How to check blood pressure monitor accuracy

How to choose a blood pressure monitor and measure your blood pressure at home

How to check blood pressure monitor accuracy

Find out how to choose a reliable blood pressure monitor so you can measure your blood pressure at home.

Jump straight to:

  • What is a normal blood pressure reading?
  • How to choose a home blood pressure monitor
  • How to check your blood pressure using a blood pressure machine
  • Learn more about your blood pressure

Find out more about how you can measure and manage your blood pressure at home

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What is a normal blood pressure reading?

A normal blood pressure reading is below 140/90, but if you have heart or circulatory disease, diabetes or kidney disease, your blood pressure should ideally be less than 130/80.

If you want to monitor your blood pressureat home, it can be a good idea to get a blood pressure machine that lets you keep a track of your blood pressure readings at times that are suitable for you, in the comfort of your own home. 

How to choose a home blood pressure monitor

If you decide to take your blood pressure at home, you will need to get a home blood pressure monitor. There is a wide range of home blood pressure monitors available, but it is important to be sure that the blood pressure monitor you choose is accurate and the right one for you.

  • Ask your doctor: If your doctor asks you to measure your blood pressure at home or to wear an ambulatory blood pressure monitor in order to diagnose hypertension, they will provide a monitor that you can borrow for a set period of time.
  • Buy a monitor with an upper cuff: If you are buying a home blood pressure monitor, choose one that measures your blood pressure at your upper arm, not your wrist or finger. The cheapest ones start from around £20 and are available in most local pharmacies and larger supermarkets. The British Heart Foundation Online Shop also has a wide range of BIHS approved blood pressure monitors to suit most budgets.
  • Make sure the cuff is the right size for your arm: Make sure you have the right cuff size for your arm. It should wrap snugly around your upper arm, with just enough space to slide two fingertips underneath. Most home blood pressure monitors will come with a medium-sized cuff. If your upper arm is particularly larger or smaller than average, you may need to buy a different sized cuff separately.
  • Make sure it’s UK approved: If you are buying a blood pressure monitor, make sure it is approved for use in the UK. To make sure your monitor is accurate, choose one that has been listed as validated for accuracy by the British and Irish Hypertension Society (BIHS). This means that the digital monitor has gone through a series of tests to make sure it gives results that you and your doctor can trust.
  • Make sure you get it serviced  every 2 years: It needs to be regularly serviced and calibrated to make sure it is accurate – generally, at least once every two years. This usually involves sending it back to the manufacturer, who will probably charge a fee for this. If this option is too complicated or expensive it may be easier and cheaper to buy a new monitor.

Some monitors will have a memory to store your readings. These may cost more than more basic versions, but recording your measurements on a pen and paper will work just as well.

How to check your blood pressure using a blood pressure machine

  

  1. In order for it to be an accurate reading it’s important that you’re resting and that you’re not feeling anxious or stressed. 
  2. Sit upright in a chair, your back against the back of the chair, and place your feet flat on the floor. 
  3. Rest your arm on a table if you have one and just make sure your hand and arm are relaxed on the table. It’s important that you don’t clench your fist when you’re taking your blood pressure. 
  4. Place the cuff over your upper arm and tighten the cuff over your arm, making sure you can fit two fingers underneath the cuff. You want the cuff to be over the upper part of your arm with the tubing leading down the centre or slightly to the right of your arm. 
  5. When you check your blood pressure, don’t talk and just relax. Press the on button, and then press the start button. 
  6. You’ll feel the cuff inflate quite rapidly. It may temporarily be a bit tender or uncomfortable for,  as the cuff inflates and deflates automatically, but this will only be for a short period of time. If it is too tender/uncomfortable you can just press the ‘Stop’ button and the cuff will instantly deflate. 
  7. Once you get your reading, make a note of the reading. Some blood pressure machines now come with a printer. This allows you to stick your print outs in your diary. 
  8. A few minutes after you’ve taken your blood pressure, it’s a good idea to check it again, to make sure the readings are similar and accurate. 
  9. If you’ve been asked by your GP or nurse to check your blood pressure, take it twice a day – morning and evening – and then make an appointment to see him or her to discuss the results. 

Learn more about your blood pressure 

  • Learn more about why you should know your blood pressure. 
  • Read common questions about high blood pressure. 
  • Get our 6 top tips for how to reduce your blood pressure. 
  • Learn more about low blood pressure. 

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More useful information

How do I know if my blood pressure meter is accurate?

Check for accuracy “If the systolic blood pressure (the top number) on your cuff is within 10 points of the monitor, then it's generally accurate,” he says. Most home blood pressure machines last for about two or three years. After that, check it at your doctor's office annually to make sure it's still accurate.

Can a home blood pressure monitor be calibrated?

Keep your home blood pressure monitor calibrated Automatic blood pressure monitors need to be re-calibrated at least once every two years – the instructions that come with your monitor will say how often. This is where the monitor is tested and adjusted to make sure it's giving you accurate results.

Can blood pressure monitor give false readings?

If a cuff is too small or too large, errors in measurement can occur. Adding to inaccuracy is automated device variability, which can account for average error in systolic BP of between -4 mm Hg and -17 mm Hg.

Are home blood pressure monitors accurate?

It also helps doctors make quick medication adjustments to keep blood pressure in the healthy zone. But home blood pressure monitors aren't always as accurate as they should be. "Home blood pressure monitors may be inaccurate in 5% to 15% of patients, depending on the threshold for accuracy used," according to Dr.