The Experts Say - Health & Lifestyle

 

Understanding Blood Pressure Readings

Article contributed by:

Cedric Soh,

SeniorCare, Online Elderly Care Retail Store

 

Blood pressure refers to the force of the body’s blood pushing against the inner walls of the blood vessels, especially the arteries.  Each time the heart contracts, it pumps blood into the arteries.

 
Your blood pressure doesn’t stay constant throughout the day.  It is lowest when you’re sleeping, and rises when you get up and start moving about.  It can also go up when you are excited, nervous or physically active. Systolic pressure refers to the blood pressure in the arteries that results when your heart contracts or beats, pushing blood out.  When your heart relaxes between beats, blood pressure in the arteries falls.  This is the diastolic pressure.
 


 

Blood Pressure Measuring at Home / Office

Why is my blood pressure fluctuating?


 

How to read your blood pressure reading?

Blood pressure is typically recorded as 2 numbers presented as a ratio like this:

 

117

 

mm Hg


 

76

 

 

Read as “117 over 76 millimeters of mercury”

 

OR simply as

 

117 over 76

 

 

Systolic

The top number (the higher of the two numbers shown) measures the pressure in the arteries when the heart beats (which is when the heart muscle contracts).

Diastolic

The bottom number (the lower of the two numbers) measures the pressure in the arteries between heartbeats (that is when the heart muscle is resting between beats and refilling with blood).

 

 

A healthy blood pressure reading should be lower than 120/80 mmHg.

 

Normal blood pressure is less than 120 mmHg systolic and 80 mmHg diastolic (Figure 1 Blood Pressure Chart), and may vary from 90/60mmHg to 120/80mmHg in a healthy young woman.

 

A blood pressure of 140/90 mmHg or higher indicates high blood pressure.

 

 

Figure 1: Blood pressure chart

 

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Blood Pressure Level Categories

Categories For Blood Pressure Levels In Adults (Aged 18 Years And Older)

 

Blood Pressure Level (mmHg)

 Category

 Systolic

 

 Diastolic

 Normal BP

< 120

and

< 80

 High-Normal BP

130

or

80 – 89

 High Blood Pressure

     

 Stage 1 Hypertension

140 – 159

or

90 – 99

 Stage 2 Hypertension

160

or

100

 * Isolated Systolic Hypertension

> 140

and

< 90

 

Notes:
1. When systolic and diastolic blood pressures fall into different categories, the higher category should be used to classify blood pressure level. For example, 160/80 mmHg would be stage 2 hypertension (high blood pressure).

2. *Isolated systolic hypertension is graded according to the same level of systolic BP.

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Blood Pressure Measuring at Home / Office

Anyone can measure your own blood pressure at home with a digital blood pressure device that can be purchased at  pharmacies, health care stores etc.  Read the instructions carefully.  You may wish to calibrate your reading with your family doctor.  However that is usually not needed as almost all commercial units comes calibrated.

 

The proper time to take the measurement is when you are at rest.  Please refrain from any physical activities 30 minutes before each measurement.  These will help to ensure the accuracy of your reading:

 

Sit in a comfortable position

Place your LEFT arm, raised to the level of your heart, on a table or desk, and sit still (take note that the left arm is preferred as your heart is positioned at the left-centre of your body)

Wrap the cuff of the monitor smoothly and snugly around the upper part of your bare arm

 

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Why is my blood pressure fluctuating? Is my blood pressure machine faulty?

Researchers from the “Center for Health Research and Rural Advocacy at Geisinger Health System” in Pennsylvania have found that time of day and time of year can influence blood pressure readings by as much as 40%.

 

Doctors have also found that blood pressure also fluctuates with physical activity and emotional state, it would be better if you can measure your blood pressure at the same time everyday, under resting conditions and on more than one occasion.  This will allow the results be comparable easier.

 

▲ Digital blood pressure device

Do not be alarmed if your blood pressure machine seems erratic.

 

Firstly, Do make sure you read the instructions thoroughly and your blood pressure machine is from a trusted brand.  Most of the highly reputed brands of blood pressure machines are established brand names from Japan or Europe. 

 

Secondly, ensure that the products you bought is from an Authorised Dealers, beware of fakes.  Authorised Dealers means that you can have peace of mind as any errors can be solved by re-calibrating by the brand staff in their customer service offices.

 

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Article contributed by:

Cedric Soh,

SeniorCare, Online Elderly Care Retail Store

Dated: October 2016

 

SeniorCare is the largest online elderly care retail store. We carry adult nutritional meal replacement shakes such as Ensure, Glucerna and Resource, incontinence care and adult diapers, mobility aids, health supplement, toilet and bathroom aids, pressure relief etc. to help better care for your loved ones.

 

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