During the procedure
Having a blood pressure test is often a routine part of a medical appointment. The test may be performed by a nurse or technician.
The test is performed best while you're seated in a chair in the examining room. Your arm should be supported, resting on a table at heart level, both feet flat on the floor and back supported by the chair.
Your health care provider will wrap an inflatable cuff around the top part of your arm so that the bottom of the cuff is just above your elbow. The cuff is attached to a dial, digital display or a device that looks similar to a thermometer. This equipment is called a sphygmomanometer (sfig-moe-muh-NOM-uh-tur).
Throughout the test, you should try not to talk or move your arm. The nurse or technician will feel the pulse at your wrist and then take a reading with the sphygmomanometer, checking for when the pulse is felt as the air deflates from the cuff. This is so he or she can figure out how much air to pump into the cuff to accurately measure your blood pressure.
Once a pulse from an artery is found and the stethoscope is positioned above the elbow, so the nurse or technician will hear the blood flow, he or she will begin inflating the cuff with a small hand pump. The nurse or technician will inflate the cuff to momentarily stop the blood flow through the artery in your arm.
Then the nurse or technician will open a valve on the hand pump to slowly release the air in the cuff. He or she will continue to listen to your pulse with a stethoscope to record your systolic and diastolic blood pressure. Systolic pressure — the top number of your blood pressure reading — is the pressure of the blood flow when your heart muscle contracts. Diastolic pressure — the bottom number of your blood pressure reading — is the pressure measured between heartbeats. Blood pressure is measured in millimeters of mercury, which is abbreviated mm Hg.
It's also possible your blood pressure will be measured using a machine that automatically measures your pulse to figure out your systolic and diastolic blood pressure. If this is the case, it's not necessary for the nurse or technician to search for your pulse with a stethoscope.
Whether your blood pressure is measured manually or with an automatic machine, it takes about a minute to complete a single blood pressure measurement.
After the procedure
The nurse or technician taking your blood pressure can tell you what your blood pressure is immediately after the test is over. Your doctor may discuss what the results mean if your blood pressure test shows that you have high or low blood pressure.
If your doctor thinks you may have high or low blood pressure and is trying to decide the best treatment options for you, you may need to have two or three follow-up appointments to have your blood pressure checked. This is because your blood pressure can vary from moment to moment and day to day. Also for this reason, you may be given multiple blood pressure tests during one visit. Your doctor will look at the results of each of your blood pressure tests to see if you need treatment. You may also be instructed to take several blood pressure readings at home.
Tracking your blood pressure readings
It can be helpful in diagnosing or monitoring high blood pressure if you record your readings in a blood pressure log, whether on paper or electronically, such as in an online personal health record or blood pressure tracker, for example. This gives you the option of sharing your data with your health care providers and family members. Some blood pressure monitors can be connected directly to your computer, making it easy to transfer the information to an online record.
Jun. 08, 2012
- Kaplan NM, et al. Overview of hypertension in adults. http://www.uptodate.com/ index. Accessed April 10, 2012.
- How high blood pressure is diagnosed. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/SymptomsDiagnosisMonitoringofHighBloodPressure/How-High-Blood-Pressure-isDiagnosed_UCM_301873_Article.jsp#.T4cd99Uktjs. Accessed April 10, 2012.
- Ogedegbe G, et al. Principles and techniques of blood pressure measurement. Cardiology Clinics. 2012;20:571.
- Kaplan NM, et al. Diet in the treatment and prevention of hypertension. http://www.uptodate.com/ index. Accessed April 10, 2012.
- Low blood pressure. American Heart Institute. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/AboutHighBloodPressure/Low-Blood-Pressure_UCM_301785_Article.jsp#.T4ckctUktjs. Accessed April 10, 2012.
- Screening for high blood pressure. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/uspstf07/hbp/hbprs.htm. Accessed April 10, 2012.
- How is high blood pressure diagnosed. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/diagnosis.html. Accessed April 10, 2012.
- Lowering your blood pressure with DASH. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf. Accessed April 10, 2012.
- Sheps SG (expert opinion). Mayo Clinic, Rochester, Minn. April 13, 2012.