Hypertension Annual Review

BMI

eg. 1.75
eg. 60.6

Smoking

Smoking status

Alcohol

This is one unit of alcohol:

Amount of different types of drink representing one unit of alcohol

And each one of these, is more than one unit:

Amount of different types of drink representing more than one unit of alcoholAmount of different types of drink representing more than one unit of alcohol

Caffeine

Do you drink more than four cups of coffee/tea or other caffeine-rich drinks (e.g. cola and some energy drinks) per day?

Activity

Do you do at least 2 hours and 30 minutes of moderate-intensity aerobic activity (such as cycling, fast walking, dancing, water aerobics, pushing a lawnmower) per week?

Blood Pressure Medication

Please select one of the options:

Blood Pressure Readings

Please check your blood pressure 3 times, at least a minute apart and record the readings below.

If the first reading is much higher than the rest, discard this one and do another so that you are still submitting 3 readings.

When and how to measure your blood pressure at home

  • Measure your morning blood pressure before you take your medication.
  • Don’t exercise, smoke, eat or drink caffeine in the 30 minutes before measurements.
  • Do sit quietly for 5 minutes before starting measurements (no TV, talking, reading, phone use).
  • Do sit with flat feet on the floor, legs uncrossed, upper arm bare, back and arm supported with upper arm at the level of the heart.
  • Do write down the numbers exactly as they appear on the monitor screen – do not round them up or down.
  • Do take a minimum of two readings, each about one to two minutes apart.

For more guidance about how to measure your blood pressure at home, please visit: www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/tests/blood-pressure-measuring-at-home

Reading 1

Please use this date format: DD/MM/YYYY
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Reading 2

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Reading 3

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Average Blood Pressure

This is automatically calculated for internal use only.

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