Your doctor will ask questions about your medical history and do a physical examination. The doctor, nurse or another medical assistant will place an inflatable arm cuff around your arm and measure your blood pressure using a pressure-measuring gauge. Your blood pressure generally should be measured in both arms to determine if there is a difference. It's important to use an appropriate-sized arm cuff. Both numbers in a blood pressure reading are important. But after age 50, the systolic reading is even more important. Isolated systolic hypertension is a condition in which the diastolic pressure is normal (less than 80 mm Hg) but systolic pressure is high (greater than or equal to 130 mm Hg). This is a common type of high blood pressure among people older than 65. Because blood pressure normally varies during the day and may increase during a doctor visit (white coat hypertension), your doctor will likely take several blood pressure readings at three or more separate appointments before diagnosing you with high blood pressure. Your doctor may ask you to record your blood pressure at home to provide additional information and confirm if you have high blood pressure.
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