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class="ubermenu-target-title ubermenu-target-text">Resources</span></a><ul class="ubermenu-submenu ubermenu-submenu-id-1151 ubermenu-submenu-type-auto ubermenu-submenu-type-mega ubermenu-submenu-drop ubermenu-submenu-align-full_width" ><li class="ubermenu-tabs menu-item-646 ubermenu-item-level-1 ubermenu-column ubermenu-column-full ubermenu-tab-layout-left ubermenu-tabs-show-default nav-item"><ul class="ubermenu-tabs-group ubermenu-column ubermenu-column-1-4 ubermenu-submenu ubermenu-submenu-id-646 ubermenu-submenu-type-auto ubermenu-submenu-type-tabs-group" ><li class="ubermenu-tab ubermenu-item ubermenu-item-type-custom ubermenu-item-object-custom ubermenu-item-has-children ubermenu-advanced-sub ubermenu-item-685 ubermenu-item-auto ubermenu-column ubermenu-column-full ubermenu-has-submenu-drop nav-item" data-ubermenu-trigger="mouseover" ><span class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only"><span class="ubermenu-target-title 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href="https://bihs.org.uk/resources/bp-measurement/measure-blood-pressure/"><span class="ubermenu-target-title ubermenu-target-text">How to measure Blood Pressure</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-1155 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-5 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/bp-measurement/abpm/"><span class="ubermenu-target-title ubermenu-target-text">ABPM</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-1154 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-5 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/bp-measurement/hbpm/"><span class="ubermenu-target-title ubermenu-target-text">HBPM</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-1153 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-5 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/bp-measurement/bp-measurement-children/"><span class="ubermenu-target-title ubermenu-target-text">BP Measurement in Children</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-1152 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-5 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/bp-measurement/bp-measurement-atrial-fibrillation/"><span class="ubermenu-target-title ubermenu-target-text">BP Measurement in Atrial Fibrillation</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-2001 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-5 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/bp-measurement/bp-measurement-auscultatory-tutorials/"><span class="ubermenu-target-title ubermenu-target-text">BP Measurement Auscultatory Tutorials</span></a></li></ul></li></ul><div class="ubermenu-retractor ubermenu-retractor-mobile"><i class="fa fa-times"></i> Close</div></div></li><li class="ubermenu-tab ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-3463 ubermenu-item-auto ubermenu-column ubermenu-column-full ubermenu-has-submenu-drop nav-item" data-ubermenu-trigger="mouseover" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/statements/"><span class="ubermenu-target-title ubermenu-target-text">Statements</span></a></li><li class="ubermenu-tab ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-1157 ubermenu-item-auto ubermenu-column ubermenu-column-full ubermenu-has-submenu-drop nav-item" data-ubermenu-trigger="mouseover" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only ubermenu-noindicator" href="https://bihs.org.uk/resources/therapeutics/"><span class="ubermenu-target-title ubermenu-target-text">Therapeutics</span></a></li><li class="ubermenu-tab ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-1935 ubermenu-item-auto ubermenu-column ubermenu-column-full ubermenu-has-submenu-drop nav-item" data-ubermenu-trigger="mouseover" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/resources/miscellaneous/"><span class="ubermenu-target-title ubermenu-target-text">Miscellaneous</span></a></li></ul></li><li class="ubermenu-retractor ubermenu-retractor-mobile"><i class="fa fa-times"></i> Close</li></ul></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-has-children ubermenu-item-39 ubermenu-item-level-0 ubermenu-column ubermenu-column-auto ubermenu-has-submenu-drop ubermenu-has-submenu-mega nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/bp-monitors/" tabindex="0"><span class="ubermenu-target-title ubermenu-target-text">BP monitors</span></a><ul class="ubermenu-submenu ubermenu-submenu-id-39 ubermenu-submenu-type-auto ubermenu-submenu-type-mega ubermenu-submenu-drop ubermenu-submenu-align-full_width" ><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-256 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/bp-monitors/for-specialist-use/"><span class="ubermenu-target-title ubermenu-target-text">For Specialist Use</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-253 