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How much is blood pressure effected by the cuff used to measure it?

I had a health screening last friday and because I have a big upper arm the nurse used a large cuff and my BP was scarily high (140/104). Today I got it measured at a blood pressure kiosk with a "normal" sized cuff and it was better (123/84).

I know both readings are high but I'm trying to track it to help decided if I want to take medication or not. I'm already trying to lose weight which I know will bring it down.

ACtually, the cuff size can affect readings, but usually in the opposite way from what you have described. If you have a large upper arm, a larger cuff should be used and it should show a more accurate reading than the smaller (normal) sized cuff. This reading usually is lower than the reading obtained with the smaller cuff.

What you may be experiencing is "white coat hypertension." Since a nurse took your pressure last friday, you might have been more aroused than when you were alone at a kiosk with no healthcare personnel around. Also, the automated machines will differ from a nurse who uses a stethescope to listen for the sounds. If you want to track reliably, get your own machine and use it at least once daily. You can get it calibrated at the doctor's office if you want to, but the more important thing will be how YOU perform over time on the same machine under similar testing conditions.

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This entry was posted on Tuesday, September 28th, 2010 at 10:58 am and is filed under Test Equipment. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.