monitoring of blood pressure involves wearing a device that inflates
and deflates automatically every 15 to 20 minutes and records the
readings. This type of monitoring is usually conducted for a period
of 24 to 48 hours and provides measurements that are considered to be
more accurate than when taken in a doctor’s office. However,
ambulatory monitoring is obviously more expensive than when conducting
home monitoring for high blood pressure.
The inflated blood
pressure cuff may not adequately compress the arteries for people with
unusually stiff arteries. This may result in a condition referred to
as pseudo hypertension in which measurements are sometimes
higher than their actual blood pressure. In these circumstances, an
individual’s blood pressure may be either normal or high, but are not
as high as the measurement may indicate. When people experiencing
pseudo hypertension are given high blood pressure medicine, the blood
pressure may drop to a level that is considered too low, resulting in
the physical sensation of feeling lightheaded.
In order to decide
if other conditions are contributing or causing high blood pressure,
your physician will usually ask various questions about symptoms.
Some examples may be that if you are snoring or are experiencing
extraordinary sleepiness during the daytime, your doctor may explore
whether you possibly have sleep apnea. Laboratory tests and a
physical examination are frequently conducted to examine the possible
causes. Some of the tests typically conducted include urinalysis and
blood tests. Also, your doctor may want to see if there has been any
damage to your heart as a result of your high blood pressure, by
conducting tests such as an electrocardiography. Occasionally, your
doctor may also want to include additional testing such as exercise
stress testing when it seems necessary.