General fitness, health and nutrition · Public discussion

Re: Blood pressure variability seems almost random

Started by Dr. Andrew B. Chung, MD/PhD · · Last activity · 2 posts · 236 views

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General fitness, health and nutrition
Published
3 September 2003
Last activity
3 September 2003
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Dr. Andrew B. Chung, MD/PhD
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  1. David Cook said:

    I work out every other day at my local YMCA. They have
    some blood pressure monitor equipment there, and I got
    curious a few months ago (after a news story tried to tell us
    that many more of us are 'in warning zone'😉.

    The YMCA has both the old 'manual' style cuff (where a
    stethoscope is also then used) and a more modern 'automatic'
    style (with a digital readout). So, I've been having it checked every
    few times.

    The results are HIGHLY VARIABLE!!! <snip>

    It shouldn't be. Would suggest you see your doctor. S/he should be willing to
    teach you about how to take blood pressure properly and to go over what things
    might make your blood pressure highly variable (including poor technique).

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  2. In article <[email hidden]>,

    Dr. Andrew B. Chung said:

    It shouldn't be. Would suggest you see your doctor. S/he should be willing
    to
    teach you about how to take blood pressure properly and to go over what
    things
    might make your blood pressure highly variable (including poor technique).

    Just this morning I had a followup BP test - new doc who wasn't
    convinced with my white coat anxiety excuses at the initial visit last
    week (142/70) - (I could feel my heart beating in my chest as I sat in
    the exam room).

    Today, the nurse recorded a first reading of 156/72; then used my auto
    monitor to check how similar it is to her manual readings, 140/68;
    retested using her manual cuff, 132/70; one last test with her manual,
    144/70. All this within a few minutes.

    My cardiologist said not to worry about the upper figure as it
    fluctuates substantially throughout the day, all dependent on stress,
    exertion levels and things like caffeine & salt intake.

    BTW, my home readings with the auto unit are routinely <=115/70. To the
    original poster, buy a reputable unit (mine cost about $60, Consumer
    Reports did a test a couple months back on home BP units - even manually
    doing it is simple and relatively inexpensive) then track your results
    at the same time of day over several months. I suspect the variablity in
    operators, time of day and/or environmental stresses may have something
    to do with your variables.

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