Re: New BP machine

[Guest guest]

I use my wrist monitor all the time and it's comparable to the arm type.

BUT, it won't work on a person with tiny wrists.

My gdaughter's wrist is half mine.

I thought it'd be nice in marathoning.

Regards

New BP machine

New add on taking BP on wrist. Claims Clinically proven accuracy http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK

[Guest guest]

key is to hold it in the same position every time. Best to have it at level of the heart and if you place the tip of your finger at your opposite shoulder and then support the arm with the cuff with the other hand at the elbow it will likely be more reproducible.CE Grim MDI use my wrist monitor all the time and it's comparable to the arm type.BUT, it won't work on a person with tiny wrists.My gdaughter's wrist is half mine. I thought it'd be nice in marathoning. Regards New BP machine New add on taking BP on wrist. Claims Clinically proven accuracy http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK

[Guest guest]

More information from add. From this informatiom If you have irregular heart

rate Automatomatic Blood Pressure Monitors are not going to record your BP

right. I know that the irregular heartbeat detection feature on my monitor shows

I have irregular heartbeats about one in ten times I check It.

Not much in this information the the VA does when checking my BP.

Are home monitoring devices right for everyone?

People who suffer from certain kinds of arrhythmias cannot use automatic

oscillometric devices, as the device will not be able to correctly interpret the

pulse waves that are needed to measure blood pressure. This is the same for all

the oscillometric devices on the market. Some people suffering from

arteriosclerosis or other diseases that affect the arterial system or the

measurement conditions could also have difficulties in using an automatic

oscillometric device.

People with diabetes may have hardened artery walls in the wrist area, which can

make measurement with an oscillometric device inaccurate. People with any of the

following conditions: cardiac arrhythmia, vascular constriction,

arteriosclerosis in extremities, diabetes, dialysis patients or users of cardiac

pacemakers should consult their doctor before using blood pressure monitors.

What does the irregular heartbeat detection feature do?

Irregular heartbeat is a type of heart rhythm problem (also called arrhythmia).

It is a sign that your heart is beating too quickly, too slowly, or just

following an irregular pattern. Whereas these irregularities are common and

usually not harmful, some may be a symptom of a more serious condition.1

Braun ExactFit Plus has a built-in irregular heartbeat detection feature. If a

certain heartbeat irregularity was detected during measurement, the icon will

appear on the display. A heartbeat rhythm that is 25% more or less than the

average heartbeat interval is usually defined as an irregular heartbeat rhythm.

Talking, moving, shaking, or an irregular pulse during the measurement can

result in the appearance of this symbol. Usually, this is not a cause for

concern; however, if this symbol appears often, we recommend you seek medical

advice. Please note that this device does not replace a cardiac examination, but

serves to detect pulse irregularities at an early stage.

As a safeguard, if you have arrhythmias such as atrial or ventricular premature

beats and atrial fibrillation or any other special conditions, we recommend that

you check with your doctor before using your device.

What is blood pressure?

Blood pressure is the force exerted on your artery walls as your heart pumps

blood through your body. A blood pressure reading consists of two numbers:

systolic pressure (higher number) and diastolic pressure (lower number). These

values are displayed in mmHg, or millimeters of mercury, with systolic readings

written above or before the diastolic readings. Blood pressure measurements are

commonly expressed as systolic " over " diastolic. For example, a blood pressure

measurement of 120/80 mmHg is expressed verbally as " 120 over 80. "

What is systolic and diastolic pressure?

Your heart is like a pump. When your heart muscle contracts, blood flows from

your heart out through your arteries, and the pressure increases. The pressure

measured at this point is the higher number (systolic blood pressure). When the

heart muscle relaxes, it begins to fill again with blood, and the pressure

decreases. This is the lower reading (diastolic blood pressure). These two

readings provide important information about the health of a person. Both

readings are measured in millimeters of mercury (mmHg).

What are the criteria for high blood pressure (hypertension)?

The American Heart Association (AHA) and the National Institutes of Health (NIH)

define high blood pressure (hypertension) for adults as systolic blood pressure

of 140 mmHg or higher, or a diastolic blood pressure of 90 mmHg or higher. Blood

pressure of less than 120 mmHg systolic and less than 80 mmHg diastolic is

considered normal.

If the systolic and diastolic blood pressure levels fall in different

categories, the higher category is used to determine the person's status. For

instance, someone who has high systolic pressure (140 mmHg or higher), and a

normal diastolic pressure would be considered to have high blood pressure or

hypertension.

This classification is intended to serve as a general guideline. Your blood

pressure target depends on multiple factors, including your age, whether or not

you have other health issues, your cardiovascular risk factors, and the

treatment strategy used by your doctor. Multiple measurements are needed for a

complete assessment and only your doctor can determine the appropriate risk

classification for you.

Why is high blood pressure important?

Existence of high blood pressure is a sign that the heart has to work extra hard

to maintain blood supply to your body and vital organs. High blood pressure

damages the arteries of the body. This damage leads to arteriosclerosis, or the

hardening of the arteries, which can then further lead to organ damage.

High blood pressure is a critical risk factor for conditions such as heart

failure and stroke, which are among the leading causes of death in the United

States.

What are the symptoms?

Most people with high blood pressure have no symptoms at all, and would not be

aware of their blood pressure unless it was measured. This is why high blood

pressure is often referred to as the " silent killer. "

In rare situations, people with a form of high blood pressure called malignant

hypertension may experience symptoms related to blood pressure. These symptoms

include a severe headache, blurred vision, light-headedness or nausea. If you

have these symptoms, it is recommended you see your doctor immediately. It is

estimated that about 1% of people with high blood pressure suffer from malignant

hypertension.

How common is high blood pressure?

Hypertension is estimated to cause about 13% of all deaths in the world. In the

United States, the National Institute of Health estimates that about one in

three American adults has high blood pressure. Almost one fifth (21.3%) of the

people with high blood pressure are not aware of their condition. It is

estimated that about 90% of middle–aged adults will develop high blood pressure

sometime during the remainder of their lifetime.

