Health Gadget

Recently, I went to Leeds Infirmary for medical tests: some of my cousins have been diagnosed with a serious, intermittent heart arrhythmia of hereditary origin and I need checks to see whether it is in my line of the family. There is a further test to come, so other than to say all looks well so far I won’t write about that now.

However, during the tests my blood pressure was measured at 189/87 millimetres of mercury, with a pulse rate of 83. The diastolic reading of 87 is not too bad, but, bluntly, a systolic reading of 189 is extremely high. It is classed as Stage 3 hypertension, a potential medical emergency!

In my defence, I should say that the measurement was taken about five minutes after a brisk fifteen-minute walk uphill from the railway station followed by a climb up five floors of stairs, that it had gone down slightly after half an hour, that I was typically anxious about what was about to happen and that I was uncomfortable in a coronavirus face mask, but really, I thought it best to respond to the letter from the G.P. I had been ignoring for a month and go for a routine blood pressure test.

That reading was a bit better: at first 167/83 and then, as I calmed down, 154/78, with a pulse of 70, which the practice nurse said was still classed as hypertension, but not at a level that would normally be treated with drugs. The diastolic 78 was, in fact, normal. I wasn’t just relieved, I was elated.

But, I should not have high blood pressure. I am active, vegetarian, have a below average body mass index, don’t smoke and don’t drink excessively, so why is it elevated? Could that also be hereditary? My mother used to be on what (in polite company) she called “wind and water pills”. Or am I, as some would say I always have been, of a nervous disposition? 

The nurse said it might be worth getting a home blood pressure monitor, so for £20 from Boots I bought the one pictured. As the cuff and instructions show, it is a rebadged early model of the Omron monitor they have in the surgery.

It has been well worth it. At one time, doctors would not have let you anywhere near a gadget like this so as not to “worry the patient”. My readings are coming out even better at around 142/77, and just out of bed first thing in the morning I managed 124/71 with a pulse rate of 56. Phew! That’s absolutely in the normal range.

Except, the American College of Cardiology and the American Heart Association have now changed their definition of normal from below 140/90 to under 120/80 (see source article). Well, they can just piss off.

Mrs D., by the way, is gloating over her reading of 112/64 with a pulse rate of 59. I know it’s not a competition, but that makes it feel like it is, one I can never win.