Highest blood pressure ever recorded

1 I was in intensive care with idiopathic heart failure, kidney failure, pneumonia and water on the lung. I had my BP measured at 340. Apparantly, the consultent told my wife that that was the highest bp he has measured on somebody that went on to survive. This was last year, and apart from having regular dialysis, I am perfactly fine, and am back to work full time.

What in your experience is the highest bp of somebody who went on to be OK. I am trying to see if this is a record or not
Wow, glad to see you are ok! Definitely the highest I have ever seen with a good outcome, but that's just 2 years of critical care experience (4 total).

Highest I ever saw was 260/120 and I was not sure if it was accurate, so checked it again and came up with the same numbers!! Glad that you are back at work and doing well.

How was that pressure measured? I can't imagine trusting a cuff measurement at that point. Did you have an art line?

You're a nurse on dialysis who works full-time? What is you physical activity level at work? That is remarkable.

I have no idea. I was under sedation at the time, but desperately trying to speak to my wife who had just arrived

I'm not actually a nurse, but a Maths Teacher. I only joined to try and get my question answered.

When I worked ICU a number of years ago, a patient had a BP of 260/140, hypertensive crisis. He was asymptomatic and was discharged a week later.

The highest B/P I ever recorded on a patient was 310/118. I was working in Med/Surg at the time and that reading scared the bejeebus out of both the patient AND me. The MD had ordered PRN Lopressor for B/P >180/110, but I called him anyway because I was afraid she was going to stroke out. He just told me to give the Lopressor and check her pressure q 15 minutes x 1 hr, but call back if the Lopressor didn't bring it down right away. Luckily it did, which spared her a transfer to the ICU.The highest my own has ever been was 260/130. It happened at work, unsurprisingly. I remember feeling very speeded-up and irritable, and I had a pounding headache so I asked my co-worker to check my B/P. Neither of us believed the numbers so she checked again. It was about the same. Now, did I behave like a sensible human being, get someone to cover my patients and go downstairs to the ER? Of course not; against the advice of my co-worker, I finished the rest of my 12-hour shift and went home! Stupid, stupid, stupid. Next day I did go to the doctor, where my B/P was 190/110---still way too high, but nothing like it had been the day before. I was put on some new HTN meds and warned to go to the ER if my pressure went over 200/120. My doctor said the only saving grace was that I was still young (early 40s); I don't even want to think of what could happen at the age I am now. So I watch my B/P at home and take my meds regularly. Nowadays I run in the 130/70 range.

Can anyone speak to the accuracy of noninvasive blood pressures at these levels?

A manual BP would still be accurate wouldn't it? I would never trust the number off a machine for a BP that high. Anything over 180-ish systolic I'll double check with a manual

Quote from blondy2061hCan anyone speak to the accuracy of noninvasive blood pressures at these levels?

The highest (and it was my BP!) that I remember was 260/150. This one was the last reading I took at home before leaving to go to the ER with stoke symptoms. Anne