Treatment FAQ

how many consecutive high blood pressures before treatment

by Aniyah Gerhold Published 3 years ago Updated 2 years ago

Medication

It’s one of the reasons why measuring two to three times is ideal. Only taking it once increases the chances for an inaccurate diagnosis of your pressure. The American College of Cardiology and the American Heart Association recommends 2-3 measurements for a medical staff and for you at home 2 .

Nutrition

How Long Should You Wait Between Blood Pressure Readings In A Row? When taking multiple blood pressure readings in a row, there should be one minute between each reading. The one-minute rest prevents prolonged compression of the blood pressure cuff on your blood vessels and skin.

How many times should you take your blood pressure?

120 to 129/less than 80 (Elevated): You probably don't need medication. Your blood pressure is higher than you want, but it's not full-on high blood pressure. Unless you also have another health condition -- like kidney disease or heart problems -- your doctor will likely say you don't need drugs for now. But don't ignore it.

How long should you wait between blood pressure readings in a row?

A routine visit to the doctor’s office typically results in a single blood pressure measurement. But for people on the verge of being diagnosed with high blood pressure, or hypertension, visits usually involve several additional checks at the office, along with a recommendation of having more taken at home. But how many?

Do you need medication for high blood pressure?

How many blood pressure tests does it take to diagnose high blood pressure?

How long should you wait before repeating a blood pressure?

Take a repeat reading. Wait for one to three minutes after the first reading, and then take another to check accuracy. If your monitor doesn't automatically log blood pressure readings or heart rates, write them down.

How many times should you take your blood pressure in a row?

In the American Heart Association BP measurement guideline [12], the following statement was described without any citation: 'three readings should be taken in succession, separated by at least 1 min. The first is typically the highest, and the average should be used as the blood pressure reading.

Should you take your blood pressure several times in a row?

Check it twice It's ideal to measure your blood pressure twice a day for two weeks leading up to a doctor's appointment, or following a change in medication. At each sitting, measure your blood pressure three times, but discard the first reading as it tends to be inaccurate.

What happens if you continuously have high blood pressure?

Uncontrolled high blood pressure can lead to complications including: Heart attack or stroke. High blood pressure can cause hardening and thickening of the arteries (atherosclerosis), which can lead to a heart attack, stroke or other complications.

Why the first reading of BP is 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.

Which is the proper arm to check blood pressure?

(It's best to take your blood pressure from your left arm if you are right-handed. However, you can use the other arm if you have been told to do so by your healthcare provider.) Rest in a chair next to a table for 5 to 10 minutes. (Your left arm should rest comfortably at heart level.)

Should you take blood pressure twice?

Since your blood pressure changes throughout the day, it's a good idea to take it at least twice. Taking your blood pressure multiple times throughout the day ensures you're getting an accurate reading.

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

It's normal for your blood pressure to go up and down a little during the day. If you're using a home blood pressure cuff, the readings might be off. The same holds true for drugstore equipment. It's also possible that your readings vary because you're stressed by being in a healthcare setting.

Can you live a long life with high blood pressure?

While it's theoretically possible that you can live a long life with high blood pressure, the odds are not in your favor. It makes more sense to heed your hypertension risks and learn how treatment can improve your hypertension prognosis and life expectancy.

What are the 4 stages of hypertension?

High blood pressure is classified in one of several categories — and those designations can influence treatment. Doctors classify blood pressure into four categories: normal, prehypertension (mild), stage 1 (moderate) and stage 2 (severe).

What is a dangerously high blood pressure?

Your blood pressure is considered high (stage 1) if it reads 130/80. Stage 2 high blood pressure is 140/90 or higher. If you get a blood pressure reading of 180/110 or higher more than once, seek medical treatment right away. A reading this high is considered “hypertensive crisis.”

What is the interval between HBP and BP?

The 1-min interval between HBP readings gave a closer agreement with the daytime average BP than the 10-s interval.

What is the average BP for the 10-s interval?

The analyses were performed using the second–third HBP readings. The average systolic BP/diastolic BP for the 10-s and 1-min intervals at home were 136.1 ±15.8/77.5 ±9.5 and 133.2 ±15.5/76.9 ±9.3 mmHg (P= 0.001/0.19 for the differences in systolic BP and diastolic BP), respectively. The 1-min BP readings were significantly closer to the average of awake ambulatory BP (131 ±14/79 ±10 mmHg) than the 10-s interval readings. There was no significant difference in patients’ compliance in taking adequate numbers of readings at the different time intervals.

What is the average BP level for HEM-5001?

