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Old 04-06-2005, 09:29 PM   #1
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Home Monitor - Different Readings

Hi all - Now that I've seem to have gotten over my home monitor white coat syndrome, I'm noticing wild fluctuations with my BP monitor. For instance, my first reading was 141/85, then waited a few minutes tried again and it was 127/86, again a few minutes later and it was 121/83. My monitor is a brand new bicep cuff Omron.

Can anyone tell me which reading I should go with? Or maybe I'm doing something wrong. I 'm confused.

 
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Old 04-06-2005, 10:12 PM   #2
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Re: Home Monitor - Different Readings

Maybe you still aren't over the "white coat" problem in your first reading, regardless of the color of your coat. Some people who tend to have anxiety with BP readings, do take three readings, throw out the first one, and average the others. Now that I've been doing this for years, I only take one reading unless that reading seems "off" from what I'd expected based on my anxiety level at the time and recent readings.

It could just be a difference in technique, too. Were you seated quietly for some time before your first reading? Some suggest five minutes, some ten, some 15. Were your feet flat on the floor? Were you seated in a chair that doesn't put undue pressure on any part of your body? (If taking the reading at my dining room, I have to put something under my feet, to raise them just a bit, as I'm very short-legged.) Was your arm at heart level? (Sitting in the dining room chair with chair turned sideways to the table and my arm resting on the table works best for me. The arm of the chair is too low to be heart level on me.) Did you remain quiet while you were taking your presure? Talking or even what you are thinking can sometimes cause some changes. Or it could be just normal fluctuations from minute to minute. That happens, too, and is nothing to worry about. Your readings over a period of time will sort out the picture.

 
Old 04-07-2005, 03:57 AM   #3
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Re: Home Monitor - Different Readings

Redherring-

I have always had exactly the same thing happen with me, no matter which arm-cuff monitor I use.
I, like you, presently have a bicep cuff OMRON and well controlled BP (average 116/70) but my first reading (out of 3) is always about 10, sometimes 15 points (systolic) higher.

Try Uff-da's technique/protocol.
Take 3 readings, throw out the first and average the last 2.

zuzu xx

Last edited by zuzu8; 04-07-2005 at 03:57 AM.

 
Old 04-07-2005, 04:33 AM   #4
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Re: Home Monitor - Different Readings

I had that same problem yesterday!! I took it and it was 177/98, then it was 150/112 then it was 134/74! All within 15 minutes! (I'm on BP meds and the HIGHEST I ever got at home was the mid 40's over 90!) I don't even get those high numbers at the DOCTORS! My mom said it COULD be the cuff - yours didn't fluctuate as wildly, so it could be YOU - blood pressure fluctuates minute by minute. Your bottom numbers were fairly consistant, while mine went from 112 to 74 in 6 minutes! So I think your cuff is probably ok.

 
Old 04-07-2005, 05:28 AM   #5
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Re: Home Monitor - Different Readings

redherring,

Here's how I would treat those numbers. I, too take three readings and record the middle of each value.
Thus: 141/85; 127/86; and 121/83 gets reported as 127/85.
This will very likely get rid of any fluke reading.

 
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