What is high blood pressure and how does it affect the body. How is blood pressure measured and what are normal ranges. What are the risk factors for developing hypertension. How can high blood pressure be prevented and treated effectively.

What is High Blood Pressure and How is it Measured?

High blood pressure, also known as hypertension, occurs when the force of blood pushing against the walls of blood vessels is consistently too high. Blood pressure is measured using two numbers:

• Systolic pressure: The pressure when the heart beats and pushes blood out
• Diastolic pressure: The pressure when the heart is at rest between beats

A normal blood pressure reading is typically below 120/80 mmHg. Readings consistently at or above 130/80 mmHg indicate high blood pressure.

How is blood pressure measured?

Blood pressure is usually measured using a device called a sphygmomanometer, which consists of an inflatable cuff that goes around the upper arm. The cuff is inflated to temporarily stop blood flow, then slowly deflated as the healthcare provider listens with a stethoscope or watches a gauge to determine systolic and diastolic pressures.

The Silent Nature of Hypertension

High blood pressure is often called a “silent killer” because it typically has no obvious symptoms. Many people with hypertension feel fine and don’t realize their blood pressure is elevated. This is why regular blood pressure checks are so important, even for those who feel healthy.

When symptoms do occur, they may include:

• Headaches
• Shortness of breath
• Nosebleeds
• Dizziness
• Chest pain

However, these symptoms usually don’t occur until blood pressure has reached dangerously high levels. Waiting for symptoms to appear before seeking treatment can be dangerous.

How High Blood Pressure Affects the Body

Over time, untreated high blood pressure can cause serious damage throughout the body:

Effects on the Heart

High blood pressure forces the heart to work harder to pump blood. This can lead to:

• Left ventricular hypertrophy (enlargement of the heart’s main pumping chamber)
• Coronary artery disease
• Heart failure
• Arrhythmias (irregular heartbeat)

Effects on Blood Vessels

The increased pressure damages the inner lining of blood vessels, leading to:

• Atherosclerosis (buildup of fatty plaques in arteries)
• Increased risk of blood clots
• Aneurysms (bulges in weakened artery walls)

Effects on Other Organs

High blood pressure can damage various organs throughout the body:

• Brain: Increased risk of stroke and dementia
• Kidneys: Kidney damage and failure
• Eyes: Retinopathy and vision loss

Risk Factors for Developing High Blood Pressure

Several factors can increase your risk of developing hypertension:

Non-modifiable Risk Factors

• Age: Risk increases as you get older
• Family history: Hypertension tends to run in families
• Race: African Americans are at higher risk
• Chronic kidney disease

Modifiable Risk Factors

• Obesity or being overweight
• Physical inactivity
• High-sodium diet
• Excessive alcohol consumption
• Smoking
• Stress
• Certain medical conditions (e.g., diabetes, sleep apnea)

By addressing modifiable risk factors, many people can reduce their risk of developing high blood pressure or better manage existing hypertension.

Preventing and Managing High Blood Pressure

Lifestyle changes are the first line of defense against high blood pressure. These include:

Dietary Changes

• Reduce sodium intake (aim for less than 2,300 mg per day)
• Increase potassium-rich foods (e.g., bananas, leafy greens, sweet potatoes)
• Follow a heart-healthy diet like the DASH (Dietary Approaches to Stop Hypertension) diet
• Limit alcohol consumption

Physical Activity

Regular exercise can help lower blood pressure and improve overall cardiovascular health. Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week.

Stress Management

Chronic stress can contribute to high blood pressure. Techniques to manage stress include:

• Meditation and mindfulness practices
• Deep breathing exercises
• Yoga
• Regular exercise
• Adequate sleep

Medication

If lifestyle changes alone aren’t sufficient to control blood pressure, medications may be prescribed. Common types include:

• ACE inhibitors
• Angiotensin II receptor blockers (ARBs)
• Calcium channel blockers
• Diuretics
• Beta-blockers

It’s important to take medications as prescribed and continue lifestyle modifications for optimal blood pressure control.

The Importance of Regular Blood Pressure Monitoring

Regular blood pressure checks are crucial for early detection and management of hypertension. How often should blood pressure be checked?