Additionally, we compared the clinic measurement of HEM-5001 and mercury sphygmomanometer. The average BP levels were 129 ± 15/77 ± 10 mmHg when taken by the mercury sphygmomanometer and 131 ± 15/76 ± 9 mmHg for the HEM-5001. The interclass correlations of agreement between mercury readings and HEM-5001 were 0.953 for SBP and 0.906 for DBP when three readings were taken each time.

How accurate is a 15-s interval?

The validity of using very short intervals between oscillometric BP measurements in the clinic has been reported by two groups. Yarows et al.[15] reported that a 15-s interval between BP measurements was as accurate as a 1-min interval in normotensive volunteers. Koehler et al.[16] showed that multiple BPs measured over a period of 10–15 s were similar to those taken at 1-min intervals using a sphygmomanometer and automatic devices (which were not cited as validated). Our results are consistent with these reports, but the previous studies were performed only in clinical settings because home monitors with preset measurement intervals were not available. In contrast, with the advent of new technology, we have been able to examine the results of using two different and standardized measurement intervals for readings taken at home. We used the awake ABP as the comparator measure and also compared the home readings with readings taken in the clinic under standardized conditions using both mercury sphygmomanometer readings and automated device readings. The main finding of the study was that though the intraclass correlations of agreement for the 10-s and 1-min intervals at home with awake ABP were similar, the mean SBP levels taken at 10-s intervals were significantly higher than SBP taken at 1-min intervals, and the average home BP with 1-min intervals was closer to the daytime ABP. Because the BP measurements of 10-s and 1-min intervals were done in the same patients crossed over, the baseline BP level was similar, and arm size, cuff size, and deflation time were exactly the same for the two measurement conditions. Therefore, we do not think that these factors affected the differences between the 10-s and 1-min interval measurements.

What is the average ABP?

In this study, average daytime ABP (131/79 mmHg) was equal to office BP (131/76 mmHg), and home BP (135/77 mmHg using 1 min intervals and the average of morning and evening readings) was higher than office BP. The reason for the lower level of office BP than home BP was that office BP was measured in the standard condition following the international guidelines after at least 5-min rest; measured by a research assistant (but a physician in Japan) rather than by a doctor and multiple measurements (more than 6 readings) were taken in one occasion after seeing a doctor. The BP levels in the normal range were another reason for the relatively lower level of office BP as was reported in previous studies which have shown that office BP was the same or lower than the out-of-office BP when they were in normotensive range [23–26]. The use of large adult cuff (N= 8) may be another limitation of this study because the time of inflation and deflation is different from that of regular size cuff.

How is BP measured in a clinic?

Clinic BP was measured at baseline and at the 4th and 8th week visits. Patients sat quietly with their backs supported, without crossing their legs, and with both arms supported at heart level for 5 min before the measurements were made. Clinic BP was measured with auscultation by a physician (three readings) using a mercury sphygmomanometer and by an automated BP monitor [Omron HEM-5001 (Kyoto, Japan), the home monitor used in the study] with three readings at 1 min intervals, giving a total of six clinic readings at each visit. The sequence of the clinic BP measurements was randomly assigned at each visit. Thus, each of the two types of clinic BP measurements used in the analysis described below was based on the average of nine readings (three on three occasions over an 8-week period) taken under rigorously standardized conditions.

Is a 10-s interval of BP higher than a 1-min interval?

This study has shown that BP readings of a 10-s interval of multiple home BP measurements were higher than readings taken using the conventional 1-min interval. The 1-min interval of three measurements tended to give a better estimate of the average daytime BP level, and, therefore, the 1-min interval would be better for clinical use. This is the first study testing the validity of using very short time intervals between BP measurements made at home.

How to treat high blood pressure after surgery?

To treat high blood pressure during surgery, your anesthesiologist will administer intravenous (through your vein) antihypertensives. On the other hand, if you lose blood during surgery, your blood pressure may drop. While fluids and/or a blood transfusion may be all you need to increase your blood pressure, if there is a severe loss ...

Why does blood pressure rise during surgery?

One reason why your blood pressure may rise during surgery is from activation of your sympathetic nervous system during the start of anesthesia— a normal phenomenon. 3  In addition to your blood pressure rising during the start of anesthesia, your heart rate will also likely rise. To treat high blood pressure during surgery, ...

What questions do an anesthesiologist ask before anesthesia?

Just before you enter the operating room, your anesthesiologist will ask you a few questions about your medical history, in addition to doing his own review of your chart. This way he is aware of your baseline blood pressure, medication allergies, and/or prior reactions to anesthesia.

