Long story, but I took the BP of a person with strong shaking of both arms and it was atleast 200 systolic and 95 diastolic... could the shaking cause the high result, I mean, is there a chance the BP was actually lower and I took the strong tremors for being pulse beats? I heard the beats really well, but couldn't tell exactly the systolic because the person thought it hurt too much when I pumped up to 200 so there was never a silence before the beats began. The patient was otherwise fine and I referred him to the community clinic. I just wonder if my result was real and how to interpret results next time I've got someone with severe tremors. I'm really new and I never heard anything about this in school. Thanks...