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How To Take Ankle Blood Pressure

The Best Time To Your Blood Pressure

How to perform an ankle brachial index

Take your blood pressure once in the morning and once in the evening. Then do two readings, at least a minute apart from each other, says Dr. Distel. If your reading seems too high or too low, wait a few minutes and then try again.

Try getting in a routine, too, so you can notice any patterns or shifts in your results.

And youll want to record your readings in a journal or notebook. Write down the date, time of day, systolic and diastolic numbers, heart rate and which arm you took the reading on. This will help you notice changes.

Dr. Distel says you can also talk to your doctor about 24-hour ambulatory blood pressure monitoring. This device allows your blood pressure to be measured over a 24-hour period, even while you sleep.

It takes your blood pressure every three to five minutes, says Dr. Distel. If someone didnt want to have to constantly check their own blood pressure it could be an option.

Exercise Ecg Testing And Measurement Of Exercise Blood Pressure

Exercise testing was conducted on an electronically braked bicycle. The starting load was 50 Watts for men and 40 Watts for women, and the load was increased every 3 minutes by 50 Watts for men and 40 Watts for women. Blood pressure was measured with a sphygmomanometer at 2 minutes at all loads and immediately prior to test termination. Readings were recorded to the nearest 5 mmHg. The 2-minute blood pressure recording at the moderate exercise level was used in the analyses. If that level was not reached, blood pressure from the lower level was used. The test was continued until a subject refused to continue, or until the attending physician felt it unsafe to continue. The criteria for myocardial ischaemia during the exercise test were ischaemic changes in ECG defined as ST depression > 1.0 mm at 60 ms after the J-point with typical ischaemic complaints.

How To Take Your Blood Pressure At Home

What you do beforehand can affect your blood pressure readings. Your blood pressure may be high due to:

  • Certain medications like decongestants and anti-inflammatories.

You can manually check your blood pressure at home or use an automated blood pressure machine that calculates your reading for you.

An automated blood pressure machine may be ideal for most since it only requires one person to use it, provides accurate readings and is easy to use. You can find affordable blood pressure machines online and at most grocery stores or local pharmacies.

To take your blood pressure manually, youll need a blood pressure cuff with a squeezable balloon and a stethoscope.

Whatever method you use, before you take your blood pressure find a quiet place and sit still for about 5 minutes.

Make sure you havent exercised or had caffeine or any kind of stimulant for about half an hour prior to checking your blood pressure, says Dr. Distel.

Sit at a table with both of your feet on the ground, legs uncrossed. Sit in a chair with back support so that you can lean back and relax. Place your arms up on the table so theyre at chest height.

Check that you have the right size cuff, too. You dont want one too big or too small. Then, roll up the sleeve on your left arm or remove any tight-sleeved clothing, if needed.

How to take your blood pressure with a machine

  • Turn the machine on. Press the power button and wait until the monitor is ready.
  • How to take your blood pressure manually

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    How To Check Blood Pressure In The Ankle

    Fact Checked

    Taking blood pressure readings at the ankle, also known as blood pressure in the calf, is done when blood pressure cuffs are a poor fit for the size or shape of both arms and when blood pressure readings cannot be taken on either arm due to swelling, injury, surgery, graft, double mastectomy or amputation. Another need for ankle blood pressure measurement occurs with the possibility of peripheral vascular disease 1. To test for this condition, the doctor takes blood pressure readings on all four limbs, comparing the higher reading for the legs with the higher reading for the arms.

    If you are experiencing serious medical symptoms, seek emergency treatment immediately.

    Select a blood pressure cuff of the proper size. The bladder of the cuff should cover at least 80 percent of the circumference of the leg.

    Position the subject on her back, mention that you will return in 15 minutes and suggest that she relax during that time.

    Bend the subjects leg at the knee, keeping the foot flat.

    Close the cuff around the leg, with its lower edge about 1 inch above the protuberances on the inside and outside of the ankle, aligning the artery mark on the cuff above the artery in the ankle between the Achilles tendon and the inner ankle bone. Tighten the valve on the cuff so air wont escape. Make sure the gauge is in a position to be read easily.

    Open the blood pressure valve slowly so that pressure falls at a rate of about 2 mm Hg per second.



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    What Is An Ankle

    The ankle-brachial index is an easy, non-invasive test for peripheral artery disease . Once you know you have PAD, you can repeat the test to see how youre doing after treatment.

    The ABI can tell your healthcare provider:

    • How severe your PAD is, but it cant identify the exact location of the blood vessels that are blocked or narrowed.
    • If your arms and legs are getting enough oxygen.
    • How bad your vascular injury is after a trauma.
    • Your risk of dying from a cardiovascular issue. Even if you arent having symptoms, having PAD is a sign of a higher risk of death from a cardiovascular cause.

    Catching PAD early gives people a chance to make lifestyle changes and get treatment that may reduce their risk of cardiovascular issues.