• Adults 18-39 with normal blood pressure: At least every 2-5 years
• Adults 40+ or those at increased risk: At least annually
• People with diagnosed hypertension: As recommended by their healthcare provider

Home Blood Pressure Monitoring

Home blood pressure monitors allow for more frequent measurements and can help detect white coat hypertension (elevated readings only in medical settings). Tips for accurate home monitoring include:

• Use a validated, automated upper arm cuff device
• Take readings at the same time each day
• Avoid caffeine, exercise, and smoking for 30 minutes before measuring
• Sit quietly for 5 minutes before taking a reading
• Take 2-3 readings, 1 minute apart, and record the average

Complications of Uncontrolled High Blood Pressure

Persistent high blood pressure can lead to various serious complications:

Cardiovascular Complications

• Heart attack
• Stroke
• Heart failure
• Peripheral artery disease

Kidney Complications

• Chronic kidney disease
• Kidney failure

Eye Complications

• Retinopathy
• Optic neuropathy

Cognitive Complications

• Increased risk of vascular dementia
• Mild cognitive impairment

These complications underscore the importance of early detection and proper management of high blood pressure.

Special Considerations for High Blood Pressure

Pregnancy and High Blood Pressure

High blood pressure during pregnancy can lead to complications such as preeclampsia. Pregnant women should have their blood pressure monitored closely and follow their healthcare provider’s recommendations.

Children and Adolescents

While less common, high blood pressure can occur in children and adolescents. Regular blood pressure checks should begin at age 3, with frequency based on individual risk factors.

Elderly Patients

Older adults may experience a change in blood pressure patterns due to less elastic arteries. Treatment goals may be adjusted based on overall health and other medical conditions.

Resistant Hypertension

Some individuals have high blood pressure that’s resistant to treatment, even with multiple medications. These cases may require specialized care and additional diagnostic tests to identify underlying causes.

Understanding high blood pressure is crucial for maintaining overall health and preventing serious complications. By recognizing risk factors, adopting healthy lifestyle habits, and working closely with healthcare providers, individuals can effectively manage their blood pressure and reduce their risk of cardiovascular disease and other related health issues. Regular monitoring and adherence to treatment plans are key to keeping blood pressure under control and ensuring long-term health and well-being.

What is High Blood Pressure?

First, let’s define high blood pressure.

High blood pressure, also known as hypertension, is when your blood pressure, the force of your blood pushing against the walls of your blood vessels, is consistently too high.

How your blood pressure and circulatory system work

To survive and function properly, your tissues and organs need the oxygenated blood that your circulatory system carries throughout the body. When the heart beats, it creates pressure that pushes blood through a network of tube-shaped blood vessels, which include arteries, veins and capillaries. This pressure — blood pressure — is the result of two forces: The first force (systolic pressure) occurs as blood pumps out of the heart and into the arteries that are part of the circulatory system. The second force (diastolic pressure) is created as the heart rests between heart beats. These two forces are each represented by numbers in a blood pressure reading.

See how high blood pressure can damage your arteries and heart.

The damage starts in your arteries and heart.

The primary way that high blood pressure causes harm is by increasing the workload of the heart and blood vessels — making them work harder and less efficiently.

Over time, the force and friction of high blood pressure damages the delicate tissues inside the arteries. In turn, LDL (bad) cholesterol forms plaque along tiny tears in the artery walls, signifying the start of atherosclerosis.

The more the plaque and damage increases, the narrower the insides of the arteries become — raising blood pressure and starting a vicious circle that further harms your arteries, heart and the rest of your body. This can ultimately lead to other conditions ranging from arrhythmia to heart attack and stroke.

• See how high blood pressure can damage the inside of your arteries.
• See how atherosclerosis takes place.
• See how your heart can become enlarged.
• See an infographic of the consequences of high blood pressure. (PDF)

High blood pressure is a ‘silent killer.’

You may not feel that anything is wrong, but high blood pressure could be quietly causing damage that can threaten your health. The best prevention is knowing your numbers and making changes that matter in order to prevent or manage high blood pressure.

Get the high blood pressure fact sheet: English (PDF) | Spanish (PDF)

Video: 130 Is Too High For Blood Pressure

Written by American Heart Association editorial staff and reviewed by science and medicine advisors. See our editorial policies and staff.

Last Reviewed: May 25, 2023

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Blood pressure (high) – hypertension

The heart pumps blood around the body through the blood vessels. Blood pressure is the amount of force exerted on the artery walls by the pumping blood. High blood pressure (hypertension) means that your blood is pumping with more force than normal through your arteries.

The added stress on the arteries can speed up the clogging of arteries with fatty plaques (atherosclerosis). Atherosclerosis contributes to many illnesses, such as heart attack and stroke. Other risk factors for atherosclerosis include cigarette smoking and high blood cholesterol.

