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Which Hand to Check BP?

Published in Blood Pressure Measurement 2 mins read

It is best practice to check blood pressure (BP) in both arms at least once. Generally, the right arm tends to have a slightly higher reading than the left, but differences of 5 points or less in systolic blood pressure are normal.

Why Check Both Arms?

  • Variations: Blood pressure can differ slightly between arms due to natural variations in blood flow.
  • Baseline: Checking both arms helps establish a baseline and determine if a consistent difference exists between the two.

How to Measure BP in Each Arm

  1. Preparation: Sit comfortably with your arm supported at heart level.
  2. Initial Measurement: Take a blood pressure reading in one arm, noting both systolic and diastolic values.
  3. Second Measurement: Take a measurement in the other arm, also noting both readings.
  4. Comparison: Compare readings from both arms. If there is a significant difference (more than 10 points), consult your healthcare provider.

Which Arm to Use Regularly

  • Typical Choice: After the initial dual-arm reading, use the arm with the higher reading for future measurements.
  • Consistency: Using the same arm regularly ensures consistency in your blood pressure tracking.

When To See A Doctor

  • Significant Difference: If there’s a difference of more than 5-10 points of systolic pressure between your arms, consult your doctor.
  • Unusual Readings: Consult your doctor for any consistently high or concerning blood pressure readings.


Action Details
Initial Check Measure BP in both arms.
Normal Difference Systolic reading varies by 5 points or less between arms.
Regular Monitoring Use the arm with higher reading for consistent checks, once difference is established.
Significant Difference Consult a healthcare provider if the difference exceeds 5-10 points in systolic pressure