In the United States, the prevalence of hypertension is higher among

African-Americans than in Caucasians. High blood pressure is particularly common

among African-American women, 44% of whom have this condition.

What are the causes and types of high blood pressure?

In the majority of cases, the cause of high blood pressure is unknown. This form

of hypertension is called essential or primary hypertension. However, there are

certain identifiable risk factors associated with higher prevalence of high

blood pressure.

In 5-10% of cases, hypertension is caused by some other underlying condition,

such as kidney disorders, congenital abnormalities, and narrowing of certain

arteries. This form of hypertension is called secondary hypertension. Often

times, if the underlying condition is treated, blood pressure can return to its

normal levels.

A third type of hypertension is called pregnancy-induced hypertension (PIH).

Sometimes called gestational hypertension, this condition happens only during

pregnancy.

What does it mean to have " low blood pressure " ?

Although lower blood pressure is generally desirable, low blood pressure, also

known as hypotension, can be a cause for concern if it causes dizziness,

fainting or in extreme cases, shock. A blood pressure reading of 90/60 mmHg or

lower is generally considered low blood pressure. You should consult your doctor

if you have severely low blood pressure as that can be a sign of serious heart,

endocrine or neurological disorders.

Should my blood pressure always be the same?

No. Blood pressure fluctuates throughout the day and can be influenced by

several factors (e.g. time of day, stress level, physical activity, diet,

alcohol, coffee, smoking). As shown in the chart below, even consecutive

measurements can give you slightly different results. This is part of the reason

why multiple measurements are necessary to provide a complete understanding of

your blood pressure.

Your blood pressure is generally at its lowest level at night and rises in the

morning as you get out of bed. Blood pressure typically peaks in the middle of

the afternoon and begins to decline starting late afternoon and into the

evening.

Why should I measure my blood pressure at home?

Many doctors and healthcare professionals strongly recommend home blood pressure

monitoring. Braun blood pressure monitors enable people to check their blood

pressure at different times of the day. This type of regular home monitoring

engages patients in their own treatment and helps them track the effects of

medication and lifestyle changes in a comfortable and familiar environment.

For many people, a visit to the doctor's office can be a source of anxiety.

Measurements taken in this setting can be above their usual level, an effect

known as " white-coat syndrome " . Measurements taken in the comfort of your home,

however, are often preferred to those taken at the doctor's office because they

more closely represent your everyday blood pressure.

Measuring your blood pressure at home between doctor's visits and keeping a

record of your readings can help your doctor diagnose and possibly prevent

certain health problems in the future. A free Blood Pressure Tracker is

available on our website.

Should I monitor my blood pressure at home?

High blood pressure is a serious health problem, which can easily go undetected.

The good news is that high blood pressure can generally be treated effectively

once detected and taking measurements at home is an easy way to keep tabs on

your blood pressure.

In the United States, the prevalence of high blood pressure is higher among

people of African-American heritage than it is among other ethic groups.

African-Americans also experience more severe cases of high blood pressure and

tend to experience the condition earlier in life.5

Additionally, some women experience high blood pressure during their pregnancy,

a condition called Pregnancy Induced Hypertension (PIH). Because this could be

dangerous for the mother and the baby, doctors frequently keep a close eye on

blood pressure during pregnancy.

What is 'White Coat Hypertension' or 'White Coat Syndrome'?

'White Coat Hypertension' is the popular name given to the rise in blood

pressure that occurs when it is measured in a hospital or doctor's office.

Someone who does not have high blood pressure under normal conditions might be

diagnosed as hypertensive if the diagnosis is based purely on a single

measurement taken in such a setting.

An estimated one in four people who appear to have mild hypertension may

actually have normal blood pressure once measurements are taken outside the

doctor's office.4

Often times, your doctor may suggest taking blood pressure measurements at home

with a blood pressure measuring device. Home blood pressure monitoring provides

valuable information to your doctor and is one of the most effective ways to

track and manage your blood pressure. Measuring your blood pressure at home with

Braun ExactFit, ExactFit Plus, or VitalScan Plus can help you take the next step

toward managing your blood pressure.

What are the risk factors for high blood pressure?

Certain traits, conditions, or habits have strong links to high blood pressure.

Some of these are controllable factors, which means that making lifestyle

modifications while in the care of a physician can help you keep your blood

pressure at a healthy level.

Weight. Being overweight or obese increases your likelihood of developing high

blood pressure. Fortunately, losing weight can help you lower your blood

pressure. A proper diet and regular physical activity can help you reach and

maintain a healthy weight. Diet. A diet with high salt (sodium) or inadequate

potassium content can contribute to high blood pressure. Substituting salt with

other spices and eating a diet rich in high-potassium foods (e.g. bananas,

raisins, oranges, cantaloupe) can help lower your blood pressure. Lifestyle.

Smoking and consuming too much alcohol can contribute to elevated blood pressure

levels. Lack of regular physical activity and exercise, as well as high levels

of stress can also be potential risk factors. Age. In the Unites States, high

blood pressure is more common among the elderly than younger populations. This

is due to the reduced blood vessel elasticity that occurs as a result of aging.

Men over the age of 45 and women over the age of 55 have a higher risk of having

high blood pressure. The risk of a problem occurring in a younger person is

usually low, but if blood pressure remains elevated, it will increase the risk

of heart attacks and strokes in later years. Ethnicity. Hypertension can affect

all ethnic groups. However, African American adults are at increased risk of

developing high blood pressure. African Americans tend to get high blood

pressure earlier in life and often have more severe cases of the condition. Risk

levels vary among different groups of Hispanic American adults. In a 2002 study

by the Centers for Disease Control and Prevention (CDC), Puerto Rican Americans

had higher rates of high blood pressure-related death than Caucasians. Mexican

Americans had a similar rate to that of Caucasians and Cuban Americans had a

lower rate of high blood pressure-related death than Caucasians and other

Hispanic groups.1 Family History. Heredity plays a role in hypertension as well.

