Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

182 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

I am in a dilema as to whether I really have a BP problem or not ?

When I go to the Doctors for my blood pressure to be checked it is always high but when I use my wrist type blood pressure monitor at home it gives me a normal reading of 120/80.aprox. My wife uses our wrist monitor and her readings are always consistent with the Doctors BP monitor so I know my wrist BP monitor isnt faulty. I dont really know if my BP is high ot not..I am in a dilema as to whether I really have a BP problem or not. Any thoughts...Thanks to you all for helping...
Sat, 12 Dec 2009
Report Abuse
Question is related to
Diseases and Conditions
  User's Response
's  Response
The readings you (or anyone) gets on a monitor aren't 'real' or 'true'. That is, the readings you see aren't your arteries' operating pressures. So, '120' actually ISN'T 120 and '80' ISN"t really 80. Why? - well, because they are merely the internal cuff-pressure when the cuff is tight enough to stop the flow of blood and when it's slack enough to let flow resume. But the internal cuff pressure isn't the same pressure that is applied to constrict the artery, because much of it is absorbed in distorting the flesh at the cuff-ends, and much is lost in compressing sinews, and other elastic tissue before it even begins to be applied to the actual artery. that's simple 4th grade Physics, and why doctors have fallen for this elementary elephant-trap for yonx, is beyond me. Secondly, even if they were 'true' they're not the pressures generated by the heart. They're quite simply not. (the 'indicated' systolic is higher and diastolic is lower... honest! - If you want the source reference for that I'll give it to you) Thirdly, your wife and you will almost certainly have different readings on the left and right arms. And if you measure them at different times they'll be different too. (So 11.30 a.m. will be vastly lower than 6.30 p.m -unless you've been doing something stressful just before the morning one (My wife has the distinction of being diagnosed as "hypotensive" and "Hypertensive" in the same hospital, in the same week, by two different Cardiologists.... One wanted to give her medication "to bring her blood-pressure down" and the other wanted to give her the opposite "to bring her blood pressure up"... Fortunately I was there to stop the whole bl***dy nonsense.) The only thing you can derive from monitor readings is CHANGE. And the change refers only to YOU. So, if your 'apparent BP' rises 25% over a period, then it reflects a true 25% change in your cardiac output pressure. -Similarly, if it falls 15%, then the same applies. All the rest is medical mumbo-jumbo and can be ignored. Why? because the reading you get at home with your wrist monitor depends only marginally on what your arterial pressure is. But two other factors act to influence the reading you get. Oh, and just as a correction of another posting, the phenomenon you describe, simply can't be "explained by the so-called 'white coat-syndrome". That's what student nurses and medics are taught.... but if it were true then some explanation would have to be forthcoming as to why everyone doesn't exhibit it... And, of course, -there is none. EDIT : The "not everyone gets white coat syndrome..." posting below is, of course, a circular argument. If one accepts that "white coat syndrome" exists and is real, then it follows that if some exhibit it and some don't, then some "get" white coat syndrome and some don't. But to explain the phenomenon by simply saying " some get it, and some don't" is just going round in circles. It's using an assumption to prove a theory.. See Euclid. Another example of pseudo medical mumbo-jumbo. Anyone is just as entitled to say that the White Coat Syndrome is spurious, and the validity is just as true.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

dear Doc, My Dad is 55 yrs ,weight 70 kgs ,diabetic.he had a viral fever recently-but only his head was paining and also fever only in his forehead.However,BP shot to 180/90 and now after 3-4 days of medications ,he still has BP ranging 133/96. please advice whether its High BP related to fever only or some other problem.

doctor1 MD

I am 19 years old married women. My BP was 140/100 mm of Hg always. Now it s 160/110 mm of Hg. Should I use medicine or not? Should I use medicine for whole life once I have taken? Can I stop medicine,if my BP is controlled? I am totally confused whether I should use medicine or not and I am confuse that I have hypertension or this is my normal BP? Please solve my problem.

doctor1 MD

I am being treated for High Blood Pressure, High Triglycerides & Cholesterol Levels, Arthritis, Back pain, Muscle Spasms & a Right Trapezius Trigger point that is very persistent and often causes muscle spasms ing the right trapezius & neck areas. I am taking the following meds: Cholecalciferol , Cyclobenzaphrine, Gapapentine, Morphine Sulfate, Omeprazole & Trazodone thru the VA & Diclofenac Sodium, Metoprolol, Simvastatin & Pramipexole thru Tricare. I also take Extra Strength Tylenol, Omega-3 Fish Oil, Niacin, Melatonin, Valerian Root & Ducolax (when needed) over the counter. I am a retired Navy Hospital Corpsman/X-ray Technician and want to know if I can take Pure Forksolin 250Mg to help with my weight problem (I am 5 8 tall & currently weigh around 206 lbs); whether it would help or not. Thank you.

Recent questions on  Hypertension

doctor1 MD

I am on 3 15mg tabs. of morphine a day, & a 30mg that is er. at bed. I want to taper off of them, but do not have a lg. quantity left. My pain mgmt. dr. lost his license, & it will be I don t know how long before I can get a new one, & I want to make my supply last that I have left.

doctor1 MD

Hi I have a BP monitor at home . Right now my reading is 130/86. I have a Bicuspic valve. Today I have been put on a low dose of BP medication after my clinic measured my BP at 151/113. This was taken immediately on arrival at the clinic after walking from the car park and a rather stressfull car journey. Am I right to be concerned about the starting medication on this evidence? .. I have recently had my personel BP monitor calybrated ..AGE 50 thank you

doctor1 MD

My father has multiple myeloma. he s on his third month of the BiRD treatment right now with Revlmid, biaxin and dexamethazone. his BP has been low this week and tonight has dropped to 101/53. he s weak and can t keep his eyes open and has sever leg cramps. He s been fairly active since on the treatment since this particular regimen can cause blood clots. He s coherent and not dizzy at all. we can t get him to drink much, but we are thinking maybe the low bp is due to dehydration. we can t get ahold of his doctor or nurse right now. should we worry? is there anything we can do to make it come up?

doctor1 MD

My mother is not feeling well, woke up 3:00am with shakes, couple hours later, vomiting and diahrea...feeling very week...BP 30 min ago 95/54, just moments ago, 101/45...has been able to keep down some soup, couple crackers, diet 7up...my first worry is her BP...?

doctor1 MD

how often can you take Prednisone? I have reallybad inflamation in my hands and it took it away . The swelling has come back now and I dont know that much about it.

doctor1 MD

Patient: Female, 73 years, 6 months old, 5'7" tall, 230 lbs., in generally good health. Hypertension well controlled with medication, lifelong history of recurring clinical depression . Currently takes medication for depression and hypertension,...

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...