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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Change Of Blood Pressure From 136/82 To 138/94?

my doctor changed my blood pressure meds from 2.5mg to 10mg 0f amlodipine besylate to lower my blood pressure which is usually 136/82 when the nurse checks it then when the doctor comes in she checks it and it jumps to 138/94 could she be miss reading it?
Mon, 15 Jun 2015
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Neurologist,  's  Response
I read your question carefully and I understand your concern.

I don't think that the nurse is misreading the values, some minor differences are normal between one measurement and the other. Blood pressure is not a static value and can have many minor variations due to many factors. In your case the simple fact that the doctor came in and was measuring your pressure himself may have contributed to some extra stress which in turn affects blood pressure, it's a well known phenomena to have increase blood pressure in the presence of the doctor. But it's not only that there are many different factors, so more than a question of an isolated measurement it's the average which should be taken into account (I'm speaking about minor changes of course not extreme values).

I hope to have been of help.
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What Causes Sudden Change Of Blood Pressure From 136/82 To 138/94?

I read your question carefully and I understand your concern. I don t think that the nurse is misreading the values, some minor differences are normal between one measurement and the other. Blood pressure is not a static value and can have many minor variations due to many factors. In your case the simple fact that the doctor came in and was measuring your pressure himself may have contributed to some extra stress which in turn affects blood pressure, it s a well known phenomena to have increase blood pressure in the presence of the doctor. But it s not only that there are many different factors, so more than a question of an isolated measurement it s the average which should be taken into account (I m speaking about minor changes of course not extreme values). I hope to have been of help.