The Importance of Accurate Blood Pressure Measurement

Joel Handler, MD

Summer 2009 - Volume 13 Number 3

Clinical Scenario

A woman, age 72 years, has blood pressures of 150/70 mm Hg and 150/80 mm Hg, obtained by a medical assistant (MA), on consecutive office visits and does not have a history of hypertension. The blood pressure cuff is properly sized, the MA is inquiring about the patient’s last mammogram while obtaining the blood pressure, and the patient is helping to hold her arm up within the MA’s grasp. The mean of a dozen blood pressure readings that the patient has obtained at home is 128/64 mm Hg. Does this patient have white-coat hypertension?

Circulation

25,000 print readers per quarter, 6900 eTOC readers, 1 million Internet page views in 2014 from 187 countries/territories, including 760,000 TPJ article views on PubMed.

Bookstore

The Permanente Press publishes The Permanente Journal and books related to health care and Kaiser Permanente to advance knowledge in scientific research, clinical medicine, and innovative health care delivery.

Letters

Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to .


Copyright 2015 The Permanente Journal - Kaiser Permanente. All Rights Reserved.