor.
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Do at Home blood pressure monitors read higher?

Blood pressure measurements that are higher at your home than at your doctor's office could be caused by an error in measuring your blood pressure at home or a decrease in your stress level at your doctor's office.
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What is the most accurate type of blood pressure monitor for home use?

Upper Arm Monitors are the only type recommended by the American Heart Association because they're the most accurate. The cuff wraps around the upper part of your arm and tightens to measure your blood pressure. Wrist Monitors wrap around your wrist to measure your blood pressure.
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Can a tight blood pressure cuff cause a high reading?

Improper placement of the cuff over clothing can cause your blood pressure measurement to increase by 10 to 50 points. If the cuff is too small, it can add 2 to 10 points to your bp measurement.
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How to Use Your Home Blood Pressure Monitor



What can cause a false high blood pressure reading?

Acute meal ingestion, caffeine or nicotine use can all negatively 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 between 4 mm Hg and 33 mm Hg, compared with the white-coat effect can have an error of up to 26 mm Hg.
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Why are home blood pressure monitors so inaccurate?

Men, older people, and those with larger arm circumferences were more likely to get inaccurate results, and devices with hard cuffs were more likely to produce them. These factors can give you a skewed reading because a poor fit can alter pulse pressure or make your veins stiffer, the researchers explain.
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What time of day is blood pressure highest?

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.
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Are wireless blood pressure monitors accurate?

"Home blood pressure monitors may be inaccurate in 5% to 15% of patients, depending on the threshold for accuracy used," according to Dr. Swapnil Hiremath, a kidney specialist at Ottawa Hospital in Canada.
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Is it OK to take blood pressure multiple times?

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.
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How much does anxiety raise BP?

The resulting anxiety can elevate blood pressure 10 points or more.” Studies have shown that clinics rarely take two or more blood pressure readings, even though the ACC/AHA guidelines suggest that doing so could reduce the effects of WCH.
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Does anxiety affect blood pressure readings?

Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in blood pressure.
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Why is the first blood pressure reading higher than the second?

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.
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Why does my blood pressure fluctuate within minutes?

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.
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How long after you wake up should you take your blood pressure?

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.
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Is 150 90 A good blood pressure?

As a general guide: high blood pressure is considered to be 140/90mmHg or higher (or 150/90mmHg or higher if you're over the age of 80) ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg.
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How do you feel when you have high blood pressure?

Blood pressure is mostly a silent disease

Unfortunately, high blood pressure can happen without feeling any abnormal symptoms. Moderate or severe headaches, anxiety, shortness of breath, nosebleeds, palpitations, or feeling of pulsations in the neck are some signs of high blood pressure.
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How can I bring my blood pressure down immediately?

If you are trying to rapidly lower your blood pressure at home, dial 9-1-1 immediately. You cannot safely treat dangerous high blood pressure at home. Your best move is to lie down flat and calm yourself until emergency help arrives.
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Does drinking a lot of water increase blood pressure?

Water drinking also acutely raises blood pressure in older normal subjects. The pressor effect of oral water is an important yet unrecognized confounding factor in clinical studies of pressor agents and antihypertensive medications.
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Which arm to measure blood pressure right or left?

(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.)
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How do you breathe during blood pressure test?

Take a slow deep breath, then exhale just as slowly. Can you take fewer than 10 breaths a minute? Research suggests breathing that slowly for a few minutes a day is enough to help some people nudge down bad blood pressure.
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Can drinking lots of water lower blood pressure?

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.
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Does arm position affect blood pressure?

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.
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Can cuff size affect blood pressure?

Answer From Sheldon G. Sheps, M.D. Using a blood pressure cuff that's too large or too small can give you inaccurate blood pressure readings. Your doctor's office should have several sizes of cuffs to ensure an accurate blood pressure reading.
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