{"id":4731,"date":"2020-02-19T11:50:44","date_gmt":"2020-02-19T11:50:44","guid":{"rendered":"http:\/\/www.mymedicplus.com\/news\/?p=4731"},"modified":"2021-03-31T00:39:11","modified_gmt":"2021-03-30T19:09:11","slug":"are-health-professionals-taking-your-blood-pressure-wrong","status":"publish","type":"post","link":"https:\/\/www.mymedicplus.com\/blog\/are-health-professionals-taking-your-blood-pressure-wrong\/","title":{"rendered":"Are health professionals taking your blood pressure wrong?"},"content":{"rendered":"\n<p>Source:\u00a0<\/p>\n<p data-words=\"12\">Debbie Malewicki has never been shy about advocating for her own health.<\/p>\n<p class=\"fadedText\" data-words=\"59\">So when the 48-year-old Monroe resident was told that her blood pressure was high enough that she needed to go on medication \u2014 after years of having blood pressure that was on \u201cthe low end of normal\u201d \u2014 she spoke up. Malewicki was already being treated for adult onset asthma, and was still taking some medication for breast cancer.<\/p>\n<p data-words=\"51\">Malewicki doesn\u2019t know for sure why there was such a wide variance in her blood pressure readings, although she attributes it at least partly to the fact that her office had been using an automated blood pressure machine, instead of taking it \u201cthe old-fashioned way\u201d with a manual blood pressure cuff.<\/p>\n<p data-words=\"41\">However, she\u2019s not the only one who has faced widely different pressure readings on different visits. Doctors said getting an incorrect high blood pressure reading is fairly common, and is often caused by missteps the average patient might not even notice.<\/p>\n<p data-words=\"37\">For instance, talking to a patient while taking blood pressure, taking blood pressure through clothing and having a patient sit on an exam table with their feet dangling can all lead to artificially high blood pressure readings.<\/p>\n<div id=\"module_A_first\" class=\"bc-recirculation bc-recirculation-a\">\u00a0<\/div>\n<p data-words=\"73\">\u201cI\u2019ve had a patient walk down the hallway, climb onto the table and immediately have their blood pressure taken,\u201d said Dr. Craig Serin, senior medical director of Western Connecticut Medical Group, and is based in Wilton. \u201cThen I\u2019ve come in 10 to 15 minutes, after I\u2019ve had them sit with their feet on the floor for a while, and taken it again, and seen the blood pressure go down 30 to 40 points.\u201d<\/p>\n<p data-words=\"32\">In some cases, a mistake can theoretically lead to a patient being unnecessarily put on blood pressure medication, said Dr. Jeffrey Berman, chairman of cardiology at St. Vincent\u2019s Medical Center in Bridgeport.<\/p>\n<p data-words=\"18\">\u201cThat\u2019s a problem,\u201d he said. \u201cIf you overtreat blood pressure, you can have blood pressure that\u2019s too low.\u201d<\/p>\n<p data-words=\"10\">That can lead to dizziness, falls and injuries, Berman said.<\/p>\n<div id=\"module_B_2\" class=\"bc-recirculation bc-recirculation-b\">\u00a0<\/div>\n<p data-words=\"12\">\u201cYou want to make sure you\u2019re treating the right people,\u201d he said.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mymedicplus.com\/blog\/are-health-professionals-taking-your-blood-pressure-wrong\/#%E2%80%98An_extremely_important_issue\" >\u2018An extremely important issue\u2019<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mymedicplus.com\/blog\/are-health-professionals-taking-your-blood-pressure-wrong\/#Small_mistakes_big_differences\" >Small mistakes, big differences<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%E2%80%98An_extremely_important_issue\"><\/span>\u2018An extremely important issue\u2019<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p data-words=\"28\">Blood pressure is defined as the pressure of blood pushing against the walls of the arteries, which carry blood from the heart to other parts of the body.<\/p>\n<p data-words=\"38\">Health professionals typically use a cuff on the arm to measure blood pressure. The cuff has a gauge attached to it that measures the pressure in the blood vessels with a unit of measurement called \u201cmillimeters of mercury.\u201d<\/p>\n<p data-words=\"36\">Blood pressure is measured using two numbers \u2014 systolic blood pressure measures the pressure in the arteries when the heart beats, and diastolic blood pressure measures pressure in the arteries when the heart rests between beats.<\/p>\n<div id=\"module_A_2\" class=\"bc-recirculation bc-recirculation-a\">\u00a0<\/div>\n<p data-words=\"30\">For example, someone with a systolic blood pressure of 120 and a diastolic blood pressure of 80, would be said to have an overall blood pressure of 120 over 80.