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Methods of Blood Pressure Measurement to Predict Hypertension-Related Cardiovascular Morbidity and Mortality

Thwe Htay1, Damaris Rosado2, Dale Quest2

  • 1Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center at El Paso, 5001 El Paso Drive, MSC 21009, El Paso, TX, 79905, USA. thwe.htay@ttuhsc.edu.

Current Cardiology Reports
|February 9, 2022
PubMed

Insights

Home blood pressure (HBP) monitoring is more reliable for diagnosing hypertension and predicting cardiovascular risks than office or ambulatory monitoring. HBP and ambulatory blood pressure (ABP) offer valuable insights beyond traditional office readings.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Preventive Medicine

Background:

  • Evolving evidence links various blood pressure phenotypes to cardiovascular risks.
  • Accurate blood pressure measurement is crucial for risk assessment and management.

Purpose of the Study:

  • To evaluate the reliability of office blood pressure (OBP), ambulatory blood pressure (ABP), and home blood pressure (HBP) measurements.
  • To assess the associations of OBP, ABP, and HBP with cardiovascular morbidity and mortality.

Main Methods:

  • Review of current evidence on blood pressure monitoring techniques.
  • Comparative analysis of OBP, ABP, and HBP in relation to cardiovascular outcomes.

Main Results:

  • Home blood pressure (HBP) is more reliable for hypertension diagnosis than OBP or ABP.
  • HBP and ABP correlate better with cardiovascular outcomes and mortality than OBP.
  • Elevated systolic HBP and ABP are associated with increased risks of mortality and cardiovascular events.

Conclusions:

  • HBP and ABP provide additional, valuable information beyond OBP for cardiovascular risk assessment.
  • HBP and ABP are more effective than OBP in monitoring therapeutic responses.
  • Further comparative effectiveness studies on all three methods are warranted.
Abstract

Keywords:
Ambulatory blood pressureBlood pressure measurementsCardiovascular risk factorHome blood pressureHypertensionLeft ventricular massOffice blood pressure

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