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blood pressure measurement

Dear Sir or Madam,

During a spa stay, we were advised in writing to have blood pressure measurements taken in two approximately 2-minute intervals, with the second measurement being of crucial importance for the diagnosis of "hypertension".

I would like to request a plausible explanation for why, in my case, the second measurement consistently shows a value a few percentage points lower than the first measurement, despite both measurements being taken under identical conditions. I would also like to know if it is in accordance with the principles of medical practice that, apart from the so-called "white coat effect", the first, higher value is always considered as the starting point for the treatment of hypertension.

Yours faithfully

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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