Stephen J. Schueler, M.D.

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Ventricular Enlargement BP Checks

Regular blood pressure monitoring is important for anyone with cardiac enlargement. Early detection and treatment of high blood pressure can help prevent heart damage.

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
Over 140-159Hypertension Stage 1
160 or higherHypertension Stage 2

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

Continue to Ventricular Enlargement 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 Ventricular Enlargement References
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  2. Burkett EL, Hershberger RE. Clinical and genetic issues in familial dilated cardiomyopathy. J Am Coll Cardiol. 2005 Apr 5;45(7):969-81. [15808750]
  3. Elliott P: Cardiomyopathy. Diagnosis and management of dilated cardiomyopathy. Heart 2000 Jul; 84(1): 106-12. [10862601]
  4. Gosse P. Left ventricular hypertrophy as a predictor of cardiovascular risk. J Hypertens Suppl. 2005 Apr;23 Suppl 1:S27-33. [15821448]
  5. Verdecchia P, Angeli F. Reversal of left ventricular hypertrophy: what have recent trials taught us? Am J Cardiovasc Drugs. 2004;4(6):369-78. [15554722]
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