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/bp-monitors/for-home-use/"><span class="ubermenu-target-title ubermenu-target-text">For Home Use</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-457 ubermenu-item-auto ubermenu-item-unknown-[unk] 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ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only ubermenu-noindicator" href="https://bihs.org.uk/resources/statements/" tabindex="0"><span class="ubermenu-target-title ubermenu-target-text">Statements</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-278 ubermenu-item-level-0 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/membership/" tabindex="0"><span class="ubermenu-target-title ubermenu-target-text">Membership</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-has-children ubermenu-item-2156 ubermenu-item-level-0 ubermenu-column ubermenu-column-auto ubermenu-has-submenu-drop ubermenu-has-submenu-mega nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/events/" tabindex="0"><span class="ubermenu-target-title ubermenu-target-text">Events</span></a><ul class="ubermenu-submenu ubermenu-submenu-id-2156 ubermenu-submenu-type-auto ubermenu-submenu-type-mega ubermenu-submenu-drop ubermenu-submenu-align-full_width" ><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-5851 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/events/2025-annual-scientific-meeting/"><span class="ubermenu-target-title ubermenu-target-text">Annual Scientific Meeting</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-5312 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/events/stanley-peart-essay-prize-2024/"><span class="ubermenu-target-title ubermenu-target-text">Stanley Peart Essay Prize 2024</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-2186 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/events/calendar-of-events/"><span class="ubermenu-target-title ubermenu-target-text">Calendar of Events</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-2172 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/events/bihs-endorsement-scientific-meetings/"><span class="ubermenu-target-title ubermenu-target-text">BIHS Endorsement of Scientific Meetings</span></a></li><li class="ubermenu-item ubermenu-item-type-post_type ubermenu-item-object-page ubermenu-item-2187 ubermenu-item-auto ubermenu-item-unknown-[unk] ubermenu-item-level-1 ubermenu-column ubermenu-column-auto nav-item" ><a class="ubermenu-target nav-link ubermenu-item-layout-default ubermenu-item-layout-text_only" href="https://bihs.org.uk/events/educational-partners/"><span class="ubermenu-target-title ubermenu-target-text">Educational Partners</span></a></li><li class="ubermenu-retractor ubermenu-retractor-mobile"><i class="fa fa-times"></i> Close</li></ul></li><li class="ubermenu-border-left ubermenu-item ubermenu-item-type-custom ubermenu-item-object-custom ubermenu-item-has-children ubermenu-item-655 ubermenu-item-level-0 ubermenu-column ubermenu-column-auto ubermenu-align-right ubermenu-item-mini ubermenu-has-submenu-drop ubermenu-has-submenu-flyout ubermenu-submenu-rtl ubermenu-submenu-reverse nav-item" ><span class="ubermenu-target nav-link ubermenu-target-with-icon ubermenu-item-layout-default ubermenu-item-layout-icon_left ubermenu-noindicator ubermenu-item-notext" tabindex="0"><i class="ubermenu-icon fa fa-search"></i></span><ul class="ubermenu-submenu ubermenu-submenu-id-655 ubermenu-submenu-type-flyout ubermenu-submenu-drop ubermenu-submenu-align-right_edge_item" ><li class="ubermenu-item ubermenu-item-type-custom ubermenu-item-object-ubermenu-custom ubermenu-item-656 ubermenu-item-auto ubermenu-item-normal ubermenu-item-level-1 nav-item" ><div class="ubermenu-content-block ubermenu-custom-content ">  <div class="ubermenu-search"> <form role="search" method="get" class="ubermenu-searchform" action="https://bihs.org.uk/"> <input type="text" placeholder="Search..." value="" name="s" class="ubermenu-search-input" /> <input type="submit" class="ubermenu-search-submit" value="" /> </form> </div>  </div></li><li class="ubermenu-retractor ubermenu-retractor-mobile"><i class="fa fa-times"></i> Close</li></ul></li></ul></nav>  </div> </div> </nav> </div> </div> </div> </div> </div> </header> </section> <div class="container my-2"> <div class="row"> <article id="post-384" class="post-384 page type-page status-publish hentry">  <div class="slider-wrapper-small hidden-md-down"> <div class="slider-item "> <img src="https://bihs.org.uk/wp-content/uploads/2018/12/BIHS-full-res-280-a1.jpg" class="img-responsive" /> <div class="slider-caption p-x-3 m-x-3"> </div> </div> </div> <h2>BIHS FAQs Frequently Asked Questions</h2> <hr />  <p>The information on our website is mainly aimed at healthcare professionals.聽 Patient information can be found on the <a href="http://www.bloodpressureuk.org/Home">Blood Pressure UK</a> website.