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Home blood pressure monitoring in the 21st century

George S Stergiou1, Kazuomi Kario2, Anastasios Kollias1

  • 1Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Journal of Clinical Hypertension (Greenwich, Conn.)
|July 14, 2018
PubMed

Insights

Home blood pressure monitoring (HBPM) offers superior prognostic value over office measurements. This method aids in detecting hypertension phenotypes and improving long-term patient outcomes.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Preventive Medicine

Background:

  • Conventional office blood pressure measurements have limitations in prognostic value.
  • Home blood pressure monitoring (HBPM) provides multiple readings in a patient's usual environment.
  • HBPM aids in identifying intermediate hypertension phenotypes like white-coat and masked hypertension.

Purpose of the Study:

  • To highlight the benefits and recommendations for home blood pressure monitoring.
  • To emphasize the prognostic superiority of HBPM compared to office-based measurements.
  • To guide the appropriate use of HBPM in hypertension management.

Main Methods:

  • Utilizing validated automated upper-arm cuff devices for HBPM.
  • Implementing a monitoring schedule of 4 to 7 days, excluding the first day.
  • Averaging 12-24 readings obtained during the HBPM period for decision-making.

Main Results:

  • HBPM provides superior prognostic value compared to conventional office blood pressure measurements.
  • Accumulating evidence indicates HBPM improves long-term hypertension control rates.
  • HBPM is widely available, cost-effective, and well-accepted by patients.

Conclusions:

  • Current guidelines recommend HBPM for evaluating most patients with suspected or treated hypertension.
  • Validated automated devices are essential for accurate HBPM.
  • A standardized HBPM protocol (4-7 days, 12-24 readings) is recommended for clinical decision-making.

Keywords:
blood pressure measurementdiagnosisself-measurementtreatment

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