An Alternative Way to Check Your Blood Pressure

An Alternative Way to Check Your Blood Pressure
Place your index and middle finger of your hand on the inner wrist of the other arm, just below the base of the thumb. You should feel a tapping or pulsing against your fingers. Count the number of taps you feel in 10 seconds. Multiply that number by 6 to find out your heart-rate for one minute.
Another method to obtain BP measurements from the wrist with a smartwatch is through arterial tonometry (Figure 2). Arterial tonometry utilizes the concept of arterial wall applanation to measure the arterial BP waveform.
Blood pressure readings don't necessarily have to be done using an arm cuff. It's possible to get a blood pressure reading using your leg instead. In fact, it's possible to get an accurate blood pressure reading at any point where an artery runs near the surface of the skin.

Routine Blood Pressure Readings

Getting a blood pressure reading has become a routine fixture of the American health care landscape. For most people, it's a goes-without-saying part of any yearly or biannual visit to your primary caregiver. For others, an occasional free screening at the local pharmacy does the trick.
This means that most Americans are all too familiar with the classic sight of an arm-wrapped neoprene cuff slowly pumping up and down. But here's a fact that may be a surprise: Blood pressure readings are not actually limited to the arm.

Why Leg Blood Pressure Readings?

Adding a leg blood pressure reading into the mix can offer you a much broader handle on the true health of your arteries.
"Blood pressure can be measured in the arm, leg or even the foot," says Michael J. Blaha, MD, MPH, director of clinical research at the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, in Baltimore. "This can be accomplished with a routine automated blood pressure cuff, and a comparison of the blood pressure in the leg or foot to the blood pressure in the arm can uncover circulation problems in the peripheral circulation."
That's where a quick, noninvasive and painless leg-based blood pressure reading can come in handy. Your doctor would first take an ankle-based blood pressure reading and then compare it with a standard arm blood pressure reading. The result is the so-called "ankle-brachial pressure index."

The Ankle-Brachial Pressure Index

"Leg blood pressure is typically 10 to 20 percent higher than arm blood pressure," says Willie E. Lawrence, Jr., MD, chief of cardiology at Midwest Heart & Vascular Specialists in Kansas City, Missouri. "It is measured in a very similar method as arm blood pressure. You can compare systolic ankle (leg) pressure to systolic brachial (arm) blood pressure, and this is termed the ankle-brachial pressure index (ABPI)," says Dr. Lawrence A low index number, warns the Mayo Clinic, likely indicates arterial narrowing or blockage in the legs. Beyond the ankle, another alternative is a calf-based blood pressure reading. As noted in a study published in the January-February 2012 issue of the Indian Journal of Anaesthesia, a calf reading could prove useful in situations where people simply don't have a free arm, such as during certain types of surgeries.
That study team cited mastectomy patients, burn victims, trauma patients and amputees as examples of other individuals for whom a calf reading might be the preferred way to go.

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