Stephen J. Schueler, M.D.

Acute Coronary Syndrome BP Checks

Regular blood pressure monitoring is important for anyone who has suffered from acute coronary syndrome. Early detection and treatment of high blood pressure can help prevent damage to the coronary arteries.

Taking your Blood Pressure
A number of devices are available for home blood pressure measurement. Digital blood pressure devices are easy to use: they automatically calculate the pulse and display the systolic and diastolic pressures. However, a simple blood pressure cuff with a stethoscope is the most accurate way to measure blood pressure.

Tips for Obtaining an Accurate Blood Pressure

  • Remain seated or lying flat with the arm supported at heart level.
  • No smoking or caffeine for 30 minutes prior to measurement.
  • Rest for 5 minutes before taking your blood pressure.
  • The blood pressure air bladder should nearly encircle the arm: persons with large arms may require an extra large adult cuff. Cuffs are usually marked to indicate the acceptable size range.
  • Apply cuff 1/2 inch above elbow crease.
  • Locate brachial pulse and place the stethoscope bell at this location.
  • With the valve closed, pump up cuff bulb to approximately 210 mm Hg, or a point where no sounds are heard through the stethoscope.
  • Open the valve slowly (2-3 mm Hg per second) and listen for the point where the tapping sounds are first heard. The corresponding reading on the dial is the systolic pressure.
  • Then, listen for the point where the tapping sounds stop. The corresponding reading on the dial is the diastolic pressure.
  • Perform two more readings per session, separated by 5 minutes.
  • The blood pressure must be elevated during at least 3 separate sessions to diagnose hypertension.

Systolic Pressure Guideline for Adults
Systolic Blood PressureAssessment
120-139Prehypertension
Over 140-159Hypertension Stage 1
160 or higherHypertension Stage 2

Diastolic Pressure Guideline for Adults
Diastolic Blood PressureAssessment
Below 80Normal
80-89Prehypertension
90-99Hypertension Stage 1
100 or higherHypertension Stage 2

Continue to Acute Coronary Syndrome Diet

Last Updated: Oct 19, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Acute Coronary Syndrome References
  1. Achar SA, Kundu S, Norcross WA. Diagnosis of acute coronary syndrome. Am Fam Physician. 2005 Jul 1;72(1):119-26. [16035692]
  2. Brown TL, Merrill J, Hill P, Bengel FM. Relationship of coronary calcium and myocardial perfusion in individuals with chest pain. Assessed by integrated rubidium-82 PET-CT. Nuklearmedizin. 2008;47(6):255-260. [19057799]
  3. Mattu A, Petrini J, Swencki S, Chaudhari C, Brady WJ. Premature atherosclerosis and acute coronary syndrome in systemic lupus erythematosus. Am J Emerg Med. 2005 Sep;23(5):696-703. [16140181]
  4. Moriel M, Behar S, Tzivoni D, Hod H, Boyko V, Gottlieb S. Management and outcomes of elderly women and men with acute coronary syndromes in 2000 and 2002. Arch Intern Med. 2005 Jul 11;165(13):1521-6. [1600986]
  5. Ofili E. Acute coronary syndrome in women. J Fam Pract. 2005 Jul;Suppl:6-7. [16134557]
  6. Perers E, Caidahl K, Herlitz J, Karlson BW, Karlsson T, Hartford M. Treatment and short-term outcome in women and men with acute coronary syndromes. Int J Cardiol. 2005 Aug 18;103(2):120-7. [16080968]
  7. Thuresson M, Jarlov MB, Lindahl B, Svensson L, Zedigh C, Herlitz J. Symptoms and type of symptom onset in acute coronary syndrome in relation to ST elevation, sex, age, and a history of diabetes. Am Heart J. 2005 Aug;150(2):234-42. [16086924]
  8. Wallentin L. Prevention of cardiovascular events after acute coronary syndrome. Semin Vasc Med. 2005 Aug;5(3):293-300. [16123917]
  9. Yilmaz H, Basarici I. Troponin levels and acute coronary syndrome. J Am Coll Cardiol. 2005 Aug 16;46(4):741. [1609845]
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