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Home blood pressure monitoring in clinical practice: a review

Salman Mallick1, Radhika Kanthety, Mahboob Rahman

  • 1Department of Medicine, St. Vincent's Charity Hospital, Cleveland, Ohio, USA.

The American Journal of Medicine
|August 25, 2009
PubMed

Insights

Home blood pressure monitoring offers a convenient, cost-effective way to track hypertension. This method predicts cardiovascular risk and improves patient compliance, making it valuable for managing high blood pressure.

Area of Science:

  • Cardiology
  • Hypertension Management

Background:

  • Home blood pressure monitoring (HBPM) is a practical and affordable method for tracking blood pressure in hypertensive individuals.
  • HBPM serves as a strong predictor of future cardiovascular risk, potentially outperforming traditional office-based measurements.

Purpose of the Study:

  • To discuss the methodology, advantages, and disadvantages of HBPM.
  • To compare HBPM with other blood pressure measurement techniques.
  • To analyze cost-benefit aspects and ongoing trials for HBPM in hypertension management.

Main Methods:

  • Standardized protocols and validated instruments are used for accurate home blood pressure measurement.
  • Normative criteria define hypertension at home as >135/85 mm Hg.

Main Results:

  • HBPM has demonstrated improvements in patient compliance and blood pressure control.
  • It is particularly useful for diagnosing white coat hypertension and masked hypertension.
  • HBPM can lead to reduced healthcare costs.

Conclusions:

  • Home blood pressure monitoring is a valuable tool in hypertension management.
  • Further research is ongoing to fully integrate HBPM into clinical practice.
  • HBPM offers a reliable alternative for assessing cardiovascular risk and managing hypertension effectively.

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