<\/p>\n<p data-words=\"35\">Though the standard of what is considered \u201chigh blood pressure\u201d has fluctuated over the years, guidelines released in 2017 state that a consistent reading of 130 over 80 or higher is considered high blood pressure.<\/p>\n<p data-words=\"49\">According to the Centers for Disease Control and Prevention, about 108 million adults have high blood pressure, also known as hypertension, or are taking medication for hypertension. In 2017, nearly half a million deaths in the United States included hypertension as a primary or contributing cause, the CDC states.<\/p>\n<p data-words=\"42\">Given how pervasive and dangerous high blood pressure can be, it\u2019s crucial to properly identify and treat those who have it, said Dr. Carl Orringer, a professor of medicine in the cardiovascular division of the University of Miami Miller School of Medicine.<\/p>\n<div id=\"module_B_3\" class=\"bc-recirculation bc-recirculation-b\">\u00a0<\/div>\n<p data-words=\"29\">During a recent talk at the university, Orringer said high blood pressure is \u201can extremely important issue.\u201d That\u2019s why it\u2019s important that health care professionals take blood pressure properly.<\/p>\n<p data-words=\"12\">\u201cIt makes a huge difference in terms of treating patients,\u201d Orringer said.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Small_mistakes_big_differences\"><\/span>Small mistakes, big differences<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p data-words=\"50\">Orringer provided a list of some of the errors made during doctors\u2019 office blood pressure readings, and the difference they can make in a patient\u2019s results. For instance, he said, talking to a patient while taking blood pressure can elevate a reading by as much as 10 millimeters of mercury.<\/p>\n<p data-words=\"48\">Some errors can result in a fairly significant difference in a blood pressure reading. Putting the blood pressure cuff on a patient over their clothes \u2014 as opposed to a bare arm \u2014 can raise the reading by anywhere from 5 to 50 millimeters of mercury, he said.<\/p>\n<div id=\"module_A_last\" class=\"bc-recirculation bc-recirculation-a\">\u00a0<\/div>\n<p data-words=\"43\">\u201cNow we\u2019re talking about blood pressure medicines and treatments and having to come back to your doctor\u2019s office and checking your blood \u2014 and all of this might have been due to the fact that your blood pressure wasn\u2019t properly measured,\u201d Orringer said.<\/p>\n<p data-words=\"40\">Locally, doctors said they\u2019re aware of protocol errors, and are doing their best to educate health providers about how they can avoid mistakes. Serin said staff in his practice are being trained on the proper procedures for taking blood pressure.<\/p>\n<p data-words=\"21\">Serin and Orringer both said the time constraints faced by doctors could also be a contributing factor to blood pressure error.<\/p>\n<p data-words=\"34\">One of the guidelines for taking blood pressure is to allow patients to sit quietly in a chair with their feet on their floor for at least five minutes before the reading is taken.<\/p>\n<div id=\"module_B_last\" class=\"bc-recirculation bc-recirculation-b\">\u00a0<\/div>\n<p data-words=\"48\">There is so much time pressure for practitioners to see their patients in a defined period of time,\u201d Orringer said. \u201cIf you think of five minutes out of a 15- or-20 minute visit, it\u2019s tough (to do) but it can be done if you\u2019re committed to doing it.\u201d<\/p>\n<p data-words=\"48\">Meanwhile, Malewicki said she generally thinks her health care providers use best practices when taking her blood pressure, allowing her to sit before taking a reading, and not speaking while the reading was being taken. But she said they might have committed at least one blood pressure no-no.<\/p>\n<p data-words=\"23\">\u201cThere wasn\u2019t always an effort to make sure my feet were on the floor,\u201d Malewicki said. \u201cA lot of the time, they dangled.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":4732,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[672,3114],"class_list":["post-4731","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-care","tag-blood-pressure","tag-health-professionals"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Are health professionals taking your blood pressure wrong? - MyMedicPlus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mymedicplus.com\/blog\/are-health-professionals-taking-your-blood-pressure-wrong\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are health professionals taking your blood pressure wrong? 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