Blood Pressure Assessment in Adults in Clinical Practice and Clinic-Based Research: JACC Scientific Expert Panel

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Paul Muntner1, Paula T Einhorn2, William C Cushman3

  • 1Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama.

Journal of the American College of Cardiology
|January 26, 2019
PubMed

Insights

Accurate blood pressure (BP) measurement is crucial for hypertension management. This review addresses current BP assessment methods, identifies knowledge gaps, and outlines needs for improved clinical practice and research.

Area of Science:

  • Cardiology and Hypertension Research
  • Clinical Measurement Science

Background:

  • Accurate blood pressure (BP) measurement is vital for diagnosing and managing hypertension.
  • Current challenges include restricted mercury device use, increased reliance on oscillometric devices, and discrepancies between clinic and out-of-clinic readings.
  • Concerns regarding manual BP measurement errors create uncertainty for clinicians and researchers.

Framework:

  • A 2017 working group convened by the National Heart, Lung, and Blood Institute reviewed BP assessment data.
  • The review focused on adult BP assessment in clinical practice and clinic-based research.
  • Key discussion areas included the current state of knowledge and identified knowledge gaps.

Implementation:

  • The report details discussions on research and clinical needs to enhance BP assessment accuracy.
  • It examines the strengths and limitations of using clinical BP data for research and quality improvement.
  • The review synthesizes expert insights on optimizing BP measurement techniques.

Implications:

  • Improved BP assessment methods are needed for better hypertension diagnosis and management.
  • Addressing knowledge gaps will enhance the reliability of BP measurements in clinical settings.
  • Standardized and accurate BP assessment is critical for both clinical care and research validity.

Keywords:
blood pressurehypertensionmeasurement

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