I am using bp tablet and taking bp with automated BP monitor during the first reading i am very anxious and nervous it shows little bit high after some minutes the anxious is settled and take second reading it shows very normal and third one also normal and closer to second reading" What is the considered as reading 1 or 2. Ex- 1 reading 140/80 pulse 100. 2. 115/ 75 pulse 80 3 reading. 113/74 pulse 75 Please suggest me something.

Dr. Jitesh AroraCardiologist9yrs exp

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You should always take 2 readings. Second one is always correct.  

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Dr. Paramjeet SinghCardiologist9yrs exp

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The second reading should be considered. You need to understand about high blood pressure.� Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels 4) your lifestyle - smoking, drinking, exercise� You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. My advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT� Renal doppler� Get back to me with a detailed history and� old / new records for a better individualized advice.  

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Dr. Sameer MehrotraCardiologist19yrs exp

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The 1st reading may be in response to your apprehension anxiety, BP rise is a pretty normal phenomenon in anxiety or stress situation. Once that resolves your BP shows normal reading. Or it could be some caliberation problem in the machine for which you can contact the company for a caliberation.  

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