Ask Dr. Rowena

Photo Dr. Rowena Your questions about high blood pressure answered by a board certified doctor. Browse the categories in the left menu.

How to Achieve an Accurate Blood Pressure Reading?

Q:  How do you achieve the most accurate Blood Pressure readings in general and when using Resperate?

A:  In general, to get the most accurate blood pressure readings, take your blood pressure at that same time each day that you choose to measure your blood pressure....

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Why Do I See Such a Difference in Blood Pressure Measurements With Different Monitors?

Q: I take my blood pressure daily with two different devices (1) with an arm cuff and a (2) wrist cuff. The differences in readings can be as high as 25 points although they are taken at the same time. What is the...

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Should I Use a Digital Barometer to Calibrate My Blood Pressure Monitor?

Q: I would like to calibrate my blood pressure monitor.   Is it a good idea to use a digital barometer for doing this?  I would then correct the readings given by the monitor, against the readings given by the barometer.  I live at the...

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Concern about a spread between high diastolic and low systolic.

Q: I am 57 years old female and I have had hypertension for several years. 2 years ago my grandson died and I had heart failure. I was diagnosed with broken heart syndrome and spent eleven days in ICU at the heart institute. I have...

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Blood pressure drops by third consecutive reading.

Q: Any time I take my blood pressure,It starts from as high as 160 over 95,decreases gradually and return to the normal level after about third reading,it goes down to as low as 124 over 82 and stay low .Any need to worry?

A: You should...

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The accuracy of wrist cuff and arm cuff

Q: Wrist cuffs vs bicep cuff…which is most accurate?

A: The gold standard for taking blood pressure is the arm cuff. With proper technique both cuffs provide an accurate reading. It is important to follow the directions that come with the cuff. In my opinion, arm...

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Systolic down, diastolic still up.

Q: My BP was in the 170’s over 120’s and has been reduced with lifestyle changes and lisinopril to low 140’s but over 100-110 still for diastolic. What might cause this? Are the dangers specific to a high diastolic or just the ratio being what it...

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Blood pressure reading taken immediately at doctor’s office.

Q: My internist has labeled me hypertensive and I am on Diovan, amlodipine and propranolol. My question is this: my pressures are measured in his office immediately upon sitting down with his nurse while she is talking to me. I have found that my pressures...

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Elevated diastolic real indicator of hypertension.

Q: We were recently informed at the local hospital that it’s the diastolic measure that indicates hypertension, not so much the systolic. I have never heard this before. Is this true?

A: This is no longer felt to be true. At one time doctors just looked...

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The vasoconstriction vs vasodilation effect.

Q: Can being in a cold room and taking your blood pressure result in a noticeable increase compared with a warmer room? I am thinking of the peripheral vasoconstriction vs vasodilation effect

A: Blood vessels constrict in response to cold to help maintain body heat. This...

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