By Owen Jones


If you have a certain medical condition or if you have reached a certain age, you may start thinking of monitoring your blood pressure at home yourself. Yes, you can always go to the GP to get it done, but that costs time (and in most countries, money) which you might not have. So, what about checking your blood pressure at home?

How accurate are blood pressure monitors for home use? The fact is that contemporary monitors are very accurate, yet you ought to still continue regular visits to your medical doctor, who will verify the findings of your home monitor.

If your medical doctor has determined that you have high blood pressure (hypertension), he or she will probably recommend lifestyle changes or / and medication. It is very problematic to introduce lifestyle changes, so if you do, monitoring your hypertension at home and seeing reductions can be very satisfying, yet it can also work the other way around if the changes do not appear to be having any impact.

Whilst you are deciding which home blood pressure monitor to buy, there are two basic alternatives: the aneroid and digital monitors. The digital monitors have either an automatic or a hand-pumpable cuff.

The other kinds are finger or wrist monitors, yet these ought to be avoided as they give pretty erratic or inaccurate readings and they are a lot dearer too. If you do purchase one of these monitors, take it with you to your doctor's and check its performance against a sphygmomanometer, which is considered the gold standard of blood pressure monitors.

So, let us take for granted, that you purchase a proper monitor with a cuff, the first thing to do to ensure maximum accuracy is to use a cuff that fits you properly. This is not normally difficult, but if you are big or small, the instruments within the cuff might not be able to present an accurate reading.

If you want an accurate reading, you ought to wait at least 45 minutes after drinking caffeine before taking a reading. In fact, you should sit quietly for at least ten minutes, before taking any reading. Other precautions are to go to the bathroom first, not to have smoked or to have taken any alcohol recently. In addition, strap the cuff at least an inch above the crease of your elbow.

You will be hoping for a reading below 120/80 which is thought to be 'normal'. Readings between normal and 140/90 point toward prehypertension and denote that you need to take some action to avoid entering 'Stage One Hypertension', which is anything more than this reading.

Contemporary home digital monitors over a particular price are extremely accurate. The digital home monitor that I use cost $100 four years ago, so it should be cheaper now. It was tested against a sphygmomanometer (the sort doctors use) and it was always within the limits of accuracy given by the American National Standard for Electronic or Automated Sphygmomanometers. Look for that guarantee, if you purchase a home monitor.




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