</p> <h3 style="margin-bottom:20px;display:block;width:100%;margin-top:10px">General Enquiries </h3> <style> #wpsm_accordion_1451 .wpsm_panel-heading{ padding:0px !important; } #wpsm_accordion_1451 .wpsm_panel-title { margin:0px !important; text-transform:none !important; line-height: 1 !important; } #wpsm_accordion_1451 .wpsm_panel-title a{ text-decoration:none; color:#000000 !important; font-size:16px !important; display:block; padding:0px; font-family: Open Sans !important; padding-top: 10px; padding-bottom: 10px; border-bottom:1px solid #ddd !important; } #wpsm_accordion_1451 .wpsm_panel-title a:hover,#wpsm_accordion_1451 .wpsm_panel-title a:visited, #wpsm_accordion_1451 .wpsm_panel-title a:focus { color:#000000 !important; } #wpsm_accordion_1451 .acc-a{ color: #000000 !important; background-color:#ffffff !important; border-color: #ddd; } #wpsm_accordion_1451 .wpsm_panel-default > .wpsm_panel-heading{ color: #000000 !important; background-color: #ffffff !important; border-color: #ffffff !important; border-top-left-radius: 0px; border-top-right-radius: 0px; } #wpsm_accordion_1451 .wpsm_panel-default { border:1px solid transparent !important; } #wpsm_accordion_1451 { margin-bottom: 20px; overflow: hidden; float: left; width: 100%; display: block; } #wpsm_accordion_1451 .ac_title_class{ display: inline-block; padding-top: 5px; padding-bottom: 5px; padding-left: 13px; padding-right: 10px; border: 0px solid #ddd; font-size:16px !important; font-family: Open Sans !important; } #wpsm_accordion_1451 .wpsm_panel { overflow:hidden; -webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05); box-shadow: 0 0px 0px rgba(0, 0, 0, .05); border-radius: 4px; } #wpsm_accordion_1451 .wpsm_panel + .wpsm_panel { margin-top: 5px; } #wpsm_accordion_1451 .wpsm_panel-body{ background-color:#ffffff !important; color:#000000 !important; border-top-color: #ffffff !important; font-size:15px !important; font-family: Open Sans !important; overflow: hidden; border: 0px solid #ddd !important; border-top:0px !important; padding-left: 60px; } #wpsm_accordion_1451 .ac_open_cl_icon{ background-color:#dd3333; color: #ffffff; padding-top: 5px; padding-bottom: 5px; margin-left:10px; line-height: 1.0; font-size:16px !important; text-align: center !important; width: 32px !important; display: inline-block; } #wpsm_accordion_1451 .ac_open_cl_number{ width: 25px !important; display: inline-block; margin-left:10px; text-align: center !important; font-size:16px !important; } </style> <div class="wpsm_panel-group" id="wpsm_accordion_1451" >  <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="" data-toggle="collapse" data-parent="" href="#ac_1451_collapse1" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> I am a patient could you give me some advice on my condition/ medication? </span> </a> </h4> </div> <div id="ac_1451_collapse1" class="wpsm_panel-collapse collapse_1451 collapse " > <div class="wpsm_panel-body"> We are unable to provide individual advice but聽<a href="http://www.bloodpressureuk.org/Home">Blood Pressure UK</a>, set up especially for patients, provides information and support to people with high blood pressure. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="" href="#ac_1451_collapse2" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Can you supply me with literature about hypertension? </span> </a> </h4> </div> <div id="ac_1451_collapse2" class="wpsm_panel-collapse collapse_1451 collapse " > <div class="wpsm_panel-body"> <a href="about:blank"><span style="font-weight: 400;">Blood Pressure UK</span></a><span style="font-weight: 400;"> and the </span><a href="https://www.bhf.org.uk/"><span style="font-weight: 400;">British Heart Foundation</span></a><span style="font-weight: 400;"> offer a wide selection of leaflets about hypertension most of which can be downloaded from their website.</span><b>聽</b> </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="" href="#ac_1451_collapse3" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> What is the prevalence of hypertension in England? </span> </a> </h4> </div> <div id="ac_1451_collapse3" class="wpsm_panel-collapse collapse_1451 collapse " > <div class="wpsm_panel-body"> <span style="font-weight: 400;">The Department of Health's </span><a href="http://content.digital.nhs.uk/article/2021/Website-Search?q=cardiovascular&go=Go&area=both"><span style="font-weight: 400;">'Health Survey for England'</span></a><span style="font-weight: 400;"> provides data on hypertension and cardiovascular disease.