HYPERTENSION – SELF-MONITORING

Some doctors ask their patients, under treatment for hypertension, to buy and use such machines for self-monitoring, so the doctor can have a more accurate assessment of the daily fluctuations of the levels.

It is my belief that monitoring one’s own blood pressure without instruction and interpretation may cause anxiety and serve no useful purpose.

High blood pressure causes no symptoms and therefore is usually detected only at routine checking. Symptoms, when they do develop, are most often late and due to damage to various organs.

Headaches may be common in well-established and severe hypertension, but the symptom is so common it may be unrelated to the level of pressure.

Persistent high blood pressure places a strain on the left ventricle of the heart. This is the chamber which pumps blood through the aorta to all the body. Persistent strain causes this side of the heart to enlarge.

This pattern of left ventricular strain or hypertrophy (enlargement) may show on the electrocardiogram, or ECG.

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