Hypertension is a common disorder of the circulatory system, affecting around one in seven adult Australians and becoming more common with age. Older people may experience a change in their blood pressure pattern due to their arteries becoming more rigid (less elastic).

Hypertension usually produces no symptoms. This means most people don’t even realise they have it. Experts recommend that everyone should have their blood pressure checked regularly (preferably yearly).

How blood pressure is controlled

When the heart contracts, the blood inside the left ventricle is forced out into the aorta and arteries. The blood then enters small vessels with muscular walls, called arterioles. The tone in the muscular walls of the arterioles determines how relaxed or constricted they are. If narrowed, they resist flow.

Reduced flow of blood is detected in the brain, the kidneys and elsewhere. Nerve reflexes are stimulated and hormones are then produced. The heart is induced to beat more forcefully so that blood pressure is maintained at a higher level, to overcome the restricted flow through the arterioles. The achievement of good flow (now at high pressure) eases possible problems for function of the brain and kidneys.

These adjustments occur normally. However, in some people the adjustments become fixed and high blood pressure persists. These people have developed hypertension.

How blood pressure is measured

Hypertension can be mild, moderate or severe. Your blood pressure is naturally higher when you are exerting yourself, such as during physical exercise. It is only a concern if your blood pressure is high when you are at rest, because this means your heart is overworked and your arteries have extra stress in their walls.

Blood pressure readings are a combination of two measurements. These are:

• Systolic – is the highest pressure against the arteries as the heart pumps. The normal systolic pressure is usually between 110 and 130mmHg.
• Diastolic – is the pressure against the arteries as the heart relaxes and fills with blood. The normal diastolic pressure is usually between 70 and 80mmHg.

Sphygmomanometer

Blood pressure is measured using an instrument called a sphygmomanometer.

• An inflatable pressure bag is wrapped around the upper arm. The bag is connected to the sphygmomanometer. The operator pumps up the bag with air until the circulation of the arm’s main artery is interrupted.
• The pressure in the bag is then slowly released until it equals the systolic pressure in the artery, indicated by blood once again moving through the vessel. This makes a ‘thumping’ sound. The systolic pressure is indicated on the sphygmomanometer and recorded.
• The blood pressure in the arm’s main artery drops to equal the lowest pressure, which is the diastolic pressure. This is the pressure at which the thumping sound is no longer heard. This figure is also recorded.
• The operator may take numerous readings to get the true picture. This is because many people tend to ‘tense up’ during the procedure and nervous tension may temporarily boost the blood pressure.
• The accuracy of electronic measuring and recording of both systolic and diastolic pressures is replacing manual and auditory blood pressure recording.

Most people with hypertension feel okay

Hypertension usually does not produce any symptoms, because the organs of the body can resist high blood pressure for a long time. That’s why it’s important to have regular medical examinations to make sure your blood pressure isn’t creeping up as you grow older.

High blood pressure over a period of time can contribute to many illnesses, including:

• heart attack
• heart failure
• kidney disease
• stroke.

An unhealthy lifestyle can cause hypertension

Some of the factors which can contribute to high blood pressure include:

• hereditary factors
• obesity
• lack of exercise
• a diet high in salt
• heavy drinking
• kidney disease.

The effects of high blood pressure on the arteries are worsened by:

• cigarette smoking
• high levels of saturated fat in the diet
• high blood cholesterol
• diabetes.

Responses to some types of stress may affect both blood pressure and changes in the arteries, but this remains scientifically uncertain.

Some drugs may cause hypertension

Certain drugs can cause hypertension or make controlling hypertension more difficult. Check with your doctor or pharmacist for alternatives. These drugs include:

• the combined contraceptive pill
• non-steroidal anti-inflammatories
• some nasal drops and sprays
• some cough medicines, eye drops and appetite suppressants.

Blood pressure and ageing

With advancing years, the arteries tend to become more rigid (less elastic). This may change a person’s blood pressure pattern, with a higher systolic pressure and a lower diastolic pressure. The higher systolic pressure is important because it can further accelerate the rigidity of the arteries. This state is referred to as ‘isolated systolic hypertension’. Although these changes are due to ageing, this is not a normal state and may need medication to control the systolic pressures.