</span> <span style="font-weight: 400;">Prevalence of hypertension is also collected by聽</span><b>General Practices</b><span style="font-weight: 400;">聽nationally and published via the聽</span><b>Quality and Outcomes Framework</b><span style="font-weight: 400;">:聽</span><a href="http://www.qof.ic.nhs.uk/"><span style="font-weight: 400;">http://www.qof.ic.nhs.uk/</span></a> </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="" href="#ac_1451_collapse4" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How do I make a financial donation to the British and Irish Hypertension Society? </span> </a> </h4> </div> <div id="ac_1451_collapse4" class="wpsm_panel-collapse collapse_1451 collapse " > <div class="wpsm_panel-body"> The Society is very grateful for any donations which can be made on our <a href="https://www.justgiving.com/tbhs">JustGiving Page.</a> </div> </div> </div>  </div> <script> jQuery(document).ready(function() { jQuery('.collapse_1451').on('shown.bs.collapse', function(){jQuery(this).parent().find(".fa-plus").removeClass("fa-minus").addClass("fa-minus"); jQuery(this).parent().find(".wpsm_panel-heading").addClass("acc-a"); }).on('hidden.bs.collapse', function(){jQuery(this).parent().find(".fa-minus").removeClass("fa-minus").addClass("fa-plus"); jQuery(this).parent().find(".wpsm_panel-heading").removeClass("acc-a");}); }); </script> <h3 style="margin-bottom:20px;display:block;width:100%;margin-top:10px">Website Material </h3> <style> #wpsm_accordion_1453 .wpsm_panel-heading{ padding:0px !important; } #wpsm_accordion_1453 .wpsm_panel-title { margin:0px !important; text-transform:none !important; line-height: 1 !important; } #wpsm_accordion_1453 .wpsm_panel-title a{ text-decoration:none; color:#000000 !important; font-size:16px !important; display:block; padding:0px; font-family: Open Sans !important; padding-top: 10px; padding-bottom: 10px; border-bottom:1px solid #ddd !important; } #wpsm_accordion_1453 .wpsm_panel-title a:hover,#wpsm_accordion_1453 .wpsm_panel-title a:visited, #wpsm_accordion_1453 .wpsm_panel-title a:focus { color:#000000 !important; } #wpsm_accordion_1453 .acc-a{ color: #000000 !important; background-color:#ffffff !important; border-color: #ddd; } #wpsm_accordion_1453 .wpsm_panel-default > .wpsm_panel-heading{ color: #000000 !important; background-color: #ffffff !important; border-color: #ffffff !important; border-top-left-radius: 0px; border-top-right-radius: 0px; } #wpsm_accordion_1453 .wpsm_panel-default { border:1px solid transparent !important; } #wpsm_accordion_1453 { margin-bottom: 20px; overflow: hidden; float: left; width: 100%; display: block; } #wpsm_accordion_1453 .ac_title_class{ display: inline-block; padding-top: 5px; padding-bottom: 5px; padding-left: 13px; padding-right: 10px; border: 0px solid #ddd; font-size:16px !important; font-family: Open Sans !important; } #wpsm_accordion_1453 .wpsm_panel { overflow:hidden; -webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05); box-shadow: 0 0px 0px rgba(0, 0, 0, .05); border-radius: 4px; } #wpsm_accordion_1453 .wpsm_panel + .wpsm_panel { margin-top: 5px; } #wpsm_accordion_1453 .wpsm_panel-body{ background-color:#ffffff !important; color:#000000 !important; border-top-color: #ffffff !important; font-size:15px !important; font-family: Open Sans !important; overflow: hidden; border: 0px solid #ddd !important; border-top:0px !important; padding-left: 60px; } #wpsm_accordion_1453 .ac_open_cl_icon{ background-color:#dd3333; color: #ffffff; padding-top: 5px; padding-bottom: 5px; margin-left:10px; line-height: 1.0; font-size:16px !important; text-align: center !important; width: 32px !important; display: inline-block; } #wpsm_accordion_1453 .ac_open_cl_number{ width: 25px !important; display: inline-block; margin-left:10px; text-align: center !important; font-size:16px !important; } </style> <div class="wpsm_panel-group" id="wpsm_accordion_1453" >  <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="" data-toggle="collapse" data-parent="#wpsm_accordion_1453 " href="#ac_1453_collapse1" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How do I get permission to reproduce material from your website? </span> </a> </h4> </div> <div id="ac_1453_collapse1" class="wpsm_panel-collapse collapse_1453 collapse " > <div class="wpsm_panel-body"> <span style="font-weight: 400;">Permission is normally granted for educational purposes as long as the material is accurately reproduced and the source is acknowledged.聽 If the material has been published, then permission should also be sought from the relevant publisher.