People with a family history of high blood pressure are at an increased risk of

developing the condition during their lifetime. That's why it's important that

you speak with a physician now about the history of high blood pressure and

cardiovascular disease in your family. Other Conditions. People suffering from

certain chronic conditions like diabetes, high cholesterol and kidney disease

have a higher likelihood of having or developing high blood pressure.2

Pregnancy. There is a form of high blood pressure that occurs during pregnancy

called " Pregnancy-Induced Hypertension " or " PIH " . It is estimated that PIH

appears in 5 to 8 percent of all pregnancies.

How do Braun monitors detect blood pressure?

Braun blood pressure monitors use the oscillometric method of blood pressure

measurement. This means the monitor detects blood movement through the arteries

in the wrist (arteria radialis/ateria ulnaris) or the upper arm (brachial

artery) and converts the movements into a digital reading through a pressure

sensor.

What are the advantages and disadvantages of wrist monitors?

Advantages:

Wrist blood pressure monitors like Braun Vital Scan Plus are very simple to use

and highly portable. For a lot of patients, this means they are more likely to

regularly monitor their blood pressure. Wrist measurements also tend to be

gentler.

Disadvantages:

The main disadvantages of wrist monitors are their sensitivity during their use.

Because the wrist is naturally more mobile than the upper arm, wrist

measurements are more sensitive to movements during measurement. As for

positioning, it is extremely important that the cuff is positioned at heart

level during a measurement.

What are the advantages and disadvantages of upper arm monitors?

Advantages:

Upper arm (biceps) is the measurement site used by doctors. Upper arm monitors

like Braun ExactFit or Braun ExactFit Plus are naturally positioned at heart

level, which reduces user error that may result from positioning of the cuff.

Disadvantages:

Upper arm monitors are generally larger and bulkier than wrist devices. Compared

to a wrist monitor, an upper arm device may be more difficult to use for the

inexperienced user because this method requires the placement of the cuff around

the arm.

Do wrist devices provide reliable measurements?

Yes. There are two arteries in the wrist located directly under the skin, an

area that is typically not covered with thick layers of fatty tissue. This makes

the wrist a suitable place to take blood pressure measurements.

Wrist devices can measure blood pressure reliably, if validated according to

international test-protocols (e.g. AAMI SP10 or ESH) and handled correctly (e.g.

measurement taken at heart level, cuff placed and fitted correctly).

What does the morning hypertension detection feature do?

For some people, measurements taken in the morning may be quite a bit higher

than measurements taken in the evening hours. Recent research suggests that a

higher surge in blood pressure in the morning hours may be associated with

increased risk of strokes. 2

Braun ExactFit Plus is equipped with a feature designed to help you keep a close

eye on these variations. When an average systolic blood pressure of 135 mmHg or

higher is detected along with a 20 mmHg increase from evening to morning, the

Morning Hypertension Detection icon will appear on the display.

What are the ideal conditions for measuring my blood pressure?

It is important to take measurements under similar measuring conditions to be

able to compare and assess your blood pressure readings:

•Time of day: As your blood pressure changes throughout the day, try to take

regular measurements at the same time of the day. For instance, measure once

every morning when you wake up and once every evening about half an hour after

you have eaten.

•Measuring arm: It is also important to consistently take measurements using the

same measuring arm, for instance, your left arm, to be able to compare readings.

•Relax: Before you start measuring you blood pressure, try and find time to

relax by sitting in a chair in a quiet area for at least 5 minutes. Make sure

you have some back support when you sit and put your feet flat on the ground.

Try to relax your arm.

•Remain still: Remain still and do not cross your legs during a measurement. As

the cuff begins to inflate, try not to move abruptly, speak, cough, shake or

laugh.

•Fit: Proper cuff fit is critical for measurement accuracy. In both upper arm

and wrist units, the cuff should fit snuggly, but should not be too tight. There

should be about enough room to fit one finger between the cuff and your arm or

wrist.

•Positioning: For wrist measurements, pay special attention to holding your

monitor at heart level during measurements. When using an upper arm monitor,

place the cuff directly over your brachial artery as shown in your owner's

manual.

•Time between measurements: Because blood pressure is constantly changing, you

may find that some readings may be higher or lower than you expect. In this

case, feel free to repeat the measurement, but make sure you wait 3-5 minutes

between each reading. This allows the tissue to return to their normal condition

after each measurement.

What else do I need to keep in mind?

•Do not consume caffeine, alcohol or tobacco products 30 minutes before

measuring your blood pressure.

•Wait 30 minutes after exercising, bathing or eating before taking a

measurement.

•Relax for at least 5 minutes before measurements.

•Wait at least 3-5 minutes between measurements.

What are the factors that influence my readings?

•Variations in blood pressure. Blood pressure is not a static value and may

change with each heartbeat, even while resting. Both your systolic (higher

number) and your diastolic (lower number) blood pressure may vary by up to 30

mmHg with each heartbeat in healthy individuals. These variations can be

considerably greater in individuals with certain cardiovascular conditions.

•Insufficient rest before taking a reading. This is among the most common causes

of inaccurate results from self-measurement of blood pressure. If your

circulation has not had time to adjust to a steady resting state, the systolic,

diastolic and pulse values may vary substantially relative to your normal

resting value. This is also true when taking subsequent measurements.

•Disruptions during measurement. Abrupt movements, such as coughing, laughing,

sneezing and speaking, even activities such as watching television may lead to

incorrect readings. Measurements should therefore be carried out under relaxed

conditions where no distractions are present.

•Irregular heartbeat (arrhythmias). Cardiac rhythm disorders can cause

inaccurate readings or may result in measurement errors. If you have such a

condition, check with your doctor to see if home blood pressure measurements are

right for you.

•Handling errors. Handling mistakes, such as not measuring at heart level (for

wrist monitors) and poor cuff placement, are among top causes of inaccurate

blood pressure measurements.

How often should I measure my blood pressure?

Your doctor can help you determine how often and when you need to measure your

blood pressure. When you first use your Braun monitor, make sure you get used to

the new device by taking several measurements. Once you are acquainted with the

device, it is a good idea to take 3 measurements over the course of the day,

using the same measuring arm and maintaining similar measuring conditions. The

average of these results represents your blood pressure. You may consider using

a tracking tool like the Braun BP Tracker to log your recordings and take them

to your next doctor's appointment.

