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Friend, in my years of practice, I’ve had countless patients come to me concerned about their blood pressure. I’m no stranger to seeing those numbers spike and wondering if it’s time to consider new treatments.

But what if I told you that something as simple as how you’re sitting during your blood pressure check could be causing that spike?

I’ve seen it happen more times than I can count—patients getting their blood pressure measured with an arm casually resting on their lap, or even hanging at their side. And I’ve always wondered how much this impacts the readings.

Well, now we know. Thanks to a new study published in JAMA Internal Medicine, it turns out that incorrect arm positioning during blood pressure measurements can lead to significantly higher readings.

In fact, the difference could be enough to misdiagnose you with hypertension and even prescribe unnecessary medications!

Here’s what the research says and how to ensure you’re getting an accurate reading every time.

The Arm Position Problem

The study, led by researchers from Johns Hopkins University, involved 133 adults who had their blood pressure measured in three different arm positions:

  1. Proper positioning with the arm supported on a desk at heart level (the standard).
  2. Arm resting on the lap—which overestimated blood pressure by about 4 mm Hg for both systolic and diastolic pressure.
  3. Arm hanging at the side, unsupported—which led to an even greater overestimation of 6.5 mm Hg for systolic and 4.4 mm Hg for diastolic pressure.

The takeaway? The wrong arm position can easily cause blood pressure readings to be off by as much as 6-10 mm Hg. That’s enough to push someone from a healthy range into hypertension territory, leading to a potential misdiagnosis.

And let’s face it, we’ve all been there—sitting on an exam table with our arm at our side, or casually resting our hand on our lap while the nurse takes our blood pressure. But as this study shows, those common habits can lead to dangerously inaccurate readings.

Why Accurate Blood Pressure Readings Matter

Blood pressure is one of the key indicators of your cardiovascular health, and getting it wrong can have serious consequences.

An overestimated blood pressure reading could lead to unnecessary medications, lifestyle changes, or additional tests. Worse yet, it can cause undue anxiety and worry.

On the other hand, underestimating blood pressure could mean missing the warning signs of serious conditions like hypertension or heart disease, delaying treatment when it’s needed most.

What You Can Do to Get the Right Reading

So how can you make sure your blood pressure readings are accurate? The key is proper positioning.

Here are a few tips to follow next time you’re getting your blood pressure checked:

  1. Support your arm at heart level: Always ensure that your arm is supported, with the cuff positioned at heart level. If you’re sitting, rest your arm on a desk or table.
  2. Avoid crossing your legs: Keep your feet flat on the floor with your back supported, and avoid crossing your legs, as this can affect your readings too.
  3. Stay calm: Take a few deep breaths and relax before the measurement. Stress can cause temporary spikes in blood pressure.

By paying attention to these small details, you can ensure that your blood pressure readings are as accurate as possible—and avoid any unnecessary worries about your heart health.

This research is a simple yet powerful reminder that small mistakes can lead to big consequences. When it comes to something as important as blood pressure, accuracy is everything.

So, next time you find yourself getting your blood pressure checked—whether at the doctor’s office or at home—remember to check your arm position. It’s an easy fix that could make all the difference in your health.

In case you missed it, here’s what else we’ve been chatting about this week in e-Tips:  

P.S. Big Pharma DOESN’T want you to know about this simple BP fix…

Sources:

Liu, H., Zhao, D., Sabit, A., et al. (2024, October 7). The ARMS Crossover Randomized Clinical Trial: Arm Position and Blood Pressure Readings. JAMA Internal Medicine. jamanetwork.com/

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