聽 If you need further information please contact the Information service:聽 </span><a href="mailto:bihs@le.ac.uk"><span style="font-weight: 400;">bihs@le.ac.uk</span></a> <span style="font-weight: 400;">聽 </span> </div> </div> </div>  </div> <script> jQuery(document).ready(function() { jQuery('.collapse_1453').on('shown.bs.collapse', function(){jQuery(this).parent().find(".fa-plus").removeClass("fa-minus").addClass("fa-minus"); jQuery(this).parent().find(".wpsm_panel-heading").addClass("acc-a"); }).on('hidden.bs.collapse', function(){jQuery(this).parent().find(".fa-minus").removeClass("fa-minus").addClass("fa-plus"); jQuery(this).parent().find(".wpsm_panel-heading").removeClass("acc-a");}); }); </script> <h3 style="margin-bottom:20px;display:block;width:100%;margin-top:10px">Blood Pressure Measurement </h3> <style> #wpsm_accordion_1456 .wpsm_panel-heading{ padding:0px !important; } #wpsm_accordion_1456 .wpsm_panel-title { margin:0px !important; text-transform:none !important; line-height: 1 !important; } #wpsm_accordion_1456 .wpsm_panel-title a{ text-decoration:none; color:#000000 !important; font-size:16px !important; display:block; padding:0px; font-family: Open Sans !important; padding-top: 10px; padding-bottom: 10px; border-bottom:1px solid #ddd !important; } #wpsm_accordion_1456 .wpsm_panel-title a:hover,#wpsm_accordion_1456 .wpsm_panel-title a:visited, #wpsm_accordion_1456 .wpsm_panel-title a:focus { color:#000000 !important; } #wpsm_accordion_1456 .acc-a{ color: #000000 !important; background-color:#ffffff !important; border-color: #ddd; } #wpsm_accordion_1456 .wpsm_panel-default > .wpsm_panel-heading{ color: #000000 !important; background-color: #ffffff !important; border-color: #ffffff !important; border-top-left-radius: 0px; border-top-right-radius: 0px; } #wpsm_accordion_1456 .wpsm_panel-default { border:1px solid transparent !important; } #wpsm_accordion_1456 { margin-bottom: 20px; overflow: hidden; float: left; width: 100%; display: block; } #wpsm_accordion_1456 .ac_title_class{ display: inline-block; padding-top: 5px; padding-bottom: 5px; padding-left: 13px; padding-right: 10px; border: 0px solid #ddd; font-size:16px !important; font-family: Open Sans !important; } #wpsm_accordion_1456 .wpsm_panel { overflow:hidden; -webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05); box-shadow: 0 0px 0px rgba(0, 0, 0, .05); border-radius: 4px; } #wpsm_accordion_1456 .wpsm_panel + .wpsm_panel { margin-top: 5px; } #wpsm_accordion_1456 .wpsm_panel-body{ background-color:#ffffff !important; color:#000000 !important; border-top-color: #ffffff !important; font-size:15px !important; font-family: Open Sans !important; overflow: hidden; border: 0px solid #ddd !important; border-top:0px !important; padding-left: 60px; } #wpsm_accordion_1456 .ac_open_cl_icon{ background-color:#dd3333; color: #ffffff; padding-top: 5px; padding-bottom: 5px; margin-left:10px; line-height: 1.0; font-size:16px !important; text-align: center !important; width: 32px !important; display: inline-block; } #wpsm_accordion_1456 .ac_open_cl_number{ width: 25px !important; display: inline-block; margin-left:10px; text-align: center !important; font-size:16px !important; } </style> <div class="wpsm_panel-group" id="wpsm_accordion_1456" >  <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="" data-toggle="collapse" data-parent="#wpsm_accordion_1456 " href="#ac_1456_collapse1" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Do you have any guidelines on the correct way to measure blood pressure? </span> </a> </h4> </div> <div id="ac_1456_collapse1" class="wpsm_panel-collapse collapse_1456 collapse " > <div class="wpsm_panel-body"> Click聽<a href="http://bhsoc2017.crushdigital.co.uk/guidelines/">here </a>for guidelines </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1456 " href="#ac_1456_collapse2" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How many readings do I have to take when measuring blood pressure and how do I record them. Which one do I use? </span> </a> </h4> </div> <div id="ac_1456_collapse2" class="wpsm_panel-collapse collapse_1456 collapse " > <div class="wpsm_panel-body"> If the first reading is 140/90 mmHg or higher, take another reading (with a minute interval between readings). If the second reading is very different to the first reading, take a third reading. If difference continues consider taking more readings. Record the lower of the last 2 readings as the clinic BP. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1456 " href="#ac_1456_collapse3" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> When measuring blood pressure, should the tubes of the cuff bladder be pointing up or down? </span> </a> </h4> </div> <div id="ac_1456_collapse3" class="wpsm_panel-collapse collapse_1456 collapse " > <div class="wpsm_panel-body"> If you are using a manual blood pressure monitor, it is sensible to position the tubes to the top of the cuff so that they don't interfere with the stethoscope. If you are using an automatic device then it doesn't matter which way up you use the cuff. Some cuffs are conically shaped i.e. larger at the top than the bottom to fit the shape of the upper arm. In this case there is only one way to fit with tubes downwards. