Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: blood | pressure | fluctuation | swings | pre-hypertension

My Blood Pressure Fluctuates

Wednesday, 11 Apr 2012 01:20 PM

Question: I have borderline high blood pressure, so-called “pre-hypertension.” I’ve been monitoring my blood pressure but it is frustrating because it fluctuates so much. Sometimes it is 135/90, other times it is 115/70. It seems to be higher in the morning and lower before I go to bed. But what is the correct reading and is this fluctuation a sign of a problem?

Dr. Hibberd's answer:
Prehypertension is a systolic pressure ranging from 120 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg. Prehypertension tends to get worse over time. Blood pressure normally varies throughout the day — and sometimes specifically during visits to the doctor. Blood pressure is normally lower at night while you're sleeping. As soon as you get out of bed, your blood pressure starts to rise. Your blood pressure continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, your blood pressure begins dropping again. You seem to have this pattern, however, be sure that your home blood pressure monitor is accurate and that you're using correct technique. If you're not sure, ask your doctor. He or she may ask you to bring the home blood pressure monitor to the office. You may measure your blood pressure in one arm with the home monitor while your doctor measures your blood pressure in the other arm with the office equipment.



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Dr-Hibberd
Some blood pressure fluctuation is normal.
blood,pressure,fluctuation,swings,pre-hypertension,
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2012-20-11
Wednesday, 11 Apr 2012 01:20 PM
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