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Home blood pressure monitoring: how good a predictor of long-term risk?

Samia Sheikh1, Arjun D Sinha, Rajiv Agarwal

  • 1Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, IN, USA.

Current Hypertension Reports
|February 18, 2011
PubMed

Insights

Home blood pressure (BP) recordings offer superior long-term prognosis prediction compared to clinic BP measurements. This method is valuable for managing hypertension and predicting cardiovascular events.

Area of Science:

  • Cardiology
  • Nephrology
  • Geriatrics

Background:

  • Clinical blood pressure (BP) measurements guide hypertension management.
  • Home BP recordings may offer superior prognostic insights.

Purpose of the Study:

  • To review the prognostic value of home BP recordings versus clinic BP measurements.
  • To assess the predictive capability of home BP for mortality and cardiovascular events.

Main Methods:

  • Systematic review of studies comparing home BP and clinic BP.
  • Analysis of data from diverse populations and measurement methods.

Main Results:

  • Home BP recordings significantly predict all-cause mortality, CKD progression, and functional decline.
  • Home BP strongly predicts cardiovascular events across various populations.
  • Advantages of home BP extend to elderly and CKD patients.

Conclusions:

  • Home BP recordings are generally superior to clinic BP for long-term prognosis.
  • Home BP offers accurate, cost-effective, and easily implementable BP assessment.
  • Home BP should be prioritized for hypertension assessment and management.

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