Hello! I have been a doctor for 22 years. My name is Georgy Olegovich Sapego. In this article I will tell you about how high blood pressure can be normal.
I see this regularly. People sometimes even get offended that they felt better without treatment. Usually a person comes and demands to cure high blood pressure. I measure his blood pressure, but it is normal. Then this person comes a couple more times on different days, and each time his blood pressure is normal. The mystery of nature.
It's all about the high incidence of arterial hypertension. Every third person has high blood pressure, with which something needs to be done. Therefore, arterial hypertension is expected in every patient.
The trick is that not every blood pressure of 140/90 millimeters of mercury is actually 140/90. Usually people measure their pressure incorrectly. Well, that is, all these horror stories about heart attacks or strokes are based on foreign research. In this case, it is the foreigners who turn out to be the trendsetters. And we are trying to keep up with them. But only in pursuit of foreigners, our man begins to cheat. Foreigners measure blood pressure correctly, but we have problems with that.
To measure blood pressure, you need to sit quietly for 5 minutes, relaxing your muscles.
Back
If the back is not resting on the back of the chair, then the diastolic blood pressure will be about 6 millimeters of mercury higher.
Legs
If you cross your legs, the systolic blood pressure will be about 5 to 6 millimeters of mercury higher.
Pens
If the arm with the tonometer cuff is not placed on the table, but simply lowered, then the blood pressure will rise by about 10-12 millimeters of mercury. There is no magic in this. It literally increases the hydrostatic pressure in the arteries of the hand. Pure physics. Then, however, this physics is assaulted by medical statistics, and a person is undeservedly diagnosed with arterial hypertension.
Various miracles
Blood pressure jumps from stretching the bladder, from the sight of a doctor, from the rumble of a perforator behind the wall.
Measuring pressure in a cold room or chatting with your doctor can raise your blood pressure by anywhere from 8 to 15 millimeters of mercury.
The pressure jumps for 30 minutes after eating, coffee or exercise.
If you do not follow the rules every time, then each time the pressure will be increased, and the person will be stamped with the stigma of hypertensive.
In fairness, all these counters are strictly taken into account if a person has not yet had time to noticeably damage himself with increased pressure to various organs. And if he did, then there is no doubt.
It's complicated with smokers
Sometimes the patient is not officially supposed to believe. This happens in heavy smokers, who if they do not smoke for 30 minutes, then their pressure drops. It is forbidden to smoke in the clinic, the smoker will have to wait in line, and his blood pressure will noticeably decrease. In fact, in his normal smoking life, the pressure is higher.
If you have doubts about your blood pressure, then talk about it to your doctor.
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Blood pressure must first be measured by touch and only then with the ear
If there is a lot of calcium in the vessels, the tonometer may be wrong and overestimate the pressure readings.
Pressure surge from inflation of the tonometer cuff
