To measure blood pressure, sit or lie down? Reminder: whether sitting or lying down, this is the most important

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It is generally recommended to measure blood pressure in a sitting position, because the diagnostic criteria for hypertension at home and abroad are all based on sitting blood pressure measurement.

Although the difference between the blood pressure measured in the sitting position and the lying position is not large, there are still some differences. The diastolic blood pressure (low pressure) measured in the sitting position is often higher than that in the lying position. blood pressure.

When measuring blood pressure in a sitting position, the patient should be fully relaxed when sitting in a chair, and do not cross their legs, otherwise the accuracy of blood pressure measurement may be affected.

At this time, the patient should be in the supine position with the upper arm abducted about 45 degrees, and other precautions are the same as those in the sitting position.

Whether lying down or sitting to measure blood pressure, pay attention to one problem: the cuff must be kept at the same level as the heart. The placement of the sphygmomanometer higher or lower has little effect on the measurement results.

In addition, the sitting and standing blood pressure should be measured when the elderly or children measure blood pressure for the first time, especially those with symptoms of dizziness and dark eyes, the standing blood pressure should be measured, which is an important method to identify orthostatic hypotension.

  1. Before the measurement, you should sit and rest for 15 minutes to stabilize your emotions. Don't worry too much about whether your blood pressure is normal, otherwise it will affect the accuracy of blood pressure measurement.

  2. When the weather is cold, don't be unwilling to take off your clothes because you are afraid of the cold. Rolling up too many sleeves will cause the lower edge of the rust belt to be lower than the cubital crease, resulting in a low blood pressure measurement.

  3. Generally, the brachial artery of the right arm is measured, and the blood pressure in the sitting position shall prevail.

Fourth, when measuring blood pressure, the airbag cuff should be evenly and fixedly wrapped around the arm, not folded and tied, nor too tight or too loose.

  1. If the blood pressure value measured for the first time is very high, it should be measured after 1 hour of rest.

  1. Develop a healthy low-salt and low-fat eating habit, usually pay attention to eating some fresh vegetables, fruits and whole grains, try to use less salt, less soy sauce, less monosodium glutamate and other seasonings when cooking, quit smoking and drinking, and also avoid second-hand smoke .

  2. Active physical exercise, especially patients who are obese or have diabetes at the same time should strengthen physical exercise and control their weight.

  3. Develop a positive and optimistic attitude, keep a happy mood, and be less angry.

  4. Adhere to monitoring blood pressure, regular outpatient follow-up during oral antihypertensive drugs, etc.

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