Can blood pressure be measured on both arms?

Blood pressure can be measure on both left and right side of the body. However,

the arterial system can be different between your left arm and your right arm.

To ensure comparable measurements, it is advisable to always measure using the

same arm or wrist.

Why is it important to measure blood pressure at heart level?

Blood pressure measurements change depending on the level they are taken because

gravity has an effect on the pressure in your arteries. Values are generally

lower if measured at a higher level than the heart and higher if measurements

are taken below the heart level.

Upper arm cuffs automatically line up with your heart because of where the cuff

is placed. For wrist monitors, however, positioning at heart level is a critical

factor for accuracy. This is a common cause of measurement error, but it can

easily be prevented.

Why is proper cuff fit (tightness) important?

A cuff that is too tight may produce readings that are lower and conversely, a

loose fit can yield readings that are higher than your actual blood pressure.

Furthermore, a less than an ideal fit will add to the variability of subsequent

readings.

With a wrist monitor, how do I know if the arm cuff is too tight or too loose?

If the cuff is too loose or too tight around the wrist, it may result in

inaccurate readings or error messages. We recommend putting the device on as

follows:

•Remove any tight-fitting clothing from the left arm.

•Turn your arm so your palm is facing up.

•Fasten the cuff on the palm side of the wrist, roughly ¾ in. below the palm

line (the base of the thumb).

•Adjust the cuff around your wrist so that one finger fits between the cuff and

your wrist.

How large is the blood pressure cuff?

Braun blood pressure cuffs are designed to fit most users. Braun' wrist cuff is

suitable for use with a wrist circumference of 5 " -8 " . Braun' upper arm cuffs can

be used by people whose arm circumference is between 9 " -17 " .

Blood pressure constantly changes throughout the day. As shown in the chart

below, blood pressure rises sharply in the early morning and declines during the

late morning. Blood pressure rises again in the afternoon and finally drops to a

low level at night. Also, it may vary in a short period of time and even

fluctuate up to 30 mmHg between two measurements.

I am not sure the reading is accurate, what should I do?

If you think the reading is inaccurate, we advise you to review the `Taking

Measurements' section of our website, which has important information on the

Do's and Don'ts of measuring blood pressure.

Wait approximately 3 minutes and repeat the measurement. Be aware that blood

pressure constantly changes throughout the day. Measurements should not be taken

within 30 minutes of smoking, or drinking coffee or tea.

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> New add on taking BP on wrist. Claims Clinically proven accuracy

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http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPric\

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[Guest guest]

yes and the device you use MUST be validated as accurate on you using an accurate manometer in the Drs office. Unless that is mercury the Dr. one has about a 1 in 3 chance of not being accurate.CE Grim MDOn May 22, 2010, at 11:08 AM, Francis Bill SUSPECTED PA wrote:Information from this add. What the experts say High blood pressure (HBP) or hypertension is a serious condition that affects about 1 in 3 Americans. HBP generally has no symptoms. Uncontrolled HBP can lead to stroke, heart failure or kidney failure, but can remain undetected for years. It is important to know if you are at risk because once detected, HBP can generally be treated effectively with the help of your doctor. Here are some important facts about HBP from the world's leading experts... High blood pressure affects 1-in-3 adults About 1 in 3 adults in the United States has HBP, which usually has no symptoms. You can have it for years without knowing it. During this time, though, it can damage the heart, blood vessels, kidneys, and other parts of your body.1National Heart Lung and Blood Institute, National Institutes of Health Home monitoring is critical Because blood pressure can fluctuate throughout the day, home monitoring and recording of blood pressure readings can provide your healthcare provider with valuable information to determine whether you truly have HBP and, if you do, what kind of treatment plan would best suit your needs. Home monitoring can also benefit those individuals already treating HBP by assisting your doctor in determining whether your current treatment plan is working.2American Heart Association There is a growing body of literature that indicates that measurements taken by patients at home are often lower than readings taken in the office. Consistent home measurements also tend to be closer to the average blood pressure recorded by a 24-hour ambulatory monitor prescribed by your doctor, which most effectively predicts cardiovascular risk.•It is recommended that home blood pressure monitoring become a routine component of blood pressure management and tracking in the majority of patients with known or suspected HBP;•Measuring blood pressure at home is of value to patients with diabetes, for whom consistent and accurate blood pressure management is of utmost importance;•Other populations may also benefit from home blood pressure measurement, including pregnant women, children, and patients with kidney disease.3Joint Scientific Statement from the American Heart Association, American Society ofHypertension, and Preventive Cardiovascular Nurses Association Who is at risk? If one generation of a family has HBP, it is not unusual for the next generation to have similarly high blood pressure. Tracing the illnesses suffered by your parents, grandparents, and other blood relatives can help your doctor predict the disorders for which you may be at risk and take action to keep you and your family healthy.4Surgeon General, U.S. Department of Health & Human Services The risk of HBP increases as you age. Through early middle age, HBP is more common in men, while women are more likely to develop HBP after menopause. HBP is particularly common among blacks, often developing at an earlier age than it does in whites. Serious complications, such as stroke and heart attack, also are more common in blacks.5Mayo Clinic, High Blood Pressure Risk Factors How can I manage my HBP? Healthy habits can help you control HBP, including6:•Following a healthy eating plan, like the "DASH diet" (see below for details)•Doing regular physical activity•Maintaining a healthy weight•Quitting smoking•Managing your stress and learning to cope with stressNational Heart Lung and Blood Institute, National Institutes of Health The Dietary Approaches to Stop Hypertension (DASH) diet is an eating plan that is low in saturated fat, cholesterol and total fat and emphasizes fruits, vegetables, and fat-free or low-fat milk products. While the DASH diet alone results in significant blood pressure lowering, the addition of exercise and weight loss leads to an even greater reduction.7American College of Cardiology, 58th Annual Scientific Session >> New add on taking BP on wrist. Claims Clinically proven accuracy > > http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK>

[Guest guest]

