From the American Heart Assoc..........
From the American Heart Assoc..........
Your High Blood Pressure Questions Answered ? Right Arm or Left Arm?
Question
Why are my left and right arm systolic blood pressure readings often different?
Answer
Left-arm and right-arm (interarm) blood pressure differences are common. Blood pressure may be slightly higher in your dominant arm. For example, if you're left-handed, your left arm may have a slightly higher reading than your right arm. Several studies have been done to determine what is a ?normal? variation between right and left arm. In general, any difference of 10 mm Hg or less is considered normal and not a cause for concern.
Since some studies showed that the average interarm systolic blood pressure difference was significantly greater in patients with known coronary artery disease, it?s a good idea to discuss differences higher than 10 mm Hg with your doctor.
When you have your blood pressure taken at the doctor?s office, it?s typically taken in the right arm. But if you?re measuring your blood pressure at home, readings are often taken in the left arm. This may cause different readings at home and in the doctor?s office. If your home blood pressure readings are different from those taken in the doctor?s office, be sure to discuss this with your healthcare professional.
Many factors affect blood pressure. To detect a difference in blood pressure between your arms, your doctor may take alternate-arm blood pressure readings or even measure your blood pressure in both arms at the same time with two blood pressure gauges and two observers. The fact that there are differences in right and left arm readings emphasizes the importance of measuring blood pressure in both arms initially to prevent the misdiagnosis of high blood pressure. If one arm has higher blood pressure than the other, that arm should be used to determine if you have hypertension.
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I remember a doctor telling me that the one arm was closer to the aorta, hence the higher pressure but I wouldn't take that as gospel.