Making healthier choices

Two out of five people can successfully lower their blood pressure by making adjustments to their lifestyle. For example, a low-fat diet and giving up cigarette smoking will reduce the damaging effects of hypertension on the arteries. Some healthy lifestyle choices include:

• Maintain your weight within the healthy range.
• Eat a high-fibre, low-fat and low-salt diet.
• Give up smoking.
• Limit alcohol consumption.
• Exercise regularly.

See your doctor before you start any new exercise program.

Antihypertensive medications

In most cases, it is necessary to take antihypertensive medication as well. Usually hypertensive medication is introduced at low doses. The dose may be gradually increased if needed. A second or even a third drug may be added to achieve good blood pressure control. Not many people experience unpleasant side effects.

Any drug treatment for hypertension needs to be monitored carefully by your doctor. You should never alter the dose of your hypertension medication or stop taking it without consulting with your doctor. Medications don’t cure the condition and most of the people who need to take antihypertensive drugs will do so for the rest of their lives.

Where to get help

• Your doctor
• Pharmacist

310/220 mmHg Art. – the highest pressure in humans: description and photo

Blood pressure is one of the most vital for a person. For a long period of time, medicine has been looking for an exact answer, what pressure is considered the most normal. It was found that high blood pressure is a serious danger to the human body.

What is the highest pressure

It is worth noting that blood pressure (BP) refers to the pressure created by the blood running through the arteries. It is usually divided into systolic and diastolic. The world record is 310/220 mm Hg. Art. This is the highest pressure ever recorded.

What pressure is considered the most normal

Normal blood pressure 100-139 mm Hg. Art. If the systolic pressure falls below 90 mm, then hypotension occurs.

This condition is not potentially dangerous, but it can create a lot of discomfort. The most unpleasant thing about hypotension is a significant decrease in concentration. A person who is faced with such an ailment can hardly even read. If the systolic pressure exceeds 140 mm, hypertension is recorded.

What are the symptoms of hypertension

High blood pressure can cause great harm to the human body. Often it indicates the presence of pathologies. A similar phenomenon occurs due to high vascular resistance. But this is only one of the possible options. Only an experienced doctor can give accurate information. It is important to consider that overwork, the use of special drugs, the inclusion in the diet of food containing substances that affect blood pressure can affect the state of pressure.

In medicine, there are several states of blood pressure:

• normal;
• high;
• hypertension grade 1;
• hypertension grade 2;
• grade 3 hypertension.

Note that grade 3 hypertension is registered at the moment of reaching 180/110 mm Hg. Art. In relation to arterial hypertension, a large number of various studies have been conducted, but they could not identify the exact causes of the development of hypertension.

What causes high blood pressure

In medicine, the most common causes that can cause high pressure in the human body have been established. These include such factors of influence as drugs, diseases of the urinary system, endocrine, aortic diseases, complications that arose during pregnancy, problems with the nervous system.

Antidepressants, glucocorticosteroids (eg prednisolone) can cause high blood pressure. Contraceptives can also have a negative effect. Risk factors that can lead to the development of hypertension include the following:

1. Hereditary factors.
2. Prematurity.
3. A small baby may indicate a potential predisposition to high blood pressure.
4. Large overweight.
5. High salt content in food. The norm for the use of table salt is considered to be 5 grams per day.
6. Drinking alcohol, smoking. Bad habits can worsen the condition of blood vessels and affect the circulatory system in the most detrimental way.
7. Insufficient physical activity.
8. Poor environment, daily stress, increased noise level.

Of all these factors, it is necessary to focus on excess weight, bad habits, severe stress. In most cases, these causes increase the risk of hypertension.

What is the normal age for high blood pressure

Teenagers often experience a powerful surge of hormones. Usually this period lasts from 15 to 21 years. Emotionality is not a factor that can play a role in increasing pressure.

What pressure is considered critical

We noted that the highest pressure in the world was 310/220 mm Hg. Art. However, doctors say that 260/160 mm Hg is considered critical. Art. Thus, the record high blood pressure can be considered a phenomenon, because even at critical values, the human body can die.

The occurrence of hypertension can lead to hypoxia, the biggest harm of which is the negative impact on the brain, which is actually deprived of oxygen. The brain’s problem lies in its seemingly unusually developed blood supply system. The vascular ring can work normally only at normal pressure values. Otherwise, there is a violation of the regulation of tone, there is an increase in permeability, then hypoxia may develop.

