Damus
Ken Berry, MD · 2w
False Hypertension is very common because Doctor's office checks blood pressure wrong! Millions "suffer" from Iatrogenic Hypertension because improper technique leads to false BP elevations; this has ...
Matt 🛸 profile picture
I'm almost always hypertensive and tachycardiac when I'm measured at my clinic. I also am when I'm working in ED. But what's funny is how they get concerned about a little over 100BPM and 127/83. One, I usually have coffee in the morning before going (maybe I shouldn't, whatever). Two, it's stressful.

I told him I'd agree to check my vitals at home over time before making any decisions. I'm usually 120/80 or lower, with average resting HR in the 60-70s depending on when I measure (I should exercise more, won't deny that).

And I can't tell you how often I have to correct providers on poor cuff placement at work. I've seen false high AND low (which is something we tend to worry more about in EM). The other day, I moved a patient from a non-perfusing MAP to above satisfactory perfusion simply by putting the correct (two sizes smaller) cuff on her. She also looked well for how low her BP supposedly was. Treating patients by the monitor or single issue instead of the whole picture is another massive issue in healthcare.