Ask to see the data or the publication that validated its accuracy.I can tell you the last wrist device made errors of +30 in some and - 30 in others compared to the mercury. Do you want to bet your life on a device that may be making such an error in you or your loved ones. Get it validated at your Drs office.I think I had a how to in our files to take to your health care team. If not then let me know and I will upload it.CE Grim MDOn May 22, 2010, at 11:08 AM, Francis Bill SUSPECTED PA wrote:Information from this add. What the experts say High blood pressure (HBP) or hypertension is a serious condition that affects about 1 in 3 Americans. HBP generally has no symptoms. Uncontrolled HBP can lead to stroke, heart failure or kidney failure, but can remain undetected for years. It is important to know if you are at risk because once detected, HBP can generally be treated effectively with the help of your doctor. Here are some important facts about HBP from the world's leading experts... High blood pressure affects 1-in-3 adults About 1 in 3 adults in the United States has HBP, which usually has no symptoms. You can have it for years without knowing it. During this time, though, it can damage the heart, blood vessels, kidneys, and other parts of your body.1National Heart Lung and Blood Institute, National Institutes of Health Home monitoring is critical Because blood pressure can fluctuate throughout the day, home monitoring and recording of blood pressure readings can provide your healthcare provider with valuable information to determine whether you truly have HBP and, if you do, what kind of treatment plan would best suit your needs. Home monitoring can also benefit those individuals already treating HBP by assisting your doctor in determining whether your current treatment plan is working.2American Heart Association There is a growing body of literature that indicates that measurements taken by patients at home are often lower than readings taken in the office. Consistent home measurements also tend to be closer to the average blood pressure recorded by a 24-hour ambulatory monitor prescribed by your doctor, which most effectively predicts cardiovascular risk.•It is recommended that home blood pressure monitoring become a routine component of blood pressure management and tracking in the majority of patients with known or suspected HBP;•Measuring blood pressure at home is of value to patients with diabetes, for whom consistent and accurate blood pressure management is of utmost importance;•Other populations may also benefit from home blood pressure measurement, including pregnant women, children, and patients with kidney disease.3Joint Scientific Statement from the American Heart Association, American Society ofHypertension, and Preventive Cardiovascular Nurses Association Who is at risk? If one generation of a family has HBP, it is not unusual for the next generation to have similarly high blood pressure. Tracing the illnesses suffered by your parents, grandparents, and other blood relatives can help your doctor predict the disorders for which you may be at risk and take action to keep you and your family healthy.4Surgeon General, U.S. Department of Health & Human Services The risk of HBP increases as you age. Through early middle age, HBP is more common in men, while women are more likely to develop HBP after menopause. HBP is particularly common among blacks, often developing at an earlier age than it does in whites. Serious complications, such as stroke and heart attack, also are more common in blacks.5Mayo Clinic, High Blood Pressure Risk Factors How can I manage my HBP? Healthy habits can help you control HBP, including6:•Following a healthy eating plan, like the "DASH diet" (see below for details)•Doing regular physical activity•Maintaining a healthy weight•Quitting smoking•Managing your stress and learning to cope with stressNational Heart Lung and Blood Institute, National Institutes of Health The Dietary Approaches to Stop Hypertension (DASH) diet is an eating plan that is low in saturated fat, cholesterol and total fat and emphasizes fruits, vegetables, and fat-free or low-fat milk products. While the DASH diet alone results in significant blood pressure lowering, the addition of exercise and weight loss leads to an even greater reduction.7American College of Cardiology, 58th Annual Scientific Session >> New add on taking BP on wrist. Claims Clinically proven accuracy > > http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK>

[Guest guest]

