Mark it once you can do it without this page open.

How to do it

  1. Use an automatic upper-arm monitor that has been clinically validated, and measure your arm to pick the right cuff size.
  2. Empty your bladder, and avoid coffee, exercise and smoking for 30 minutes before.
  3. Sit in a chair with your back supported and both feet flat, and rest quietly for five minutes.
  4. Put the cuff on bare skin just above the elbow, with your arm resting on a table at heart level.
  5. Stay still and silent while it measures.
  6. Take a second reading a minute later and write both down with the date and time.
  7. Measure at the same times each morning and evening for a week before a doctor's visit.
  8. Bring the monitor to an appointment once so the clinic can check it against theirs.

Stop and call a professional if

  • A reading of 180 over 120 or higher with chest pain, shortness of breath, back pain, weakness, vision changes or trouble speaking: call 911.
  • Readings stay at 180 over 120 or above without symptoms after resting and retaking: call your doctor the same day.
  • Your readings are regularly high: book an appointment and bring the log.
  • This page explains what to watch for; it cannot tell you what is wrong. Only a clinician who examines you can.

Common mistakes

  • Using a cuff that is too small, which reads high.
  • Measuring over a sleeve, or with the arm hanging down.
  • Talking or scrolling on your phone during the reading.
  • Taking one reading after a coffee and worrying about it.

Quick self-check

Three questions. Your last score is kept in this browser.

1. Where should your arm be during a reading?
2. What does a cuff that is too small do?
3. What should you avoid for 30 minutes before measuring?

Teach this to someone

A one-page sheet for showing a friend, a roommate or a kid: what to say, what to show, and one question to check it landed.

Sources

  • National heart health guidance on home blood pressure monitoring, current edition. Checked September 28, 2026.

Last reviewed . First published .