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1456 " href="#ac_1456_collapse4" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How do I know which cuff size to use? </span> </a> </h4> </div> <div id="ac_1456_collapse4" class="wpsm_panel-collapse collapse_1456 collapse " > <div class="wpsm_panel-body"> The bladder which you will find inside the cuff should fit around at least 80% of the arm but not more than 100%. A cuff that does not fit properly will not give an accurate reading so it is important to use the right size. For cuffs with no obvious bladder follow the manufacturer鈥檚 instructions for when to use small, medium, large or extra-large cuff. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1456 " href="#ac_1456_collapse5" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> A large cuff is still too small. What should I do? </span> </a> </h4> </div> <div id="ac_1456_collapse5" class="wpsm_panel-collapse collapse_1456 collapse " > <div class="wpsm_panel-body"> Contact the manufacturer of the blood pressure monitor. They may be able to supply an extra-large cuff. If the arm circumference is too large for any cuff then switch to manual measurement and ensure the centre of the bladder (which is inside the cuff) is placed over the brachial artery. This will give you the most accurate reading you can achieve under challenging circumstance. Be aware that because the cuff is too small it may overestimate the blood pressure. If a correctly fitting cuff cannot be fitted or is unavailable or cannot be applied then wrist blood pressure measurement, with the wrist held at the level of the heart, is the best alternative means of blood pressure measurement. See <a href="http://bihs.org.uk/wp-content/uploads/2017/11/Statement-on-diagnosis-of-hypertension-in-obese-patients-Nov-2017.pdf">BIHS Statement on Diagnosis of BP in Obese Patients.</a> </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1456 " href="#ac_1456_collapse6" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> What do I do if I am unable to measure the blood pressure in either arm or wrist? How do I measure blood pressure in the leg? </span> </a> </h4> </div> <div id="ac_1456_collapse6" class="wpsm_panel-collapse collapse_1456 collapse " > <div class="wpsm_panel-body"> There are currently no published, formal guidelines for BP measurement in the leg. However, for practical advice, <a href="http://bihs.org.uk/wp-content/uploads/2018/01/BP-in-Leg-Unofficial-Advice-2016.pdf">click here</a> </div> </div> </div>  </div> <script> jQuery(document).ready(function() { jQuery('.collapse_1456').on('shown.bs.collapse', function(){jQuery(this).parent().find(".fa-plus").removeClass("fa-minus").addClass("fa-minus"); jQuery(this).parent().find(".wpsm_panel-heading").addClass("acc-a"); }).on('hidden.bs.collapse', function(){jQuery(this).parent().find(".fa-minus").removeClass("fa-minus").addClass("fa-plus"); jQuery(this).parent().find(".wpsm_panel-heading").removeClass("acc-a");}); }); </script> <h3 style="margin-bottom:20px;display:block;width:100%;margin-top:10px">Blood Pressure Monitors </h3> <style> #wpsm_accordion_1458 .wpsm_panel-heading{ padding:0px !important; } #wpsm_accordion_1458 .wpsm_panel-title { margin:0px !important; text-transform:none !important; line-height: 1 !important; } #wpsm_accordion_1458 .wpsm_panel-title a{ text-decoration:none; color:#000000 !important; font-size:16px !important; display:block; padding:0px; font-family: Open Sans !important; padding-top: 10px; padding-bottom: 10px; border-bottom:1px solid #ddd !important; } #wpsm_accordion_1458 .wpsm_panel-title a:hover,#wpsm_accordion_1458 .wpsm_panel-title a:visited, #wpsm_accordion_1458 .wpsm_panel-title a:focus { color:#000000 !important; } #wpsm_accordion_1458 .acc-a{ color: #000000 !important; background-color:#ffffff !important; border-color: #ddd; } #wpsm_accordion_1458 .wpsm_panel-default > .wpsm_panel-heading{ color: #000000 !important; background-color: #ffffff !important; border-color: #ffffff !important; border-top-left-radius: 0px; border-top-right-radius: 0px; } #wpsm_accordion_1458 .wpsm_panel-default { border:1px solid transparent !important; } #wpsm_accordion_1458 { margin-bottom: 20px; overflow: hidden; float: left; width: 100%; display: block; } #wpsm_accordion_1458 .ac_title_class{ display: inline-block; padding-top: 5px; padding-bottom: 5px; padding-left: 13px; padding-right: 10px; border: 0px solid #ddd; font-size:16px !important; font-family: Open Sans !important; } #wpsm_accordion_1458 .wpsm_panel { overflow:hidden; -webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05); box-shadow: 0 0px 0px rgba(0, 0, 0, .05); border-radius: 4px; } #wpsm_accordion_1458 .wpsm_panel + .wpsm_panel { margin-top: 5px; } #wpsm_accordion_1458 .wpsm_panel-body{ background-color:#ffffff !important; color:#000000 !important; border-top-color: #ffffff !important; font-size:15px !important; font-family: Open Sans !important; overflow: hidden; border: 0px solid #ddd !important; border-top:0px !important; padding-left: 60px; } #wpsm_accordion_1458 .ac_open_cl_icon{ background-color:#dd3333; color: #ffffff; padding-top: 5px; padding-bottom: 