For people with high blood pressure, if these 6 conditions exist, the blood pressure of both arms should be measured

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"Should blood pressure be measured on the left arm or the right arm?" This is a question that almost all people with high blood pressure will ask. Usually, the doctor will order "Usually measure the side of the dominant arm". The dominant arm can be simply understood as follows: Which hand is the main hand for daily labor, for example, left-handed people are the left arm; the second refers to the side with higher blood pressure measured on both sides.

But what needs to be known is that although the blood pressure measured by the arms on both sides will be different, the difference will not be very big. A difference of 5-10mmHg is normal. If the difference exceeds 20mmHg, great attention must be paid to it. The situation suggests that the body has a greater risk of cardiovascular and cerebrovascular diseases. How to understand it?

As we all know, the greatest harm of high blood pressure is damage to blood vessels leading to atherosclerosis and plaques. Diseased blood vessels will mainly lead to three consequences:

One is to narrow the lumen of blood vessels, hinder blood flow, and cause insufficient blood and oxygen supply to surrounding tissues and organs, causing dysfunction.

The second is the rupture of vascular plaque, causing a large number of platelets to aggregate to form thrombus, which will block the blood vessel and interrupt the blood flow, causing infarct disease.

The third is that the diseased blood vessel ruptures and bleeds, and a large amount of blood flows out of the blood vessel and compresses tissues and organs, resulting in dysfunction or even necrosis.

Therefore, the ultimate goal of hypertension treatment is to prevent and delay the occurrence of vascular lesions, and to closely monitor the occurrence of vascular lesions, such as regular carotid artery color ultrasound examination. The carotid artery belongs to the large artery of the human body, because of its special anatomical structure, it is easy The occurrence of atherosclerosis and plaque is often used as an examination to indicate the risk of cardiovascular and cerebrovascular diseases, but this examination needs to be completed in the hospital.

Many people with high blood pressure may ask: Is there a simple way to monitor daily?

First of all, do a good job of daily blood pressure monitoring to ensure that blood pressure control is up to standard, especially in the morning before taking antihypertensive drugs. Below 80mmHg; while the nighttime blood pressure cannot exceed 120/70mmHg, it must be known that the blood pressure at night is more important than the blood pressure during the day.

Secondly, measure the blood pressure of the two arms from time to time, and compare the difference in blood pressure between the two sides. The difference should not exceed 20mmHg at most, otherwise it may indicate that atherosclerosis may have occurred in the subclavian artery. The subclavian artery, like the carotid artery, belongs to the large arteries of the body, but carotid artery disease usually does not affect blood pressure, while subclavian arteriosclerosis has a greater impact on blood pressure, which often leads to an increase in the blood pressure difference measured between the arms on both sides. The same lesions may have occurred in cardiovascular and cerebrovascular diseases.

Clinical practice has proved that if a person with high blood pressure has the following conditions, the risk of cardiovascular and cerebrovascular diseases will increase greatly, and the difference in blood pressure between the two arms may increase significantly. It is necessary to measure the blood pressure of the two arms regularly for comparison. If the difference exceeds 10mmHg, especially when it exceeds 20mmHg, the cause should be further searched in time, focusing on the occurrence of cardiovascular and cerebrovascular diseases.

over 60 years old;

The initial diagnosis of hypertension is higher than 160/100mmHg;

being overweight and obese;

Higher systolic blood pressure results in a larger pulse pressure gradient;

Family history of cardiovascular and cerebrovascular diseases;

Cardiovascular disease has occurred.

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