Why is my first blood pressure reading always high?

Your first blood pressure reading will almost always be higher than the second due to a wide range of factors, both environmental and psychological. These factors include white coat syndrome, stress, and having a full bladder.

Why is second BP reading lower?

Systolic pressure (the first number in a blood pressure reading) measures the force with which the heart pumps blood into the arteries. Diastolic pressure (the second, lower number) reflects the pressure in the arteries when the heart rests between beats.

Is the first reading of blood pressure correct?

At each sitting, measure your blood pressure three times, but discard the first reading as it tends to be inaccurate. Write down the average of the second and third reading. Bringing your latest readings to an appointment helps give your doctor a good idea of what your blood pressure is outside of the office.

Why is my blood pressure different every time I take it?

Everyone's blood pressure rises and falls many times during the course of a single day, sometimes even within minutes. Many factors contribute to these changes, including physical activity, emotion, body position, diet (especially salt and alcohol intake), and sleep deprivation.

Should you disregard the first blood pressure reading?

Ignore the first day's readings altogether, because they might not be accurate as you're not familiar with your monitor yet. At the end of the week you will have a useful picture of what your blood pressure is normally like.

Should you take multiple Blood Pressure readings? How many BP readings are required?

Which BP reading is more accurate first or second?

Take Second (and Maybe Third) BP Readings in Routine Follow-Up for Hypertension. In a third of patients with elevated blood pressures on initial readings, second readings were lower than 140/90 mm Hg.

Is the first or second blood pressure number more important?

Q. When I am monitoring my blood pressure, which number is most important — top, bottom, or both? A. While both numbers in a blood pressure reading are essential for diagnosing and treating high blood pressure, doctors primarily focus on the top number, also known as systolic pressure.

How many times should I take my blood pressure to get an accurate reading?

At the beginning, measure your blood pressure at least twice daily. Take it first in the morning before eating or taking any medications. Take it again in the evening. Each time you measure, take two or three readings to make sure your results are the same.

How can I stop worrying about my blood pressure?

What time of the day is blood pressure highest?

Blood pressure has a daily pattern. Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening.

How do I lower my first blood pressure number?

You'll lower your systolic blood pressure (the first number in your blood pressure results) by 5 to 20 points for every 20 pounds you lose. In fact, if you're overweight, losing as little as 10 pounds can help lower blood pressure. The weight loss goal is to get your body mass index (BMI) between 18.5 and 24.9.

What causes false high blood pressure readings?

Acute meal ingestion, caffeine or nicotine use can all affect BP readings, leading to errors in measurement accuracy. If the patient has a full bladder, that can lead to an error in systolic BP of up to 33 mm Hg, and the white-coat effect can have an error of up to 26 mm Hg.

How long do you have to wait to take a second blood pressure reading?

It is recommended to wait at least 1 minute between blood pressure (BP) readings.

Is it normal to have 2 different blood pressure readings?

Answer From Rekha Mankad, M.D. Generally, a small difference in blood pressure readings between arms isn't a concern. But a difference of more than 10 millimeters of mercury (mm Hg) might cause worry. The difference can be in the top number, known as systolic pressure.

Can a tight blood pressure cuff cause a high reading?

Blood Pressure Cuff Placement

If the cuff is too small, it can add 2 to 10 points to your bp measurement. Be sure to roll up your sleeve for a blood pressure test and also let your doctor know if the cuff feels too tight around your arm.

What is worryingly high blood pressure?

high blood pressure is considered to be 140/90mmHg or higher (or 150/90mmHg or higher if you're over the age of 80) ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg.

Can you mistake anxiety for high blood pressure?

Anxiety and high blood pressure can sometimes go hand in hand. Anxiety may lead to high blood pressure, and high blood pressure may trigger feelings of anxiety. Doctors characterize anxiety as feelings of intense worry or fear. It causes many physical symptoms, including increased heart rate and shallow breathing.

Can worrying too much cause high blood pressure?

Your body produces a surge of hormones when you're in a stressful situation. These hormones temporarily increase your blood pressure by causing your heart to beat faster and your blood vessels to narrow. There's no proof that stress by itself causes long-term high blood pressure.

Which arm is more accurate for blood pressure?

The sensitivity for the detection of hypertension was 90.6% when BP was measured only at right arm, and 83.4% when measured only at left arm. Corresponding sensitivity were 87.9% and 87.1% in men, and 95.4% and 76.9% in women.

How accurate are home blood pressure monitors?

For 30% of them, the systolic pressure—the first number of a blood pressure reading—was 5 mm Hg or more different from the office reference measurement. The diastolic pressure (second number) was similarly inaccurate. "In one patient, the pressure was off by 21 mm Hg," Dr. Hiremath says.

What is stroke level blood pressure?

Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.

What does it mean when systolic is high and diastolic is low?

If your systolic blood pressure is higher than 130 but your diastolic blood pressure is under 80, that's called isolated systolic hypertension. It's the most common kind of high blood pressure in older people.

Which blood pressure reading should be reported immediately?

High blood pressure, caused by lifestyle issues like obesity and not getting enough exercise, among other causes, is a serious disease. If it gets too high, specifically 180/120 or higher, and you have the symptoms listed here, you need to call 911 or go to the emergency room.

Can at home blood pressure machines be wrong?

Dozens of at home blood pressure machines were tested in the study. According to the results, the participants' home blood pressure monitor readings were off by around 5 mmHg a shocking 70% of the time. And respondents' readings were off by 10 mmHg one-third of the time.

Can drinking water lower blood pressure?

Something as simple as keeping yourself hydrated by drinking six to eight glasses of water every day improves blood pressure. Water makes up 73% of the human heart,¹ so no other liquid is better at controlling blood pressure.