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  • How Is A An Abpi Test Performed

    A Plaque Test That You Can Do At Home – Ankle Brachial Index (ABI)

    There is no preparation required and you may eat and drink as usual prior to the test.

    A clinical vascular scientist will perform and interpret your ABPIs. You will be asked to remove your shoes and socks, roll up your sleeves and lie down on the couch. A blood pressure cuff will be put around your arms and ankles. A small amount of gel will be placed on your arm and your ankles, and a pencil like device, called a handheld Doppler, will be used to listen to the blood flow.

    The blood pressure cuffs will be pumped up to determine the blood pressure. This may feel tight but should not be painful.

    The investigation takes approximately 30 minutes. During the test, you may hear some swooshing noises from the handheld Doppler. These sounds are normal.

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    What Are Ankle Brachial Pressure Indices

    This test may also be called a Doppler test. It involves taking a blood pressure reading of your upper arms and ankles. The blood pressure in your arms and ankles should be the same, when you are lying down. In people with narrowed/blocked arteries in their legs, the blood pressure at the ankle will be lower than the arm.

    This test is a safe and effective way to assess if there is any disease in the arteries in your legs. This will allow the consultant to plan the appropriate treatment for you.

    The test is painless and does not use any radiation or needles. There are no risks or side effects associated with this test.

    What Is An Ankle Brachial Index Test

    The ankle brachial index, or ABI, is a simple test that compares the blood pressure in the upper and lower limbs. Health care providers calculate ABI by dividing the blood pressure in an artery of the ankle by the blood pressure in an artery of the arm. The result is the ABI. If this ratio is less than 0.9, it may mean that a person has peripheral artery disease in the blood vessels in his or her legs.

    In PAD, plaque builds up in the arteries. It often affects the vessels that bring blood to the legs. The reduced blood flow can cause pain and numbness. Low ABI may mean that your legs and feet arent getting as much blood as they need. An ABI test wont show exactly which blood vessels have become narrowed or blocked, though.

    During an ankle brachial index test, you lie on your back. A technician takes your blood pressure in both of your arms using an inflatable cuff, similar to the one used in the doctors office. The technician also measures the blood pressure in the ankles. The doctor uses these values to compute your ABI.

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    What Your Readings Mean

    The top number refers to your systolic pressure, which is the force of the blood against the artery walls as your heart beats. The bottom number is your diastolic pressure, the blood pressure between heartbeats.

    If the top number is 130 or more or if the bottom number is 80 or more, you should talk to your doctor, who can determine what lifestyle changes you need to make and if you need to take any medication.

    Over time, high blood pressure can lead to complications, says Dr. Distel. It can lead to chronic kidney disease, strokes, heart disease and eye problems.

    But with some simple changes like increasing exercise, eating a well-balanced diet, quitting smoking and reducing salt and alcohol, you may be able to lower your blood pressure.

    The biggest thing is lifestyle changes, says Dr. Distel. Try to lower your sodium or salt intake in your diet and increase your aerobic activity.

    To learn more about hypertension, listen to the Health Essentials Podcast episode Combating High Blood Pressure. New episodes of the Health Essentials Podcast publish every Wednesday.

    How Do I Get Ready For An Ankle Brachial Index Test


    There is very little you need to do to prepare for an ABI test. You can follow a normal diet on the day of the test. You shouldnt need to stop taking any medicines before the procedure.

    You may want to wear loose, comfortable clothes. This will allow the technician to easily place the blood pressure cuff on your arm and ankle. Youll need to rest for at least 15 to 30 minutes before the procedure. Ask if your healthcare provider has any special instructions.

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    What Is Consent

    Before your test is performed you must give your consent or permission. Consent is the process by which you give permission to health professionals to provide your care and treatment. It may be implied or formal . In either case your consent must be given voluntarily and you must have all the information you need to make a decision. If you feel you do not have enough information or do not understand the procedure please ask.

    Where Do I Go

    The Vascular Studies Unit is on Level 5 of the Addenbrookes Treatment Centre .

    Please inform reception of your arrival straight away. There are often other clinics in progress so you may not be called in order of arrival.

    You may bring a relative or friend in with you during the test or request a chaperone if you would like one.

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    How Do You Interpret Ankle

    Your doctor uses the blood pressure results to come up with a number called an ankle-brachial index. Hereâs what the numbers mean:

    • 0.9 or less. You have PAD. The lower the number, the more blockage you have in your arteries.
    • 0.91-0.99. This result is acceptable but might mean that you have borderline PAD.
    • 1.0-1.4. You donât have PAD.
    • Over 1.4. Numbers this high mean you have stiff arteries and you canât get useful blood pressure numbers with the cuff. Because of this, the test isnât helpful for you. Your doctor will turn to a different test.

    If you took an exercise ankle-brachial index test, the range of results may be a little different.

    Your doctor will look at your results, symptoms, and health history to help you decide what comes next. You may need to change your lifestyle or start taking medicine. In some cases, your doctor may say you need surgery.

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    Ankle Brachial Index (ABI) Test: How to Perform
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