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Implementing Home Blood Pressure Monitoring into Clinical Practice

Nadia Liyanage-Don1, Deborah Fung2, Erica Phillips2

  • 1Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 W.168th Street, PH9-311, New York, NY, 10032, USA.

Current Hypertension Reports
|February 13, 2019
PubMed

Insights

Home blood pressure monitoring (HBPM) offers a more accurate cardiovascular risk assessment than in-office readings. Implementing HBPM with clinical support improves hypertension management, despite existing barriers.

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Hypertension Management

Background:

  • Office blood pressure measurement has limitations in reflecting true cardiovascular risk.
  • Home blood pressure monitoring (HBPM) is increasingly recommended for diagnosing hypertension and guiding treatment.
  • Despite evidence, HBPM adoption in clinical practice remains suboptimal due to various barriers.

Purpose of the Study:

  • To review evidence supporting the use of home blood pressure monitoring (HBPM).
  • To provide practical guidance for clinicians integrating HBPM into practice.
  • To address barriers hindering widespread HBPM implementation.

Main Methods:

  • Systematic review of data supporting HBPM.
  • Analysis of barriers to HBPM adoption.
  • Development of practical implementation strategies.

Main Results:

  • HBPM provides more accurate cardiovascular risk assessment compared to office readings.
  • Evidence supports that HBPM, with clinical support, improves blood pressure control.
  • Barriers exist at patient, clinician, and healthcare system levels, limiting HBPM use.

Conclusions:

  • HBPM is a valuable tool for diagnosing hypertension and optimizing antihypertensive therapy.
  • Overcoming implementation barriers is key to successful HBPM integration.
  • Adopting best practices for HBPM can significantly improve hypertension management in primary care.
Abstract

Keywords:
Ambulatory blood pressure monitoringBarriersHome blood pressure monitoringHypertensionImplementationScreening

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