mjr wrote:softlips wrote:NICE BP measurement advice here https://www.nice.org.uk/guidance/cg127/ ... d-pressure I've never known any GP or nurse do it by the book.
Take at least five measurements at various times during the day, discard the highest and lowest and look at what's left. Have you had a cardiac echo (ultrasound) to look at your ventricular wall thickness? Good idea particularly if you excercise a lot.
My wife's aunt's GP apparently does, but I've never seen a medic that does either (and I've seen quite a few over 30+ years of illness - but BP is only a complicating factor for me, not a primary one). I did once have a 24h BP monitor but the dratted thing felt like it wanted to break my arm when it tried to take a measurement while I was cycling!
How does one get a cardiac echo, why would one have it and what would they be looking for from wall thickness?
You'd need referring for one. If the patient does have hypertension the increased workload of the heart (to maintain this high pressure) causes the heart muscle to thicken like any other muscle. This conforms medication is required. Controlling the BP will reverse this thickening. The thicker muscle obviously will require an increased blood supply and is therefore more likely to infarct or induce arrhythmias.