ACC CardiaCast: 5 Surprising Things That Can Cause an Elevated Blood Pressure Measurement

In this episode, developed by the ACC Prevention of Cardiovascular Disease Section’s Hypertension Work Group, Dr. Tammy Brady discusses the numerous, often ignored, factors that can lead to inaccurate blood pressure assessment and the degree to which this may affect clinical management. Topics will include cuff size (with a particular focus on Dr. Brady’s recent research), insufficient rest before measuring BP, prescription medications, talking, and presence of staff, among others.

Related References:

  1. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, DePalma SM, Gidding S, Jamerson KA, Jones DW, MacLaughlin EJ, Muntner P, Ovbiagele B, Smith SC Jr, Spencer CC, Stafford RS, Taler SJ, Thomas RJ, Williams KA Sr, Williamson JD, Wright JT Jr. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018 May 15;71(19):e127-e248. doi: 10.1016/j.jacc.2017.11.006. Epub 2017 Nov 13. Erratum in: J Am Coll Cardiol. 2018 May 15;71(19):2275-2279. PMID: 29146535.
  2. Taler SJ, Brady TM. The challenge of accurate blood pressure measurement: Optimizing cuff size and fit is important for all, not just for some. Am J Hypertens. 2022 Feb 19:hpac026. doi: 10.1093/ajh/hpac026. Epub ahead of print. PMID: 35182419.
  3. Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, Ogedegbe G, Schwartz JE, Townsend RR, Urbina EM, Viera AJ, White WB, Wright JT Jr. Measurement of Blood Pressure in Humans: A Scientific Statement From the American Heart Association. Hypertension. 2019 May;73(5):e35-e66. doi: 10.1161/HYP.0000000000000087. PMID: 30827125.

Clinical Topics: Prevention, Hypertension

Keywords: CardiaCast, Hypertension

< Back to Listings