What happens if you lose blood during surgery?

While fluids and/or a blood transfusion may be all you need to increase your blood pressure, if there is a severe loss of blood during surgery (more than 20 percent of your body's blood supply), a life-threatening condition called hypovolemic shock may develop. Hypovolemic shock occurs when the loss of blood makes it hard for ...

What happens to blood pressure after anesthesia?

If a person experiences markedly high blood pressures after surgery (when the systolic pressure is 180 mmHg or higher), he will likely be given intravenous medications, instead of oral medications, to lower the blood pressure. 4 .

Can you take antihypertensives before surgery?

It's essential to follow your healthcare team's instructions on which medications to continue and which to stop prior to your surgery. For people with chronic high blood pressure, in most instances, continuing your high blood pressure medications (called antihypertensives) is generally safe.

Does hypertension increase risk of surgery?

Having hypertension very well may increase your risk of surgery, and how severe your risk is, depends on how severe your hypertension is.

What is high blood pressure called?

The American Heart Association explains how high blood pressure, also called hypertension, is diagnosed.

What does the bottom number mean on a blood pressure chart?

Diastolic blood pressure (the bottom number) — indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats. Learn more about what your blood pressure numbers mean.

How can I take blood pressure at home?

Blood pressure can be measured at home with minimal effort. If you want to monitor your resting blood pressure at home regularly, an automated or digital blood pressure machine may be useful.

Is systolic blood pressure more important than diastolic blood pressure?

In practice, systolic blood pressure should be prioritized over diastolic blood pressure. However, there is a strong correlation between systolic and diastolic blood pressure in general. Both are significant risk factors for heart disease.

Top Is It Okay to Take Blood Pressure Multiple Times Related Articles

Blood pressure is the force applied by the blood over the inner walls of the arteries. Although the average blood pressure for a person remains constant, it shows minor fluctuations throughout the day—declining while relaxing and momentarily increasing while being excited or under stress.

What is the recommended blood pressure for a 60 year old?

If you're 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is 130 or higher .

How to reduce high blood pressure?

You're on the path to high blood pressure, so make some changes to your lifestyle. Cut down on salt and alcohol, get more exercise, and drop pounds if you're overweight.

What is the stage 1 blood pressure?

130/80 to 139/89 (stage 1 hypertension): You might need medication. These numbers qualify as high blood pressure and you need to take action. But your doctor will probably suggest that you try out lifestyle changes first before adding drugs -- unless you have other health problems.

What does the top number mean in blood pressure?

The top number tells you the pressure when your heart squeezes. The bottom number lets you know when your heart relaxes. Normal blood pressure is less than 120 and less than 80. If one or both of those numbers is higher, there's too much pressure in your arteries. It's like a tire pumped with too much air.

Why do people take medicine?

Some people choose to take medicine because they're concerned about the risk of heart attacks and stroke. Others don't like the idea of going on daily medication or worry about the side effects. Talk to your doctor about the pros and cons, and be open about how you feel. Keep Track of Your Blood Pressure.

Do you have other reasons your chances of heart attacks or strokes are higher?

Do you have other reasons your chances of heart attacks or strokes are higher? For example, are you African-American? Are you a man? Do you have a family history of heart attacks or strokes at young ages? Are you overweight? Do you smoke? Each one of these raises your odds of heart disease. The more of these situations you have, the more likely your doctor will prescribe high blood pressure medicine.

Is blood pressure 180/120 an emergency?

At the same time, you'll also need to make lifestyle changes. If you ever have blood pressure that's 180/120 or above, it's an emergency. You need medical help right away to get it under control. Other Questions to Ask.

Why is blood pressure high at home?

Home blood pressure monitoring is a common approach after a patient has been screened at a clinic but before the person receives an official hypertension diagnosis. That's because measurements taken in a medical office can sometimes be misleadingly high. For some patients, nerves or stress related to being at the doctor's office can be enough to spike blood pressure. In others, conversely, their number will look normal at the clinic, but high at home because of environmental factors.

Why do we monitor blood pressure at home?

Home blood pressure monitoring is a common approach after a patient has been screened at a clinic but before the person receives an official hypertension diagnosis. That's because measurements taken in a medical office can sometimes be misleadingly high. For some patients, nerves or stress related to being at the doctor's office can be enough ...

What is a routine visit to the doctor's office?

(cglade, iStockphoto) A routine visit to the doctor’s office typically results in a single blood pressure measurement. But for people on the verge of being diagnosed with high blood pressure, or hypertension, visits usually involve several additional checks at ...

