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How to screen and diagnose hypertension.
George S Stergiou1, Grzegorz Bilo2,3, Miguel Camafort4
1Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece.
European Journal of Preventive Cardiology
|October 17, 2025
Summary
Accurate blood pressure measurement is key for hypertension management. Validated automated devices and out-of-office monitoring, like home or ambulatory monitoring, are recommended for diagnosis and treatment decisions.
Area of Science:
- Cardiology
- Hypertension Management
- Medical Technology
Background:
- Blood pressure measurement is crucial for diagnosing and managing hypertension.
- International consensus exists on optimal technology and methodology for reliable blood pressure evaluation.
Purpose of the Study:
- To outline current best practices for blood pressure measurement.
- To emphasize the importance of validated automated devices and out-of-office monitoring.
Main Methods:
- Utilizing validated automated oscillometric upper-arm cuff blood pressure devices.
- Recommending standardized protocols for office, home, and 24-hour ambulatory blood pressure monitoring.
Main Results:
- Automated oscillometric devices are recommended for all measurement methods.
- Out-of-office monitoring (home or ambulatory) should primarily guide treatment decisions over office measurements.
- Standardized protocols are essential for maximizing diagnostic and treatment guidance potential.
Conclusions:
- Validated automated devices and out-of-office monitoring are essential for effective hypertension management.
- Further research is needed to optimize the clinical implementation of blood pressure measurement methods.
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