5px; margin-left:10px; line-height: 1.0; font-size:16px !important; text-align: center !important; width: 32px !important; display: inline-block; } #wpsm_accordion_1458 .ac_open_cl_number{ width: 25px !important; display: inline-block; margin-left:10px; text-align: center !important; font-size:16px !important; } </style> <div class="wpsm_panel-group" id="wpsm_accordion_1458" >  <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse1" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Can you recommend a blood pressure monitor for me to buy? </span> </a> </h4> </div> <div id="ac_1458_collapse1" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> There is a list of BIHS approved monitors on the website. <a href="http://bhsoc2017.crushdigital.co.uk/bp-monitors/">Click here</a>. The list is impartial so we are not able to make a specific recommendation. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse2" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How do you select blood pressure monitors for your recommended list? </span> </a> </h4> </div> <div id="ac_1458_collapse2" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> The BIHS Blood Pressure Measurement Working Party will consider the report of a clinical validation study on a blood pressure monitor that has been published in a peer reviewed journal. If the study has been performed strictly in accordance with the BIHS Revised Protocol, the International Protocol (1 or 2) and the device has been shown to give accurate readings, then the Working Party will approve the device for inclusion in the list on the BIHS website. The Working Party reviews newly published papers on a regular basis but there will be some delay between the publication and a decision on whether or not to list the device. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse3" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> The blood pressure monitor I want to buy is not on your list of recommended devices. Why not? </span> </a> </h4> </div> <div id="ac_1458_collapse3" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> Either the published report on a successful validation study is currently under review, the Working Party has not been satisfied that the protocol criteria have been strictly followed or, as far as the BIHS is aware, there has been no published report on a successful validation study performed on the monitor. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse4" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How often should my blood pressure monitor be calibrated/serviced and who can do this for me? </span> </a> </h4> </div> <div id="ac_1458_collapse4" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> The manufacturer's recommendations should be followed. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse5" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Is it still OK to use aneroid and mercury blood pressure monitors? </span> </a> </h4> </div> <div id="ac_1458_collapse5" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> Aneroid monitors can be used as long as they have been independently validated and are regularly calibrated (every 6 months) as they have a tendency to lose accuracy with use. Since 2015 Mercury sphygmomanometers can no longer be sold in the EU. They can still be used in on-going clinic trials and to validate blood pressure monitors. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse6" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Can I use an automatic device if the patient has atrial fibrillation (AF)? </span> </a> </h4> </div> <div id="ac_1458_collapse6" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> No automatic blood pressure monitor has been independently validated for use in AF or with an irregular heartbeat. If the patient has an irregular pulse then you need to switch to using an independently validated manual blood pressure monitor. Many automatic blood pressure monitors detect an irregular heart beat (IHB). Some devices describes detecting atrial fibrillation. If an irregular heart beat/A fib is detected in any device then you need to switch to using a manual device and home BP monitoring is not recommended. AF would need to be confirmed with an ECG. