How long do you have to wait to take a second blood pressure reading?

It is recommended to wait at least 1 minute between blood pressure (BP) readings.

journals.lww.com - BLOOD PRESSURE MEASUREMENT: THE WAITING TIME BETWEEN ...

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Objective:

It is recommended to wait at least 1 minute between blood pressure (BP) readings. However there is insufficient evidence on the usefulness of this recommendation using a validated automatic device. The aim was to assess differences in BP according to the waiting time between BP readings.

Methods:

Cross-sectional descriptive study in an ambulatory setting with convenience sampling of 150 hypertensive patients. We excluded subjects with atrial fibrillation, or with body mass index higher than 40 kg/m2 or lower than 18 kg/m2. Patients were seated for 5 minutes before 6 basal BP readings were taken with a validated device (Tensoval Duo Control, Hartmann): 3 BP measurements with no waiting time (noWT) between them and 3 BP measurements with 1 minute of waiting time (1mWT) between each reading, in random order. The first BP reading of each tercet was eliminated from the analysis. The intraclass correlation coefficient (ICC) was calculated between noWT and 1mWT mean BP measurements, with 95% confidence intervals.

Results:

49.3% women, mean age 65.6 ± 12.8 years, mean BP 137 ± 1.4 / 80 ± 0.9 mmHg, 37.3% with diabetes mellitus and 21.3% with associated cardiovascular disease. Mean systolic BP (SBP) for noWT and for 1mWT was 135.9 ± 18.3 mmHg and 137.3 ± 18.9 mmHg (p = 0.045), respectively. Mean diastolic BP (DBP) was 79.2 ± 12.6 and 79.8 ± 13.0 mmHg (p = 0.409), respectively. There was 2.2 ± 10.3 mmHg and 1.2 ± 8.7 mmHg between the second and third SBP readings for 1mWT (p = 0.009) and noWT (p = 0.09), respectively. ICC between noWT and 1mWT were 0.946 (95% CI: 0.925–0.961) and 0.877 (95% CI: 0.831–0.911) for SBP and DBP, respectively.

Conclusions:

BP measurement with 1 minute of waiting time between readings obtains SBP values significantly higher than the BP measurement without time interval between readings. These differences are not clinically relevant. The agreement between noWT and 1mWT is very good.

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What are the 5 warning signs of a mini stroke?

Call 9-1-1 immediately if any of these signs of stroke appear: Numbness or weakness in the face, arm, or leg; Confusion or trouble speaking or understanding speech; Trouble seeing in one or both eyes; Trouble walking, dizziness, or problems with balance; severe headache with no known cause.

cdc.gov - Stroke Signs and Symptoms | cdc.gov

The stroke treatments that work best are available only if the stroke is recognized and diagnosed within 3 hours of the first symptoms. Stroke patients may not be eligible for these if they don’t arrive at the hospital in time. If you think someone may be having a stroke, act F.A.S.T. and do the following test:

F—Face: Ask the person to smile. Does one side of the face droop?

A—Arms: Ask the person to raise both arms. Does one arm drift downward?

S—Speech: Ask the person to repeat a simple phrase. Is the speech slurred or strange?

T—Time: If you see any of these signs, call 9-1-1 right away.

Note the time when any symptoms first appear. This information helps health care providers determine the best treatment for each person. Do not drive to the hospital or let someone else drive you. Call 9-1-1 for an ambulance so that medical personnel can begin life-saving treatment on the way to the emergency room.

What should I do to treat a transient ischemic attack (“mini-stroke”)?

If your stroke symptoms go away after a few minutes, you may have had a transient ischemic attack (TIA), also sometimes called a “mini-stroke.” Although brief, a TIA is a sign of a serious condition that will not go away without medical help. Unfortunately, because TIAs clear up, many people ignore them. But paying attention to a TIA can save your life. If you think you or someone you know has had a TIA, tell a health care team about the symptoms right away.

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