This is the reason I recommend you get the kind you listen to your self. About $18. Be sure to get correct size cuff.CE Grim MDOn May 22, 2010, at 12:06 PM, Francis Bill SUSPECTED PA wrote:More information from add. From this informatiom If you have irregular heart rate Automatomatic Blood Pressure Monitors are not going to record your BP right. I know that the irregular heartbeat detection feature on my monitor shows I have irregular heartbeats about one in ten times I check It. Not much in this information the the VA does when checking my BP. Are home monitoring devices right for everyone?People who suffer from certain kinds of arrhythmias cannot use automatic oscillometric devices, as the device will not be able to correctly interpret the pulse waves that are needed to measure blood pressure. This is the same for all the oscillometric devices on the market. Some people suffering from arteriosclerosis or other diseases that affect the arterial system or the measurement conditions could also have difficulties in using an automatic oscillometric device.People with diabetes may have hardened artery walls in the wrist area, which can make measurement with an oscillometric device inaccurate. People with any of the following conditions: cardiac arrhythmia, vascular constriction, arteriosclerosis in extremities, diabetes, dialysis patients or users of cardiac pacemakers should consult their doctor before using blood pressure monitors.What does the irregular heartbeat detection feature do?Irregular heartbeat is a type of heart rhythm problem (also called arrhythmia). It is a sign that your heart is beating too quickly, too slowly, or just following an irregular pattern. Whereas these irregularities are common and usually not harmful, some may be a symptom of a more serious condition.1Braun ExactFit Plus has a built-in irregular heartbeat detection feature. If a certain heartbeat irregularity was detected during measurement, the icon will appear on the display. A heartbeat rhythm that is 25% more or less than the average heartbeat interval is usually defined as an irregular heartbeat rhythm. Talking, moving, shaking, or an irregular pulse during the measurement can result in the appearance of this symbol. Usually, this is not a cause for concern; however, if this symbol appears often, we recommend you seek medical advice. Please note that this device does not replace a cardiac examination, but serves to detect pulse irregularities at an early stage.As a safeguard, if you have arrhythmias such as atrial or ventricular premature beats and atrial fibrillation or any other special conditions, we recommend that you check with your doctor before using your device.What is blood pressure?Blood pressure is the force exerted on your artery walls as your heart pumps blood through your body. A blood pressure reading consists of two numbers: systolic pressure (higher number) and diastolic pressure (lower number). These values are displayed in mmHg, or millimeters of mercury, with systolic readings written above or before the diastolic readings. Blood pressure measurements are commonly expressed as systolic "over" diastolic. For example, a blood pressure measurement of 120/80 mmHg is expressed verbally as "120 over 80."What is systolic and diastolic pressure?Your heart is like a pump. When your heart muscle contracts, blood flows from your heart out through your arteries, and the pressure increases. The pressure measured at this point is the higher number (systolic blood pressure). When the heart muscle relaxes, it begins to fill again with blood, and the pressure decreases. This is the lower reading (diastolic blood pressure). These two readings provide important information about the health of a person. Both readings are measured in millimeters of mercury (mmHg).What are the criteria for high blood pressure (hypertension)?The American Heart Association (AHA) and the National Institutes of Health (NIH) define high blood pressure (hypertension) for adults as systolic blood pressure of 140 mmHg or higher, or a diastolic blood pressure of 90 mmHg or higher. Blood pressure of less than 120 mmHg systolic and less than 80 mmHg diastolic is considered normal.If the systolic and diastolic blood pressure levels fall in different categories, the higher category is used to determine the person's status. For instance, someone who has high systolic pressure (140 mmHg or higher), and a normal diastolic pressure would be considered to have high blood pressure or hypertension.This classification is intended to serve as a general guideline. Your blood pressure target depends on multiple factors, including your age, whether or not you have other health issues, your cardiovascular risk factors, and the treatment strategy used by your doctor. Multiple measurements are needed for a complete assessment and only your doctor can determine the appropriate risk classification for you.Why is high blood pressure important?Existence of high blood pressure is a sign that the heart has to work extra hard to maintain blood supply to your body and vital organs. High blood pressure damages the arteries of the body. This damage leads to arteriosclerosis, or the hardening of the arteries, which can then further lead to organ damage. High blood pressure is a critical risk factor for conditions such as heart failure and stroke, which are among the leading causes of death in the United States.What are the symptoms?Most people with high blood pressure have no symptoms at all, and would not be aware of their blood pressure unless it was measured. This is why high blood pressure is often referred to as the "silent killer."In rare situations, people with a form of high blood pressure called malignant hypertension may experience symptoms related to blood pressure. These symptoms include a severe headache, blurred vision, light-headedness or nausea. If you have these symptoms, it is recommended you see your doctor immediately. It is estimated that about 1% of people with high blood pressure suffer from malignant hypertension.How common is high blood pressure?Hypertension is estimated to cause about 13% of all deaths in the world. In the United States, the National Institute of Health estimates that about one in three American adults has high blood pressure. Almost one fifth (21.3%) of the people with high blood pressure are not aware of their condition. It is estimated that about 90% of middle–aged adults will develop high blood pressure sometime during the remainder of their lifetime.In the United States, the prevalence of hypertension is higher among African-Americans than in Caucasians. High blood pressure is particularly common among African-American women, 44% of whom have this condition.What are the causes and types of high blood pressure?In the majority of cases, the cause of high blood pressure is unknown. This form of hypertension is called essential or primary hypertension. However, there are certain identifiable risk factors associated with higher prevalence of high blood pressure.In 5-10% of cases, hypertension is caused by some other underlying condition, such as kidney disorders, congenital abnormalities, and narrowing of certain arteries. This form of hypertension is called secondary hypertension. Often times, if the underlying condition is treated, blood pressure can return to its normal levels.A third type of hypertension is called pregnancy-induced hypertension (PIH). Sometimes called gestational hypertension, this condition happens only during pregnancy.What does it mean to have "low blood pressure"?Although lower blood pressure is generally desirable, low blood pressure, also known as hypotension, can be a cause for concern if it causes dizziness, fainting or in extreme cases, shock. A blood pressure reading of 90/60 mmHg or lower is generally considered low blood pressure. You should consult your doctor if you have severely low blood pressure as that can be a sign of serious heart, endocrine or neurological disorders.Should my blood pressure always be the same?No. Blood pressure fluctuates throughout the day and can be influenced by several factors (e.g. time of day, stress level, physical activity, diet, alcohol, coffee, smoking). As shown in the chart below, even consecutive measurements can give you slightly different results. This is part of the reason why multiple measurements are necessary to provide a complete understanding of your blood pressure.Your blood pressure is generally at its lowest level at night and rises in the morning as you get out of bed. Blood pressure typically peaks in the middle of the afternoon and begins to decline starting late afternoon and into the evening. Why should I measure my blood pressure at home?Many doctors and healthcare professionals strongly recommend home blood pressure monitoring. Braun blood pressure monitors enable people to check their blood pressure at different times of the day. This type of regular home monitoring engages patients in their own treatment and helps them track the effects of medication and lifestyle changes in a comfortable and familiar environment.For many people, a visit to the doctor's office can be a source of anxiety. Measurements taken in this setting can be above their usual level, an effect known as "white-coat syndrome". Measurements taken in the comfort of your home, however, are often preferred to those taken at the doctor's office because they more closely represent your everyday blood pressure.Measuring your blood pressure at home between doctor's visits and keeping a record of your readings can help your doctor diagnose and possibly prevent certain health problems in the future. A free Blood Pressure Tracker is available on our website.Should I monitor my blood pressure at home?High blood pressure is a serious health problem, which can easily go undetected. The good news is that high blood pressure can generally be treated effectively once detected and taking measurements at home is an easy way to keep tabs on your blood pressure.In the United States, the prevalence of high blood pressure is higher among people of African-American heritage than it is among other ethic groups. African-Americans also experience more severe cases of high blood pressure and tend to experience the condition earlier in life.5Additionally, some women experience high blood pressure during their pregnancy, a condition called Pregnancy Induced Hypertension (PIH). Because this could be dangerous for the mother and the baby, doctors frequently keep a close eye on blood pressure during pregnancy.What is 'White Coat Hypertension' or 'White Coat Syndrome'?'White Coat Hypertension' is the popular name given to the rise in blood pressure that occurs when it is measured in a hospital or doctor's office. Someone who does not have high blood pressure under normal conditions might be diagnosed as hypertensive if the diagnosis is based purely on a single measurement taken in such a setting.An estimated one in four people who appear to have mild hypertension may actually have normal blood pressure once measurements are taken outside the doctor's office.4Often times, your doctor may suggest taking blood pressure measurements at home with a blood pressure measuring device. Home blood pressure monitoring provides valuable information to your doctor and is one of the most effective ways to track and manage your blood pressure. Measuring your blood pressure at home with Braun ExactFit, ExactFit Plus, or VitalScan Plus can help you take the next step toward managing your blood pressure.What are the risk factors for high blood pressure?Certain traits, conditions, or habits have strong links to high blood pressure. Some of these are controllable factors, which means that making lifestyle modifications while in the care of a physician can help you keep your blood pressure at a healthy level.Weight. Being overweight or obese increases your likelihood of developing high blood pressure. Fortunately, losing weight can help you lower your blood pressure. A proper diet and regular physical activity can help you reach and maintain a healthy weight. Diet. A diet with high salt (sodium) or inadequate potassium