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Out of Office Self Measurement of Blood Pressure
John W. Graves1, Sheldon G. Sheps
1Department of Internal Medicine and Hypertension, Mayo Clinic and Mayo Foundation, Rochester, MN.
Insights
Self-monitoring of blood pressure aids hypertension management by preventing misdiagnosis and improving treatment adherence. Out-of-office measurements are crucial for accurate patient care and reducing cardiovascular risks.
Area of Science:
- Cardiology
- Hypertension Management
- Clinical Diagnostics
Background:
- Self-measurement of blood pressure is a growing practice among hypertensive patients.
- Out-of-office measurements offer significant clinical benefits over traditional in-office readings.
Purpose of the Study:
- To explore the clinical relevance of out-of-office blood pressure (BP) monitoring in hypertension management.
- To review available instruments for out-of-office BP measurement.
- To discuss challenges in interpreting out-of-office BP values and their link to cardiovascular disease.
Main Methods:
- Literature review on the clinical utility of self-measured blood pressure.
- Discussion of instrumentation for home blood pressure monitoring.
- Analysis of interpretation issues and prognostic implications of out-of-office BP.
Main Results:
- Out-of-office BP measurements help avoid hypertension misdiagnosis, overtreatment, and undertreatment.
- Home BP monitoring can enhance patient compliance with antihypertensive therapy.
- Accurate interpretation of self-measured BP is vital for predicting hypertension-related cardiovascular outcomes.
Conclusions:
- Self-measurement of blood pressure is a valuable tool in managing hypertension effectively.
- Standardized interpretation protocols are needed to maximize the clinical utility of out-of-office BP readings.
- Home BP monitoring contributes to better patient outcomes and reduced healthcare costs.
Abstract:
Self measurement of blood pressure is increasingly common among hypertensive patients. These out of office measurements are clinically useful in avoiding misdiagnosis of hypertension, over treatment and under treatment of hypertension, and as a measure to increase compliance and reduce the cost of antihypertensive therapy. This paper will address the clinical relevance of out of office blood pressure measurement related to hypertension management, the instruments available to perform out of office blood pressure measurement, and the current problems of interpretation of these blood pressure values as they relate to subsequent development of hypertension derived cardiovascular disease. (c)1999 by Le Jacq Communications, Inc.