Staying Healthy

Blood pressure measurements vary widely at the doctor's office

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By , Executive Editor, Harvard Health Letter

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About half of U.S. adults have high blood pressure, and only a quarter of them have it under control. Yet most people with high blood pressure don't monitor it at home; they rely only on measurements taken at health care visits. But that's not going to give you an accurate picture, suggests a study published online March 8, 2023, by Circulation: Cardiovascular Quality and Outcomes. Researchers evaluated more than 7.7 million blood pressure measurements taken from more than 537,000 adults (average age 53) over more than two years. Each participant averaged 13 doctor visits during that time. Scientists found wide variations in blood pressure measurements from one visit to the next — especially in people with known high blood pressure. While a person's blood pressure can change substantially from hour to hour, the researchers say that faulty equipment or imprecise techniques used to measure blood pressure at the doctor's office may also explain the variability. Such wide variations in readings can make it hard to determine if blood pressure drugs are working or if someone should start taking medication. For more accurate measurements, take your blood pressure at home regularly, two or three times per week.

Image: © Lourdes Balduque/Getty Images

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About the Author

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Heidi Godman, Executive Editor, Harvard Health Letter

Heidi Godman is the executive editor of the Harvard Health Letter. Before coming to the Health Letter, she was an award-winning television news anchor and medical reporter for 25 years. Heidi was named a journalism fellow … See Full Bio
View all posts by Heidi Godman

About the Reviewer

photo of Anthony L. Komaroff, MD

Anthony L. Komaroff, MD, Editor in Chief, Harvard Health Letter

Dr. Anthony L. Komaroff is the Steven P. Simcox/Patrick A. Clifford/James H. Higby Professor of Medicine at Harvard Medical School, senior physician at Brigham and Women’s Hospital in Boston, and editor in chief of the Harvard … See Full Bio
View all posts by Anthony L. Komaroff, MD

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