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I can think of a problem with determining BP. I have found that my BP can vary from within normal limits to having the systolic above normal limits on the same dose of BP medication. In fact, when I do self BP readings I can have normal pressure in one arm and high systolic pressure in the other arm. Because the distolic pressure remains in th 60-70 range a physician could be reluctant to increase medication. I wonder how many patients in the statistics gathered for this report have situations that make the treatment less than straight-forward. Of course this is no excuse for ignore obvious hypertension, but maybe controlling BP is not as simple as many have thought.