Understanding Blood Pressure Testing

A Patient's Guide to Blood Pressure Measurement and Monitoring

Cardiology

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Last updated: Mar 24, 2025

What is Blood Pressure?

Blood pressure is the force of blood pushing against your artery walls as your heart pumps. It's measured using two numbers:

  • Systolic pressure (top number): Pressure when your heart beats
  • Diastolic pressure (bottom number): Pressure when your heart rests

The Testing Procedure

Before the Test

  1. Avoid caffeine and exercise for 30 minutes prior
  2. Empty your bladder
  3. Sit quietly for 5 minutes
  4. Keep feet flat on the floor

During Measurement

  • The healthcare provider will place a cuff around your upper arm
  • The cuff inflates to temporarily stop blood flow
  • As it slowly deflates, the provider listens with a stethoscope or uses an automated device

Understanding Your Results

Normal Blood Pressure

  • Less than 120/80 mmHg

Elevated Blood Pressure

  • 120-129/less than 80 mmHg

High Blood Pressure

  • Stage 1: 130-139/80-89 mmHg
  • Stage 2: 140+/90+ mmHg

Important Considerations

  • Multiple readings may be taken
  • Blood pressure varies throughout the day
  • Home monitoring may be recommended
  • Follow-up testing schedule depends on your results

When to Seek Medical Attention

  • Readings above 180/120 mmHg
  • Symptoms like severe headache or chest pain
  • Consistently elevated readings

Tips for Accurate Readings

  1. Use proper cuff size
  2. Position arm at heart level
  3. Remain still and quiet during measurement
  4. Take readings at the same time daily
  5. Record all readings for your healthcare provider

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