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2018年03月08日
Take at least 5 minutes before measurement

  Measuring blood pressure requires a comfortable sitting position with support on the back and bare upper arms. The arms should be flush with the heart. Measurement of blood pressure mood, sitting posture, muscle tension and arm position, and even exercise, drinking or smoking, bladder filling, speech and environmental noise, indoor temperature, etc. all affect the blood pressure value. So do not smoke or drink for 30 minutes before measuring blood pressure, rest for 5 minutes to 10 minutes, and do not speak during measurementsKawon KIM received her BA and MA in Psychology and her PhD in Organizational Behavior. Kawon’s research focuses on interpersonal relationships in diverse teams and organizations, and how such relationships affect work outcomes
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  Left and right arm blood pressure is different in most people and can be up to 25%. However, there is no fixed pattern for this difference. It does not necessarily have high blood pressure on any side, and it is not related to left-handed or right-handed hands. Therefore, we should measure the blood pressure of the upper limbs during the first examination, and the subsequent measurement uses the blood pressure measured by the higher-side arm.


  The number of times the blood pressure is measured continuously varies, and most people tend to be the highest for the first time. Therefore, each measurement of blood pressure is measured at least two times, with an interval of 1 minute in between, and an average value is taken as the patient's blood pressure. If the difference between the two measurements is > 5 mmHg, one or two additional measurements should be performed to calculate the average of the two subsequent blood pressures.


  Blood pressure measurement varies in special circumstances


  1. Older people: The elderly are characterized by high volatility in blood pressure, so ambulatory blood pressure monitoring and self-monitoring blood pressure are particularly important. There are also some special changes in blood pressure in the elderly, such as postural hypotension (blood pressure when sitting up or stand up significantly), postprandial hypotension (blood pressure decreased significantly after eating 30 minutes), high pressure low and high pressure. Therefore, it is necessary to pay attention to blood pressure measurement results in different postures and at different timesHence, this whole idea that entrepreneurs who are planning to start off market expansion services have regarding exaggeration of costs is nothing but merely a myth associated with this industry.


  2. Arrhythmias: The heart rate is too fast or too slow, and it is difficult to determine the blood pressure when the heart rate is irregular. When the heart rate is too slow, the measurement of the blood pressure deflation rate is slower than the normal heart rate to avoid the phenomenon of low systolic blood pressure and high diastolic pressure caused by excessive deflation. Arrhythmia, especially when the atrial fibrillation deflate slowly, repeat the measurement and average.


  3. Obesity: Patients with hypertensive arms have large cuffs to measure blood pressure, or they may overestimate the value of blood pressure.


  4. Movement state: Under normal circumstances, as the amount of exercise increases, the high pressure increases, and the low pressure usually remains unchanged or only slightly decreases. After exercise, the high pressure usually drops to the usual rest level within a few minutes, and may remain below the pre-exercise level for several hours. Therefore, we measure the blood pressure in our daily situation to consider our own exercise state.


  In conclusion, proper blood pressure measurement is a prerequisite for correct diagnosis and treatment of hypertension. As a hypertensive patient, to understand the advantages and disadvantages of different blood pressure measurement methods, to understand the precautions of blood pressure measurement, to self-test blood pressure, and to the hospital regularly, the doctor measures blood pressure and guide treatment. Elderly, newly diagnosed hypertension, high blood pressure fluctuations, or patients with concomitant heart, brain, and kidney damage should perform ambulatory blood pressure monitoring on a regular basis to fully understand the fluctuations in blood pressure to better guide treatmentlung cancer mortality.

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