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Home monitoring of blood pressure

Barry P McGrath1

  • 1National Test Centre, Australian Medical Council, Melbourne.

Australian Prescriber
|December 10, 2015
PubMed

Insights

Home blood pressure monitoring (HBPM) empowers patients to track their blood pressure, aiding in hypertension diagnosis and management. HBPM is more effective than clinic readings for predicting cardiovascular outcomes and improving treatment adherence.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Preventive Medicine

Background:

  • Home blood pressure monitoring (HBPM) is the self-measurement of blood pressure by patients.
  • It complements 24-hour ambulatory and clinic blood pressure measurements in diagnosing and managing high blood pressure.
  • HBPM can identify white-coat and masked hypertension.

Purpose of the Study:

  • To evaluate the efficacy and benefits of home blood pressure monitoring in hypertension management.
  • To compare the predictive value of HBPM with clinic blood pressure measurements for cardiovascular events.
  • To assess the impact of HBPM on patient engagement and adherence to therapy.

Main Methods:

  • Patients self-measure blood pressure at home, typically twice daily for at least five days.
  • The threshold for defining hypertension using HBPM is an average of 135/85 mmHg.
  • Reproducibility, tolerability, and cost-effectiveness of HBPM were considered.

Main Results:

  • Home blood pressure monitoring demonstrates good reproducibility and is well-tolerated and inexpensive.
  • HBPM is superior to clinic blood pressure measurements in predicting cardiovascular events and mortality.
  • An average home blood pressure of 135/85 mmHg or higher defines hypertension.

Conclusions:

  • Home blood pressure monitoring is a valuable tool for hypertension diagnosis, management, and risk prediction.
  • Patient engagement through self-monitoring leads to increased adherence to therapy and lower blood pressure.
  • HBPM offers a reliable and cost-effective method for improving cardiovascular outcomes.

Keywords:
blood pressurehypertensionpatient complianceself-monitoring

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