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse7" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Is there any reason a patient cannot wear an ABPM (ambulatory blood pressure monitor) or use a home blood pressure monitor? </span> </a> </h4> </div> <div id="ac_1458_collapse7" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> The patient should not use a home blood pressure monitor if they have AF or an irregular heart beat because it will give inaccurate results. Most people are able to tolerate 24-hour monitoring however when the blood pressure is particularly high >160/100 the repeated inflation to occlude this high pressure can cause petechial marking and at times puffiness in the hand which takes time to resolve- if this occurs the patient should be advised to stop the ABPM and can use the monitor to collect home readings in the usual way; 7 days readings, 3 morning and 3 evening, each 1 minute apart and commenced after 10mins seated rest. Reading 1 and 2 are recorded and they can ask for a record sheet and activity diary. The use of arm in case of prior breast / lymph node surgery and or presence of venous fistula or similar should be avoided. ABPM monitoring for some is stressful and it increases their blood pressure which defeats the point as we are trying to establish a 'true' BP. If they are likely to find the ABPM stressful HBPM is often a better option as the patient remains in control and can aim to rest and relax at the morning and evening intervals when manually recording their BP. The patient must not drive whilst wearing an ABPM as it will affect their car insurance. </div> </div> </div>   <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="collapsed" data-toggle="collapse" data-parent="#wpsm_accordion_1458 " href="#ac_1458_collapse8" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> Where can I find out how to fit an ABPM? </span> </a> </h4> </div> <div id="ac_1458_collapse8" class="wpsm_panel-collapse collapse_1458 collapse " > <div class="wpsm_panel-body"> <a href="http://bhsoc2017.crushdigital.co.uk/resources/bp-measurement/measure-blood-pressure/bhs-dvd-bp-measurement/">Click here</a> for a video on how to do an ABPM, ABPM patient information sheet, patient diary and safety checklist which you can download and adapt for use in your practice. All blood pressure monitors should be serviced and calibrated at regular intervals. </div> </div> </div>  </div> <script> jQuery(document).ready(function() { jQuery('.collapse_1458').on('shown.bs.collapse', function(){jQuery(this).parent().find(".fa-plus").removeClass("fa-minus").addClass("fa-minus"); jQuery(this).parent().find(".wpsm_panel-heading").addClass("acc-a"); }).on('hidden.bs.collapse', function(){jQuery(this).parent().find(".fa-minus").removeClass("fa-minus").addClass("fa-plus"); jQuery(this).parent().find(".wpsm_panel-heading").removeClass("acc-a");}); }); </script> <h3 style="margin-bottom:20px;display:block;width:100%;margin-top:10px">For Manufacturers/Distributors of Blood Pressure Monitors </h3> <style> #wpsm_accordion_1463 .wpsm_panel-heading{ padding:0px !important; } #wpsm_accordion_1463 .wpsm_panel-title { margin:0px !important; text-transform:none !important; line-height: 1 !important; } #wpsm_accordion_1463 .wpsm_panel-title a{ text-decoration:none; color:#000000 !important; font-size:16px !important; display:block; padding:0px; font-family: Open Sans !important; padding-top: 10px; padding-bottom: 10px; border-bottom:1px solid #ddd !important; } #wpsm_accordion_1463 .wpsm_panel-title a:hover,#wpsm_accordion_1463 .wpsm_panel-title a:visited, #wpsm_accordion_1463 .wpsm_panel-title a:focus { color:#000000 !important; } #wpsm_accordion_1463 .acc-a{ color: #000000 !important; background-color:#ffffff !important; border-color: #ddd; } #wpsm_accordion_1463 .wpsm_panel-default > .wpsm_panel-heading{ color: #000000 !important; background-color: #ffffff !important; border-color: #ffffff !important; border-top-left-radius: 0px; border-top-right-radius: 0px; } #wpsm_accordion_1463 .wpsm_panel-default { border:1px solid transparent !important; } #wpsm_accordion_1463 { margin-bottom: 20px; overflow: hidden; float: left; width: 100%; display: block; } #wpsm_accordion_1463 .ac_title_class{ display: inline-block; padding-top: 5px; padding-bottom: 5px; padding-left: 13px; padding-right: 10px; 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font-size:16px !important; } </style> <div class="wpsm_panel-group" id="wpsm_accordion_1463" >  <div class="wpsm_panel wpsm_panel-default"> <div class="wpsm_panel-heading" role="tab" > <h4 class="wpsm_panel-title"> <a class="" data-toggle="collapse" data-parent="#wpsm_accordion_1463 " href="#ac_1463_collapse1" > <span class="ac_open_cl_icon fa fa-plus"></span> <span class="ac_title_class"> How can I get a blood pressure monitor added to the BIHS recommended list? </span> </a> </h4> </div> <div id="ac_1463_collapse1" class="wpsm_panel-collapse collapse_1463 collapse " > <div class="wpsm_panel-body"> <a href="http://bihs.org.uk/bp-monitors/"><span style="font-weight: 400;">Click here </span></a><span style="font-weight: 400;">for the procedure</span> </div> </div> </div>  </div> <script> jQuery(document).ready(function() { jQuery('.collapse_1463').on('shown.bs.collapse', function(){jQuery(this).parent().find(".fa-plus").removeClass("fa-minus").addClass("fa-minus"); jQuery(this).parent().find(".wpsm_panel-heading").addClass("acc-a"); 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