[kevviiinn]

Weird because the automated one I have at home reads normal but my PCP's always shows high. The difference is that I do mine after being still and quiet for 5 minutes while they rush me into the office, ask me a ton of questions and immediately read my blood pressure while I sit on that bed thing with no back support

[haldujai]

White coat hypertension is also a potential contributor.

https://www.mayoclinic.org/diseases-conditions/high-blood-pr...

[kevviiinn]

I highly doubt that, the situation in which it's measured (no back or foot support while talking) is literally against the AHA and other guidelines for BP measurement. When I replicate it at home, it's the same and higher but if I wait and use a proper chair and don't talk then it's fine

[haldujai]

I’m not disagreeing with your (accurate) description of proper technique at all, or that incorrect technique can result in falsely elevated office BP (due to expected physiologic responses).

I just meant it may also be a factor in elevated office BP measurements even if done properly, hence “potential contributor”.

If you have multiple documented normotensive measurements on your home BP monitor that’s more reliable than even proper technique in a medical setting to be honest.

The hierarchy of BP measurement accuracy is:

24 hour ambulatory measurement > multiple home patient measurements > in-office automated BP cuff (with proper technique) > in-office BP measurement with auscultation (not sure why this was suggested as more accurate to the commenter you replied to).

Automated cuffs are great and reproducible.

[specialist]

I bring all my home gear in with me, to compare the measurements.

FWIW, my cheap OMRON blood pressure thing has agreed with the pro results, thus far.

[kevviiinn]

Yea, I also have an OMRON and I'm sure it would agree in the same setting but I actually check my BP according to guidelines at home