A blood pressure machine (sphygmomanometer) is used. A cuff is placed around your upper arm and is then tightened by pumping air into the cuff. It is then gradually let down (deflated) while the pressure readings are taken. This is usually done two or three times over a few minutes. You'll find your blood pressure tends to bob up and down so it's usually checked a few times before any treatment is considered. If you get consistently high readings, you may be asked to have this done with a special machine which measures blood pressure regularly over a 24-hour period.
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