What is the prevention of high blood pressure

People who experience high blood pressure should be aware of the need for regular checks. Often a person does not feel symptoms and does not suspect what danger AD hides. Even with the long-term nature of hypertension, people ignore the condition, attributing everything to fatigue or overwork. It is important to understand that pressure increases with vasoconstriction, when the heart has to work at “high speeds”.

Foods high in saturated fatty acids can lead to hypertension. The highest content of these substances differ butter, cheeses, sour cream. It is recommended to avoid foods containing large amounts of palm oil. Cake, chocolate, cookies, fatty sausage, chips are all sources of saturated fatty acids. Of course, it is important to take into account motor activity, you need to eat exactly as much as the body needs to ensure normal functioning. Moreover, you need to consider the composition of the products. Many manufacturers even indicate the percentage of EFA per 100 grams.

The amount of salt consumed should also be reduced. For a long time, scientists have noticed what effect it can have on the human body with excessive use. The biggest problem is that most of the products sold in supermarkets contain a lot of salt. Using this supplement in the diet, we expose our body to even more danger. For those who like salty foods, physical activity is the best option to get rid of the excess. Salt can reduce the elasticity of blood vessels, adversely affect the kidneys and liver.

What effect does alcohol have?

Many people believe that drinking alcohol helps lower blood pressure. However, it must be remembered here that we are talking about vasodilation, which does not necessarily play a positive role. Alcohol should be consumed in moderation.

Regular drinking of alcoholic beverages, even in the smallest quantities, can increase blood pressure. You should also be aware of the biologically active substances contained in many alcoholic beverages. Energetics pose a high danger to the human body. Combining them with alcohol can lead to the most detrimental consequences.

What kind of food should be eaten for prevention

In order not to have high blood pressure, you need to include vegetables, dried apricots, potatoes, nuts and bananas in your diet. They contain potassium, which can positively affect blood pressure. Potassium is needed by the heart for normal functioning, and foods that have it in their composition can be eaten in large quantities. Food supplements should be consumed in moderation.

What measures should be taken to control the state of blood pressure

In fact, the simplest measures can help protect the body from many problems. You need to eat food that contains a minimum of salt, stop smoking, play sports – even moderate physical activity will help the body to be in good shape, which will have a beneficial effect on the state of the circulatory system.

It is important to minimize stressors and avoid irritants. Keeping track of your blood pressure is also a good habit. It is impossible to use medicines without a doctor’s prescription in any case.

Much attention should be paid to the issue of stress. With daily negative psychological impact, a person must necessarily compensate for stress with physical activity. It has been proven that cortisol levels are significantly reduced during exercise. Training should be regular, because it allows the body to enter a certain mode and maintain it. The intensity does not have to be high.

How to deal with a hypertensive crisis

If an acute hypertensive crisis occurs, an ambulance must be called. If you caught an uncomplicated option, you need to reduce the pressure by at least 30% in 2 hours. This must be done carefully, otherwise there will be a violation of blood circulation. This scenario is called hypoperfusion. Medicines can help lower your blood pressure.

Which device is used to record pressure

A tonometer is used to monitor the state of pressure. There are automatic and semi-automatic devices. There are also mechanical ones. They use a rubber pear. Despite the widespread use of automatic and semi-automatic blood pressure monitors, doctors resort to mechanical analogues, as they allow them to obtain the most accurate information. This uses a stethoscope to listen for contractions in the arteries.

Which blood pressure monitor should I buy? This will depend on the frequency of use. If the use of the device is planned infrequently, then you can select automatic (semi-automatic option). Such a device has the option of saving measurements, a timer, a convenient display showing indicators, a calendar and various technologies. However, it will have to be calibrated regularly, batteries will need to be changed, and the lifespan is relatively short. If you need to use a tonometer every day, it is better to purchase a mechanical analogue. Of course, it is not so comfortable, but it is practical. There are enough manufacturers on the market producing various blood pressure monitors. Among them are Rossmax, A&D, Microlife, Omron. Many semi-automatic and automatic models are reliable, although quite expensive. However, they can help to correctly interpret indicators and even prevent dangerous consequences.

Blood pressure circadian rhythms

Blood pressure is one of the most important indicators of the state of the cardiovascular system and, along with other physiological parameters, is constantly changing against the background of daily life and sleep of a person.

In the study of the daily level of blood pressure, it turned out that fluctuations in blood pressure, even in healthy individuals aged 20-60 years, can be at least 20% of its average value, reaching 20-30 in the daytime, and 10-20 mm Hg at night , and the excess of these levels in arterial hypertension is associated with damage to target organs.