content can contribute to high blood pressure. Substituting salt with other spices and eating a diet rich in high-potassium foods (e.g. bananas, raisins, oranges, cantaloupe) can help lower your blood pressure. Lifestyle. Smoking and consuming too much alcohol can contribute to elevated blood pressure levels. Lack of regular physical activity and exercise, as well as high levels of stress can also be potential risk factors. Age. In the Unites States, high blood pressure is more common among the elderly than younger populations. This is due to the reduced blood vessel elasticity that occurs as a result of aging. Men over the age of 45 and women over the age of 55 have a higher risk of having high blood pressure. The risk of a problem occurring in a younger person is usually low, but if blood pressure remains elevated, it will increase the risk of heart attacks and strokes in later years. Ethnicity. Hypertension can affect all ethnic groups. However, African American adults are at increased risk of developing high blood pressure. African Americans tend to get high blood pressure earlier in life and often have more severe cases of the condition. Risk levels vary among different groups of Hispanic American adults. In a 2002 study by the Centers for Disease Control and Prevention (CDC), Puerto Rican Americans had higher rates of high blood pressure-related death than Caucasians. Mexican Americans had a similar rate to that of Caucasians and Cuban Americans had a lower rate of high blood pressure-related death than Caucasians and other Hispanic groups.1 Family History. Heredity plays a role in hypertension as well. People with a family history of high blood pressure are at an increased risk of developing the condition during their lifetime. That's why it's important that you speak with a physician now about the history of high blood pressure and cardiovascular disease in your family. Other Conditions. People suffering from certain chronic conditions like diabetes, high cholesterol and kidney disease have a higher likelihood of having or developing high blood pressure.2 Pregnancy. There is a form of high blood pressure that occurs during pregnancy called "Pregnancy-Induced Hypertension" or "PIH". It is estimated that PIH appears in 5 to 8 percent of all pregnancies.How do Braun monitors detect blood pressure?Braun blood pressure monitors use the oscillometric method of blood pressure measurement. This means the monitor detects blood movement through the arteries in the wrist (arteria radialis/ateria ulnaris) or the upper arm (brachial artery) and converts the movements into a digital reading through a pressure sensor.What are the advantages and disadvantages of wrist monitors?Advantages:Wrist blood pressure monitors like Braun Vital Scan Plus are very simple to use and highly portable. For a lot of patients, this means they are more likely to regularly monitor their blood pressure. Wrist measurements also tend to be gentler.Disadvantages:The main disadvantages of wrist monitors are their sensitivity during their use. Because the wrist is naturally more mobile than the upper arm, wrist measurements are more sensitive to movements during measurement. As for positioning, it is extremely important that the cuff is positioned at heart level during a measurement. What are the advantages and disadvantages of upper arm monitors?Advantages:Upper arm (biceps) is the measurement site used by doctors. Upper arm monitors like Braun ExactFit or Braun ExactFit Plus are naturally positioned at heart level, which reduces user error that may result from positioning of the cuff. Disadvantages:Upper arm monitors are generally larger and bulkier than wrist devices. Compared to a wrist monitor, an upper arm device may be more difficult to use for the inexperienced user because this method requires the placement of the cuff around the arm.Do wrist devices provide reliable measurements? Yes. There are two arteries in the wrist located directly under the skin, an area that is typically not covered with thick layers of fatty tissue. This makes the wrist a suitable place to take blood pressure measurements.Wrist devices can measure blood pressure reliably, if validated according to international test-protocols (e.g. AAMI SP10 or ESH) and handled correctly (e.g. measurement taken at heart level, cuff placed and fitted correctly).What does the morning hypertension detection feature do?For some people, measurements taken in the morning may be quite a bit higher than measurements taken in the evening hours. Recent research suggests that a higher surge in blood pressure in the morning hours may be associated with increased risk of strokes. 2Braun ExactFit Plus is equipped with a feature designed to help you keep a close eye on these variations. When an average systolic blood pressure of 135 mmHg or higher is detected along with a 20 mmHg increase from evening to morning, the Morning Hypertension Detection icon will appear on the display.What are the ideal conditions for measuring my blood pressure?It is important to take measurements under similar measuring conditions to be able to compare and assess your blood pressure readings:•Time of day: As your blood pressure changes throughout the day, try to take regular measurements at the same time of the day. For instance, measure once every morning when you wake up and once every evening about half an hour after you have eaten.•Measuring arm: It is also important to consistently take measurements using the same measuring arm, for instance, your left arm, to be able to compare readings.•Relax: Before you start measuring you blood pressure, try and find time to relax by sitting in a chair in a quiet area for at least 5 minutes. Make sure you have some back support when you sit and put your feet flat on the ground. Try to relax your arm.•Remain still: Remain still and do not cross your legs during a measurement. As the cuff begins to inflate, try not to move abruptly, speak, cough, shake or laugh.•Fit: Proper cuff fit is critical for measurement accuracy. In both upper arm and wrist units, the cuff should fit snuggly, but should not be too tight. There should be about enough room to fit one finger between the cuff and your arm or wrist.•Positioning: For wrist measurements, pay special attention to holding your monitor at heart level during measurements. When using an upper arm monitor, place the cuff directly over your brachial artery as shown in your owner's manual.•Time between measurements: Because blood pressure is constantly changing, you may find that some readings may be higher or lower than you expect. In this case, feel free to repeat the measurement, but make sure you wait 3-5 minutes between each reading. This allows the tissue to return to their normal condition after each measurement.What else do I need to keep in mind?•Do not consume caffeine, alcohol or tobacco products 30 minutes before measuring your blood pressure.•Wait 30 minutes after exercising, bathing or eating before taking a measurement.•Relax for at least 5 minutes before measurements.•Wait at least 3-5 minutes between measurements.What are the factors that influence my readings?•Variations in blood pressure. Blood pressure is not a static value and may change with each heartbeat, even while resting. Both your systolic (higher number) and your diastolic (lower number) blood pressure may vary by up to 30 mmHg with each heartbeat in healthy individuals. These variations can be considerably greater in individuals with certain cardiovascular conditions.•Insufficient rest before taking a reading. This is among the most common causes of inaccurate results from self-measurement of blood pressure. If your circulation has not had time to adjust to a steady resting state, the systolic, diastolic and pulse values may vary substantially relative to your normal resting value. This is also true when taking subsequent measurements.•Disruptions during measurement. Abrupt movements, such as coughing, laughing, sneezing and speaking, even activities such as watching television may lead to incorrect readings. Measurements should therefore be carried out under relaxed conditions where no distractions are present.•Irregular heartbeat (arrhythmias). Cardiac rhythm disorders can cause inaccurate readings or may result in measurement errors. If you have such a condition, check with your doctor to see if home blood pressure measurements are right for you.•Handling errors. Handling mistakes, such as not measuring at heart level (for wrist monitors) and poor cuff placement, are among top causes of inaccurate blood pressure measurements. How often should I measure my blood pressure?Your doctor can help you determine how often and when you need to measure your blood pressure. When you first use your Braun monitor, make sure you get used to the new device by taking several measurements. Once you are acquainted with the device, it is a good idea to take 3 measurements over the course of the day, using the same measuring arm and maintaining similar measuring conditions. The average of these results represents your blood pressure. You may consider using a tracking tool like the Braun BP Tracker to log your recordings and take them to your next doctor's appointment.Can blood pressure be measured on both arms?Blood pressure can be measure on both left and right side of the body. However, the arterial system can be different between your left arm and your right arm. To ensure comparable measurements, it is advisable to always measure using the same arm or wrist.Why is it important to measure blood pressure at heart level?Blood pressure measurements change depending on the level they are taken because gravity has an effect on the pressure in your arteries. Values are generally lower if measured at a higher level than the heart and higher if measurements are taken below the heart level.Upper arm cuffs automatically line up with your heart because of where the cuff is placed. For wrist monitors, however, positioning at heart level is a critical factor for accuracy. This is a common cause of measurement error, but it can easily be prevented.Why is proper cuff fit (tightness) important?A cuff that is too tight may produce readings that are lower and conversely, a loose fit can yield readings that are higher than your actual blood pressure. Furthermore, a less than an ideal fit will add to the variability of subsequent readings.With a wrist monitor, how do I know if the arm cuff is too tight or too loose?If the cuff is too loose or too tight around the wrist, it may result in inaccurate readings or error messages. We recommend putting the device on as follows: •Remove any tight-fitting clothing from the left arm. •Turn your arm so your palm is facing up. •Fasten the cuff on the palm side of the wrist, roughly ¾ in. below the palm line (the base of the thumb). •Adjust the cuff around your wrist so that one finger fits between the cuff and your wrist.How large is the blood pressure cuff?Braun blood pressure cuffs are designed to fit most users. Braun' wrist cuff is suitable for use with a wrist circumference of 5"-8". Braun' upper arm cuffs can be used by people whose arm circumference is between 9"-17".Blood pressure constantly changes throughout the day. As shown in the chart below, blood pressure rises sharply in the early morning and declines during the late morning. Blood pressure rises again in the afternoon and finally drops to a low level at night. Also, it may vary in a short period of time and even fluctuate up to 30 mmHg between two measurements.I am not sure the reading is accurate, what should I do?If you think the reading is inaccurate, we advise you to review the `Taking Measurements' section of our website, which has important information on the Do's and Don'ts of measuring blood pressure. Wait approximately 3 minutes and repeat the measurement. Be aware that blood pressure constantly changes throughout the day. Measurements should not be taken within 30 minutes of smoking, or drinking coffee or tea. >> New add on taking BP on wrist. Claims Clinically proven accuracy > > http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK>

