When the cuff goes on and starts inflating it’s like a tug of war (more like a push of war) between the blood pressure trying to get through your arteries and the pressure of the cuff trying to block it. The pressure of the cuff will increase by puffing it up and at some point the pressure of the cuff will completely block off your weak blood pressure (and at this point will feel tight). The exact moment this happens is called systolic pressure.
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