When I measure my blood pressure at home, I've noticed that the reading is always higher in one arm. Should I be concerned?
Answers from Sheldon G. Sheps, M.D.
Generally, a small difference in blood pressure readings between arms isn't a health concern. However, a difference of more than 20 millimeters of mercury (mm Hg) for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) may be a sign of an underlying problem — such as narrowing of the main arteries to that arm. If you have a significant difference in blood pressure readings between arms, talk to your doctor.
A difference of 10 to 15 mm Hg for systolic pressure that shows up repeatedly is a risk marker for vascular disease and for a greater risk of developing cardiovascular disease and related complications during the next 10 years.
Your doctor may measure your blood pressure in both arms to see if you have high blood pressure (hypertension). If your blood pressure is higher in one arm, your doctor will probably use the blood pressure reading from that arm to monitor your blood pressure.
A large difference in blood pressure measurement between your arms could signal a health problem, such as:
- Blocked arteries in your arms (peripheral artery disease)
- Kidney disease
- Heart defects
Nov. 16, 2012
- Bonow RO, et al. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4377-0398-6..C2009-0-59734-6--TOP&isbn=978-1-4377-0398-6&about=true&uniqId=236798031-10. Accessed Sept. 26, 2012.
- Clark CE, et al. The difference in blood pressure readings between arms and survival: Primary care cohort study. British Medical Journal. 2012;344:e1327.
- Clark CE, et al. Association of a difference in systolic blood pressure between arms with vascular disease and mortality: A systematic review and meta-analysis. The Lancet. 2012;379:905.
- Sheps SG (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 30, 2012.