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STRIDE BP: an international initiative for accurate blood pressure measurement
George S Stergiou1, Eoin O'Brien2, Martin Myers3
1Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece.
Insights
Accurate blood pressure (BP) measurement is crucial for diagnosing and managing hypertension. STRIDE BP reviews BP devices to improve diagnostic accuracy and address this global public health challenge.
Area of Science:
- Cardiology
- Public Health
- Medical Devices
Background:
- Accurate blood pressure (BP) measurement is essential for diagnosing and managing hypertension.
- Inaccurate BP devices lead to misdiagnosis and suboptimal hypertension management, a persistent global health issue.
- The STRIDE BP initiative aims to enhance BP measurement accuracy and hypertension diagnosis worldwide.
Purpose of the Study:
- To establish an international standard for validating blood pressure monitoring devices.
- To provide recommendations for accurate BP measurement tools across various clinical settings and populations.
- To develop educational programs and clinical tools for improving BP measurement practices globally.
Main Methods:
- Comprehensive review of 419 validation studies for 260 BP monitoring devices.
- Expert evaluation by a global consortium of 24 recognized specialists in BP monitoring.
- Affiliation with major international hypertension societies to ensure broad clinical relevance.
Main Results:
- 69% of reviewed BP devices met the validation criteria for accuracy.
- Recommendations provided for accurate office, ambulatory, and home BP measurement devices.
- Identification of validated devices for use in adults, children, and during pregnancy.
Conclusions:
- STRIDE BP has successfully evaluated a large number of BP devices, identifying accurate options.
- The initiative is poised to improve global hypertension diagnosis and management through validated devices and future training programs.
- Accurate BP measurement is fundamental to addressing the public health challenge of hypertension.
Abstract:
: The diagnosis and management of hypertension is dependent upon accurate blood pressure (BP) measurement. Despite intense efforts over several decades by the international medical community worldwide, the use of inaccurate devices has resulted in the misdiagnosis and poor management of hypertension, which remains a largely unresolved public health problem. STRIDE BP (www.stridebp.org) is an international nonprofit organization the mission of which is to improve the accuracy of BP measurement and the diagnosis of hypertension. STRIDE BP comprises a group of 24 recognized experts in BP monitoring from across the world and operates in affiliation with the European Society of Hypertension, the International Society of Hypertension, and the World Hypertension League. In the first stage, STRIDE BP has reviewed 419 validations of 260 devices and approved 69% of them, providing recommendations on accurate devices for office, ambulatory and home BP measurement in adults, children and during pregnancy. At the next stage, STRIDE BP intends to develop programs for on-line training and tools for use in clinical practice leading to improved measurement of BP and better diagnosis of hypertension world-wide.
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