Blood pressure control (at home)
Why should you regularly measure your blood pressure? What makes it so important? The importance of self-measurement at home is discussed in this chapter.
In blood pressure self-measurement, regular measurements are best recommended after consultation with the attending physician. It can be useful to have a twice-daily measurement in the morning and in the evening.
The blood pressure self-check makes it possible to determine whether the blood pressure values in the home environment are within the targeted range. Nevertheless, many meters from different manufacturers proved to be inadequate in terms of measurement accuracy.
There are two possible methods to determine the two values of blood pressure. First, you can hear the sounds of blood flow to the brachial artery with the stethoscope. This is called auscultatory method.
Which device should be purchased at home for blood pressure measurement is not that easy to decide. In the past, many measuring instruments were affected by inaccurate measurements that question the sense of self-measurement.
The width of the sphygmomanometer cuff must match the circumference of the upper arm so that the correct readings can be obtained. Therefore, before purchasing a sphygmomanometer, measuring the upper arm circumference is important.
As with blood pressure monitoring on the upper arm, it is important to rest for a few minutes while sitting in front of the measurement. In addition, the wrist should be kept at heart level during the measurement process.
The documentation of the blood pressure values in self-measurement at home is advantageous, as it allows the attending physician to quickly get an overview of the development of blood pressure during treatment.
Yes, that is rare, but possible. This is called a "masked hypertension" (because he "hides" from the doctor).
Some side difference in blood pressure between the right and left arms is normal and not dangerous. Differences in the range of 10 to 20 mmHg of the upper blood pressure value and up to 15 mmHg of the lower value are not suspect.
On which arm should one measure the blood pressure if there is a side difference in the blood pressure level?
If it is a difference in the normal range (differences in the upper value between right and left up to 20 mmHg), one should always measure on the arm that gives the higher values.
In any case, you should notify the ambulance if the blood pressure is persistently high (for example, over 200/120) and chest pain and respiratory distress occur at the same time. This can be a high pressure crisis (hypertensive crisis) or another dangerous complication requiring hospital therapy. Incidentally, this also applies if the blood pressure suddenly drops sharply.