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If you need to monitor home BPs, use a good cuff because it is very common to have poor readings that cause over or under treatment.  If you are anxious, it is common to have a high reading.  If you notice high readings consistently, you should get in touch with your doctor to address.  Any chest pain, shortness of breath, leg swelling, kidney damage, confusion/altered mental status could indicate end organ damage and should be treated in the ER.  

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