As a heavy person, I often find that places which measure blood pressure do not use the proper cuff size. Using too small a cuff will show hypertension, where none exists. Given the obesity epidemic, this can be a serious problem. Many overweight people have hypotension, which may interfere with their exercise, it is important that they be measured carefully, especially when medication is involved. And this is also very important during pregnancy when fluids can cause swelling but do not always raise blood pressure or cause pre-eclampsia.
Here is a piece written by a colleague who shall remain anonymous:
I can tell you that a frightening number of practitioners do not use protocol as stated. It Continue reading Hypertension “Epidemic” caused by Wrong Blood Pressure Cuff Size?