[Guest guest]

I don't think my hearing is good enough for this.

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Unless you need a hearing aid your hearing will be OK as the BP sounds are very low frequency which is rarely lost early.Indeed some who have problems with hearing normal speech can hear BP sounds well.My guess is your pharm who sells it will let you listen to tell if you can hear the sounds. If you put a stethoscope in your ears and place the bell on your skin and then touch or scratch next on the skin next to the bell you will be able to hear K sounds. CE Grim MDOn May 22, 2010, at 5:00 PM, Francis Bill SUSPECTED PA wrote:I don't think my hearing is good enough for this. > > >> > > New add on taking BP on wrist. Claims Clinically proven accuracy> > >> > > http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK> > >> >> >> >>

[Guest guest]

I do need hearings aids. I will try your scratch test.

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[Guest guest]

Are the Automatomatic Blood Pressure Monitors with the microphone better?

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[Guest guest]

One would think so but when we tested one it failed.1.

Grim

CE, Grim CM. The HoMedics BPA-200 and BPA-300 home blood pressure devices fail

the European Society of Hypertension International Protocol and cannot be

recommended for patient use. Blood

Press Monit. 2008 Aug;13(4):227-9.Interesting they are still on the market.CE Grim MD

On May 23, 2010, at 9:18 AM, Francis Bill SUSPECTED PA wrote:Are the Automatomatic Blood Pressure Monitors with the microphone better? > > > > > >> > > > > > New add on taking BP on wrist. Claims Clinically proven accuracy> > > > > >> > > > > > http://www.braunbloodpressuremonitors.com/?WT.mc_id=728x90_Family_History_NoPrice_1750_HEALTH_CENTRAL_NETWORK> > > > > >> > > > >> > > > >> > > > >> > > >> > >> > >> > >> >>