GuLFOMBattachment11REVISEDAppendix_M_-_Participant_Blood_Pressure_Report_-_In-Home

Appendix M:

Participant Blood Pressure Report (in home)

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Blood Pressure Results
Name: ___________
Date: __________
(Version 0.5)

Results
First Reading:

Systolic _______ mm Hg

Diastolic ______ mm Hg

Second Reading:

Systolic _______ mm Hg

Diastolic ______ mm Hg

Third Reading:

Systolic _______ mm Hg

Diastolic ______ mm Hg

Average Value*

Systolic _______ mm Hg

Diastolic ______ mm Hg

*average of second and third reading

What do blood pressure numbers indicate?
Blood pressure (BP) is written as two numbers. Systolic BP, usually written as the first
or top of two numbers, represents the pressure while your heart is beating. Diastolic
BP, usually written as the second or bottom of two numbers, represents the pressure
when your heart is resting between beats. Optimal adult blood pressure is systolic
pressure of 120 mm of mercury (also known as Hg) or lower AND diastolic pressure of
80 mm Hg or lower. Blood pressure that is extremely high could indicate a serious
medical condition and should be evaluated by a health professional immediately.
Lowering blood pressure is important for reducing the risk of cardiovascular disease.
Interpretation and Advice:
9

Your blood pressure
readings are (mm Hg)
Systolic BP ≥ 180 OR
Diastolic BP ≥ 110
Systolic BP 160 to 179 OR
Diastolic BP 100 to 109
Systolic BP 140 to 159 OR
Diastolic BP 90 to 99
Systolic BP 120 to 139 OR
Diastolic BP 80 to 89
Systolic BP <120 OR
Diastolic BP <80

This is
considered
Emergency*

You are advised to
Call 911 or go to the emergency department
immediately. Emergency Care Needed.

Very High

See a health care provider within the next month to
have your blood pressure rechecked and managed.

Mildly to
Moderately High

See a health care provider within the next two
months to have your blood pressure rechecked and
managed.
Find out from a health care provider if any additional
evaluations or lifestyle changes are indicated.

Slightly High

Normal

Your Blood Pressure is within normal limits. Talk to
a health care provider about healthy lifestyle choices
that you can take to prevent high blood pressure.

Note: The average of the second and third readings for systolic and diastolic blood pressure will be used
to select a category above.
* A hypertensive crisis exists when blood pressure reaches levels of 180 or higher for the systolic (top)
number OR 110 or higher for the diastolic (bottom) number. There is no safe duration for blood pressure to
remain in this range.

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If you have questions about your results or need additional assistance in locating health
care services in your community please call the study center toll-free at 1-855-NIHGULF.

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