bpmeter

How to measure blood pressure at home

Why a reading is taken matters as much as what it says: the same arm, on the same afternoon, can produce meaningfully different numbers depending on whether someone sat quietly first. Everything below is quoted from the American Heart Association’s published instructions, with the source next to each one.

None of this is this site’s advice. bpmeter has no clinical author and no clinical reviewer. This page reproduces what a named organisation publishes, linked and dated, so you can check it at the source and take anything specific to your own situation to a health care professional.

Before the reading

Don't smoke, drink caffeinated beverages or exercise within 30 minutes before taking your blood pressure.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.
Empty your bladder.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.
Allow at least five minutes of quiet rest before measurements.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.

How to sit

sit in an upright position with back supported, feet flat on the floor and your arm supported at heart level
American Heart Association News — How to accurately measure blood pressure at home, published 2020-05-22. Checked 2026-08-03.
Support your arm on a flat surface and make sure it is at heart level (prop a pillow underneath your arm if needed).
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.
Don't talk or use the phone.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.

Where the cuff goes

The middle of the cuff should be placed on the upper arm at heart level. The bottom of the cuff should be placed directly above the bend of the elbow on your bare skin, not over clothing.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.
You can use either arm. Usually there is not a big difference between readings on them.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.

How many readings, and when

Each time you measure, take two readings one minute apart.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.
Measure at the same time every day.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.

On what a single number is worth, the same organisation is blunt:

Blood pressure fluctuates a lot, so a patient shouldn't worry about one high reading.
American Heart Association News — How to accurately measure blood pressure at home, published 2020-05-22. Checked 2026-08-03.

That is the argument for keeping a log rather than reacting to any one afternoon. Print a blank log sheet or keep one in this browser.

The monitor itself

The American Heart Association recommends an automatic, cuff-style, upper arm (biceps) monitor.
American Heart Association — Monitoring Your Blood Pressure at Home. Checked 2026-08-03.

This site does not rate, rank or sell monitors, and has no arrangement with anyone who makes them. On the class of device the guideline singles out, the 2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults says:

Reliance on cuffless devices, including smartwatches, for accurate blood pressure measurements should be avoided until these devices demonstrate greater precision and reliability.
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults, published 2025-08-14. Checked 2026-08-03.

More on what that means for watch readings, including why this site will not import them.

Once you have a reading

The calculator shows where two numbers fall in the guideline’s published table, along with pulse pressure and estimated mean arterial pressure. It runs in your browser and the reading is never sent anywhere.