Can blood pressure fluctuate?

Blood pressure can easily fluctuate depending on when and how it is measured, he said. "We take terrible measurements of blood pressure. But whether it's in the office or at home, it can be done well. You don't need to be a rocket scientist to do a good blood pressure," Whelton said.

Did participants have a history of cardiovascular disease?

Participants did not have a history of cardiovascular disease and were otherwise healthy. Their blood pressure was taken multiple times during two clinical visits, and they were given a blood pressure monitoring device that electronically stores information from each use.

Do you need to be a rocket scientist to measure blood pressure?

You don't need to be a rocket scientist to do a good blood pressure," Whelton said. Patients need a period of rest before the measurement and a proper cuff size, he said. They shouldn't talk and should sit in a chair with an upright back with feet on the floor. "Those are the key issues to avoiding predictable errors.".

How many blood pressure readings should I take in a row?

You can take multiple blood pressure readings in a row. The American Heart Association recommends taking 2-3 measurements about one minute apart. Two to three readings will minimize random errors and provide more accuracy for estimation of blood pressure. Keep reading, and I’ll explain to you in complete detail how to perform this sequence as ...

How many blood pressure monitors should I use?

The American College of Cardiology and the American Heart Association recommends 2-3 measurements for a medical staff and for you at home 2 . Some of the home monitors can be programmed to do this automatically. One of the three monitors I recommend, the Omron 10 series, is one of those monitors. Check it out and the other two in my blog post, Home Blood Pressure Monitors.

Why is it important to monitor blood pressure?

Inaccurate measurements can play tricks on your mind and make it more difficult on your doctor’s diagnosis and treatment.

What is blood pressure explained?

Article Resources: Blood Pressure Explained follows strict guidelines to ensure our content is the highest journalistic standard. It's our mission to provide the reader with accurate, honest and unbiased guidance. Our content relies on medical associations, research institutions, government agencies and study resources. Learn more by reading our editorial policy.

Is it bad to take blood pressure all day?

Measuring your blood pressure all day long or more than recommended by the physician is unnecessary. Your pressure will fluctuate throughout the day, and the readings are going to differ. It doesn’t make any sense and is counterproductive. Doing so can also play on your mind and cause undesired stress. Do yourself a favor and take it when you’re supposed to.

Can you record blood pressure?

You can also jot it down on paper or a blood pressure log. It doesn’t really matter how you record them, as long as you do.

Should blood pressure be recorded?

All blood pressure readings should be recorded and shown to your physician. Blood pressure should be based on an average of readings from two or more occasions. Sometimes people don’t prepare properly for the first reading like skipping the five minutes of quiet time.

Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Simple lifestyle changes can regulate high blood pressure, but when blood pressure is very high or lifestyle measures fail, medications for life long will be recommended.
Medication

Beta blockers: Helps in reducing the heart rate thus decreasing the blood pressure.

Acebutolol . Atenolol . Betaxolol


Diuretics: Increases urination which in turn reduces the sodium and fluid content resulting in decreasing blood pressure.

Bumetanide . Chlorthalidone . Chlorothiazide


Angiotensin-converting enzyme (ACE) inhibitors: Widens the blood vessels thereby aiding in easy blood flow and reduce the blood pressure.

Captopril . Fosinopril . Lisinopril . Ramipril


Angiotensin II receptor blockers (ARBs): Helps relax the blood vessels to lower the pressure.

Losartan . Telmisartan


Calcium channel blockers: Reduces the amount of calcium entering heart muscles thereby reducing the heart rate and controlling blood pressure.

Amlodipine . Felodipine . Isradipine


Alpha blockers: The muscles of arteries and veins are relaxed thus reducing the blood pressure.

Doxazosin . Prazosin . Terazosin


Renin inhibitors: Inhibits the enzyme that favors the production of angiotensin (a peptide hormone, which aids in regulation of blood pressure) which constricts blood vessels.

Aliskiren

Nutrition

Foods to eat:

  • Eat more fruits, vegetables, and low-fat dairy foods
  • Cut back on foods that are High in saturated fat, cholesterol, and trans fats
  • Eat more whole-grain foods, fish, poultry, and nuts

Foods to avoid:

  • Frozen foods
  • Salty and sugary foods
  • Caffeine and alcohol
  • Red meats

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Coping and Support

  • Your doctor will ask questions about your medical history and do a physical examination. The doctor, nurse or other medical assistant will place an inflatable arm cuff around your arm and measure your blood pressure using a pressure-measuring gauge. Your blood pressure generall…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9