Tuesday, September 24, 2019

Home blood pressure monitoring

  

Hand should be resting at elbow and cuff should be at the level of heart


American Heart Association (AHA) recommend that high blood pressure should be monitored at home. 
It can help you keep tabs on your blood pressure in a familiar setting, and confirm that your medication is working, 

.It is an important part of managing high blood pressure. 
  • It Helps with early diagnosis of high B.P.
  • It can discover 'white coat hypertension' This is when the B.P. is high in the clinic and normal at home. It does not need drug treatment (only a change in lifestyle)
  • Multiple readings over a period is a good feedback to your doctor
  • You get involved in your treatment

The arm should be resting on the pillow 
and cuff should be at the level of the heart.  

Blood pressure at your wrist or finger is not recommended 
It should be taken around the arm. Cuff size should be properly fitting. A smaller size cuff will give a higher reading.  
 Use the same arm. Rest your arm,on a table raised to the level of your heart. If needed, place a pillow under your arm to elevate it to the level of heart

  • Measure twice daily, in the morning before breakfast and in the evening.Take two readings each time. Readings are little higher in the morning 

   Place the cuff on bare skin, not over clothing. 

Reading at the wrist is not recommended

Drawback: 
Home BP monitors are not held to the same standards of accuracy as those devices in doctors' clinic. 






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How I was dragged into homeopathy

I am Dr. Yadunath Joshi. I passed MBBS from Goa Medical College in 1971 and started my general practice in a suburb of Mumbai (Bhandup) ...