When I take my own blood pressure at home, I am convinced I can see my own systolic reading decrease while I measure it and as I relax during the measurement itself. I request a professional opinion on the possible implications of this ‘ghost systolic reading’, specifically when it comes to selecting hypertension drug dosage based on the reading.
I have been using a good quality manual sphygmomanometer and stethoscope for many years. I inflate the cuff to 150mmHg and then slowly release pressure on the cuff valve. Once I detect the initial systolic reading (thumping in the stethoscope), I immediately close the air valve and hold the systolic pressure for a few seconds while I relax. Once the thumping has ceased, I re-open the air valve and allow air to bleed while watching the reading. Soon the thumping returns at a lower valve, typically 10-20mmHg below the initial systolic reading. Then, I continue to release air until I get the diastolic pressure.
High Blood Pressure and Hypertension Answer A19228
Welcome to the ehealthforum. I am glad to help you out.
The first time the thumping or the korotkov sounds are heard is the reading the systolic blood pressure.
Ideally a better method of recording the systolic blood pressure is by keeping a finger on the radial artery and seeing the appearance of the pulse.
The appearance of the radial pulse is the systolic blood pressure. You should inflate the cuff by keeping a finger on the radial pulse and after the pulse disappears, raise it to another 20-30 mmHg and then gradually deflate the cuff.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.
For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.
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