As you know, the rhythm of physiological processes is one of the fundamental properties of living matter (cells, tissues, organs), which appeared as a result of the evolution of adaptation of life forms to the environment. The unique mechanisms of the rhythm of biological processes (including fluctuations in blood pressure) in humans are inherited and are controlled by the work of the so-called. “biological clock”.

One of the main components of the daily fluctuations in blood pressure is the daily or circadian rhythm. And since most people follow a fairly regular activity-rest cycle, their peaks and troughs in their circadian rhythm during the day are quite natural and predictable. Therefore, this blood pressure rhythm is more often represented by a biphasic pattern with the highest values ​​of blood pressure in the daytime and a distinct nighttime decrease during sleep. During the day, it is often possible to identify two pronounced peaks in the increase in pressure: morning (9-10 o’clock) and evening (about 19 o’clock). The lowest pressure figures are usually noted in the range from 0 to 4 hours, after which there is a gradual increase in its level before waking up from 5-6 am and reaching more stable daily values ​​by 10-11 am. Pressure fluctuations at night are closely related to different stages of sleep. Thus, a decrease in pressure at about 3 am is associated with a deep phase of sleep, which makes up 75-80% of its total time and prevails in the first half of the night period. In the second half of the night, superficial sleep prevails, which is combined with short moments of awakening. The increase in pressure during this period is 5% of the average pressure. A pronounced increase in pressure from 4 to 10-11 o’clock from the minimum nighttime values ​​to the daytime level is also observed in healthy individuals, however, its high values ​​are characteristic of arterial hypertension. This period is characterized by the physiological activity of the sympathetic nervous system, which is responsible for vasoconstriction and an increase in heart rate. The morning period is also the only one during the day when there is an increase in blood clotting. In this regard, the morning values ​​of the indicators of the cardiovascular system are the most dangerous in relation to heart attacks and strokes.

Irregular pressure fluctuations during the day are random in nature, aimed at maintaining blood flow in the tissues at a sufficient level. Such changes can be noted as a result of the influence of various external factors: environmental conditions, body position, food composition, the nature of physical activity, the use of alcohol, salt, caffeinated drinks (tea, coffee), smoking and individual characteristics of the body (age, gender, heredity, personality type, mood, etc.).

It has been established that the process of continuous multiple pressure measurements during the day is more prognostic and informative than one-, two- or three-time pressure measurement by the patient alone or at the doctor’s appointment. After all, clinical (real) blood pressure is an average value, more often from three or four consecutive measurements over short periods of time, and such one-time pressure measurements make up the minimum part of all values ​​​​of this indicator, making it almost impossible to compile a complete picture of the daily rhythms of pressure . In addition, pressure measurements by the patient or the doctor themselves can be distorted by different levels of the amplitude of the sound vibrations of the human ear, too fast release of air from the cuff, the habit of rounding the results, the fatigue of the medical staff by the end of the day, the patient’s anxious reaction to being in a medical institution and carrying out the measurement procedure ( so-called “white coat effect”).

A more accurate assessment of the individual level of pressure occurs when using the methods of daily monitoring (measurement) of pressure. The main device for making such measurements is currently the device Holter monitoring . Measurement of pressure indicators here is carried out on an automatic programmable registrar for 24, 12 hours or any other time period at the discretion of the doctor and patient. During the study, a special shoulder cuff with a microphone is installed at the level of the lower third of the shoulder, 2 cm above the zone of pulsation of the brachial artery. The outlet tube is thrown over the shoulder, neck-collar area and fixed on the opposite side of the body on the patient’s belt to the registrar. Wearing the device during the day does not present any particular inconvenience to the patient, however, it requires reflection of the daily routine in a special diary (sleep, rest, medication, physical activity, pain and other symptoms of increased pressure). At the end of the day, the recorder is removed. The verdict on the daily rhythms of pressure is made by the doctor of the functional diagnostics office based on pressure measurements at certain time intervals and a comparison of the numbers with the patient’s diary. The device for daily measurement of blood pressure has been operating in the Stolbtsy Central District Hospital since 2009of the year. The referral for this procedure is issued by a doctor of a therapeutic profile (often a cardiologist at a polyclinic). The introduction of this diagnostic study in the Central District Hospital made it possible to identify real pressure figures in patients, especially at night, pressure differences that are difficult to detect with a conventional single measurement, evaluate the effectiveness of medications and achieve target (necessary) pressure levels in people even with previously uncontrolled drops pressure.