Related Experiment Video
Updated: Jul 12, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
[Measuring the blood pressure in both arms is subject to discussion]
1Academisch Ziekenhuis Maastricht, afd. Interne Geneeskunde, Postbus 5800, 6202 AZ Maastricht. p.deleeuw@intmed.unimaas.nl
The recommendation to measure, at least once, the blood pressure in both arms is not without dispute. Several observations argue against such a recommendation. These include left-to-right asymmetry in cases of vascular rigidity and atherosclerotic lesions in both arms, and the variability of blood pressure. The latter may preclude any meaningful comparison between measurements taken in the left and right arm if these measurements are not obtained simultaneously.
The recommendation to measure, at least once, the blood pressure in both arms is not without dispute. Several observations argue against such a recommendation. These include left-to-right asymmetry in cases of vascular rigidity and atherosclerotic lesions in both arms, and the variability of blood pressure. The latter may preclude any meaningful comparison between measurements taken in the left and right arm if these measurements are not obtained simultaneously.
Related Concept Videos
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Measurement of Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:

