Your Heart Nurse has discussed with you the reasons why we are asking you to take the readings and they will need this information before increasing or decreasing your medication if appropriate.

It allows your Heart Nurse to check if the medication and lifestyle changes are having an effect on your blood pressure readings.

1. Many things can cause your blood pressure to rise for a short time, make sure that:

   - you don’t need to use the toilet.

   - you have not just eaten a large meal.

   - you do not take a reading within 30 minutes of drinking caffeine; smoking; immediately after exercise or after drinking alcohol.

2. Wear something which is loose fitting and allows you to push the sleeve up comfortably on the arm you are taking the reading.
3. Always use the same arm to take your readings.

1. Take a minute to rest, settle and get comfortable.
2. Sit in a quiet place with your arm resting with your palm facing up on a firm surface. Both of your feet should be flat on the floor.
3. Make sure the arm you are using to take the reading is supported on the surface (you can use a cushion if it helps).
4. Put the cuff on as per the instructions in the box.
5. Try to keep as still as possible during the reading. If possible avoid talking while taking a reading.
6. Make a note of your readings.
7. You should take 2 readings.
8. You should try to take the readings at the same time every day unless your Heart Nurse has advised you differently.

Try not to check your blood pressure more often than your Heart Nurse has asked you to as this can lead to anxiety which could also give incorrect readings.

• If having your blood pressure checked makes you anxious discuss this with your Heart Nurse.
• Do not worry about a one off high reading. You can contact the Heart Nurse if you are concerned if further readings are high.
• Your Heart Nurse will advise you of the ideal target level for your reading.

If you require any further information or are unsure of anything, please do not hesitate to contact your Heart Nurse on the number you have previously been given.