Common causes of inaccurate BP Measurements

When the patient has… BP can appear higher by…
A full bladder 10-15 mmHg
An unsupported back 5-10 mmHg
Unsupported feet 5-10 mmHg
Crossed legs 2-8 mmHg
Cuff over clothing 10-40 mmHg
Unsupported arm 10 mmHg
A conversation or is talking 10-15 mmHg

The table comes from the AMA website. https://wire.ama-assn.org/delivering-care/how-get-most-accurate-blood-pressure-measurement
Original source: 1. Pickering, et al. Circulation 2005; 2. O’Brien, et al. Blood Press Mon. 2002

Potential sources of inaccuracy when measuring Blood Pressure

timeofcare.com/potential-sources-of-inaccuracy-when-measuring-blood-pressure/

Kallioinen N, Hill A, Horswill MS, Ward HE, Watson MO. Sources of inaccuracy in the measurement of adult patients’ resting blood pressure in clinical settings: a systematic review. Journal of Hypertension. 2017;35(3):421-441. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278896/ *** See table 2

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