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>but the guidelines have probably accounted for that They have not. The guidelines are against controlled studies with strict protocols on how to take the mea

>but the guidelines have probably accounted for that They have not. The guidelines are against controlled studies with strict protocols on how to take the measurement. To know your blood pressure relative to the guidelines, you want to be as close to the guideline protocols and possible. That can be a 20/10 point difference or more. The average physicians office doesn’t follow those protocols unless you deviate significantly. e.g you walk in with 140/90 and they aren’t going to bother. 160/95 and they will recheck you with more care given to the proper measurement technique. This isn’t to say one should dismiss the numbers when taken properly; I’m just pointing out that calibration is necessary.

nomel 3y ago
I'm a nervous person. There have been several times where they had to recheck, because my rate was so high. My watch says my resting rate is 40 to 50 lower. Whatever protocols probably didn't have me in mind.
- Buttons840 3y ago
  We're talking about blood pressure. Does your watch measure blood pressure? I think this might be an example of what I was talking about: you think blood pressure guidelines might not apply to you because of something your watch says.
  - nomel 3y ago
    My point was to give an example of situational sensitivity. My pulse is easiest/the most fun to see, because it's...on my watch. See [1]. And, they loosely don't apply, which is why I've been told to take measurements at home, before coming in, with an automated cuff. The measurements in the office are not useful. [1] https://my.clevelandclinic.org/health/diseases/23989-white-coat-syndrome#:~:text=White%20coat%20syndrome%2C%20or%20white,pressure%20is%20normal%20at%20home https://my.clevelandclinic.org/health/diseases/23989-white-c....
  - darkerside 3y ago
    You can't point at nomel conflating blood pressure with heart rate and say, therefore nobody can consider themselves to fall outside the guidelines of traditional medical guidance. On average, men are taller than women. That doesn't mean every man is taller than every woman. If a woman is taller than a man and says she needs specific treatment because of it, she may be 100% right.
- taneq 3y ago
  It’s called white coast hypertension, I don’t think of myself as particularly nervous but I get this too. I’ve had blood pressure readings in various medicals etc. from 145-160/90, and endured several stern lectures about salt and exercise and alcohol. Finally did a 24 hour ambulatory test and I’m < 130/60 or something in a non-clinical setting. After this experience I did some reading and as far as I can tell, blood pressure is the least consistent, least rigorous test you can do in mainstream medicine. The “normal” range spans ~10mmHg and yet readings can vary by 10-20mmHg according to each of: stress level, standing up in the last 15 mins, recently having a drink of water (as you do in a doctor’s waiting room), whether your legs are crossed, etc. Without controlling for all of these (which is almost never done properly) they might as well be reading your tea leaves.

nomel 3y ago

I'm a nervous person. There have been several times where they had to recheck, because my rate was so high. My watch says my resting rate is 40 to 50 lower. Whatever protocols probably didn't have me in mind.

Buttons840 3y ago
We're talking about blood pressure. Does your watch measure blood pressure? I think this might be an example of what I was talking about: you think blood pressure guidelines might not apply to you because of something your watch says.
- nomel 3y ago
  My point was to give an example of situational sensitivity. My pulse is easiest/the most fun to see, because it's...on my watch. See [1]. And, they loosely don't apply, which is why I've been told to take measurements at home, before coming in, with an automated cuff. The measurements in the office are not useful. [1] https://my.clevelandclinic.org/health/diseases/23989-white-coat-syndrome#:~:text=White%20coat%20syndrome%2C%20or%20white,pressure%20is%20normal%20at%20home https://my.clevelandclinic.org/health/diseases/23989-white-c....
- darkerside 3y ago
  You can't point at nomel conflating blood pressure with heart rate and say, therefore nobody can consider themselves to fall outside the guidelines of traditional medical guidance. On average, men are taller than women. That doesn't mean every man is taller than every woman. If a woman is taller than a man and says she needs specific treatment because of it, she may be 100% right.
taneq 3y ago
It’s called white coast hypertension, I don’t think of myself as particularly nervous but I get this too. I’ve had blood pressure readings in various medicals etc. from 145-160/90, and endured several stern lectures about salt and exercise and alcohol. Finally did a 24 hour ambulatory test and I’m < 130/60 or something in a non-clinical setting. After this experience I did some reading and as far as I can tell, blood pressure is the least consistent, least rigorous test you can do in mainstream medicine. The “normal” range spans ~10mmHg and yet readings can vary by 10-20mmHg according to each of: stress level, standing up in the last 15 mins, recently having a drink of water (as you do in a doctor’s waiting room), whether your legs are crossed, etc. Without controlling for all of these (which is almost never done properly) they might as well be reading your tea leaves.