Posted February 17, 2025 by Israel Cajigas, M.D.
High blood pressure, or hypertension, can be a silent disease — without any warning signs or symptoms — and many people may not even realize they have it. But without treatment, high blood pressure can greatly increase your risk for a heart attack and stroke.
Monitoring your blood pressure is the only way to know if you have high blood pressure. That’s why it’s important to check it regularly — at every healthcare visit and between appointments at home — to be proactive about your health. Early intervention is key to improved outcomes.
Self-monitoring at home is especially important if you’ve been diagnosed with high blood pressure or other conditions that can elevate it. Your provider may recommend daily readings with a home monitor for a more complete understanding of your condition and risks, and to determine whether treatment is working or if adjustments need to be made.
Making sure you have an accurate reading is important. The first step in controlling your high blood pressure is knowing your numbers. A reading that’s too low can give you a false sense of security, while a reading too high may lead to treatment you don’t need.
A blood pressure reading includes two numbers. The top is the systolic number and measures the pressure against your artery walls when your heart beats. The bottom number is the diastolic number, which measures the pressure between beats when your heart is at rest.
The American Heart Association breaks down healthy and unhealthy blood pressure ranges as follows:
When you first start monitoring at home, your provider will likely recommend taking your blood pressure reading twice in the morning and twice in the evening every day. It’s best to take the readings at the same time each day and take multiple readings for a more accurate result because your blood pressure can fluctuate significantly, depending on exertion and stress.
Many automated machines for home-based readings have made checking your blood pressure easier. However, there are factors that can slightly elevate your blood pressure and give you an inaccurate reading, such as:
To ensure an accurate blood pressure reading each time, follow these steps:
The American Heart Association recommends using an automated device (automatically inflates and records the pressure) that has an upper arm cuff. Skip those with a wrist cuff or fingertip sensor, as they aren’t as reliable.
Also, it’s best to use a device that stores up to 30 blood pressure readings, if it doesn’t transmit results to your care team. This makes it easier to track your results over time and share the readings with your provider.
In addition, be sure to choose the correct cuff size — the inflatable part should completely cover at least 80% of your bare arm. If the cuff is too small, it can give an inaccurate high reading.
The American Medical Association offers a list of validated home monitors that meet its criteria.
Once you purchase a home monitor and about once a year thereafter, it’s a good idea to bring your device with you to compare its results against those taken by your provider to check your monitor’s accuracy.
Self-measuring is one of the easiest ways to monitor your heart health. But making sure you have an accurate reading is key to understanding your condition and risks, and ultimately, improving your health.
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