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Blood Pressure Assessment Across the Lifespan: Improving Clinical Research and Clinical Practice: A National Heart,
Marwah Abdalla1, Stephen P Juraschek2, Italo Biaggioni3
1Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Insights
Accurate blood pressure (BP) assessment is crucial for managing hypertension and preventing cardiovascular disease (CVD). New BP measurement devices offer improved characterization, potentially transforming hypertension management and reducing risks.
Area of Science:
- Cardiology
- Hypertension Research
- Medical Device Technology
Background:
- Hypertension is a prevalent, modifiable risk factor for cardiovascular disease (CVD) globally.
- Accurate blood pressure (BP) assessment is vital for hypertension diagnosis and management.
- Challenges in BP assessment can lead to underdiagnosis, undertreatment, and adverse health outcomes.
Purpose of the Study:
- To summarize recent advances in BP assessment technologies and their clinical implications.
- To identify obstacles and knowledge gaps in current BP assessment practices.
- To inform future research and clinical guidelines for hypertension management.
Main Methods:
- A 2-day workshop convened by the National Heart, Lung, and Blood Institute (NHLBI).
- Discussions focused on the latest evidence in BP assessment.
- Expert clinicians and researchers shared insights on challenges and future directions.
Main Results:
- Advances in BP measurement devices enable more comprehensive BP characterization.
- New technologies could significantly improve CVD risk reduction strategies.
- Addressing uncertainties in BP assessment is key to optimizing hypertension control.
Conclusions:
- The evolving landscape of BP assessment necessitates updated clinical practices and research.
- Optimizing BP measurement is essential for effective CVD risk reduction and improved patient outcomes.
- Further research is needed to bridge knowledge gaps and overcome obstacles in BP assessment.
Abstract:
Hypertension is a modifiable risk factor for cardiovascular disease (CVD) and its prevalence is high in the United States and worldwide. Adequate characterization of blood pressure (BP) is essential for the diagnosis and management of hypertension. However, BP assessment can be challenging because of the unique influences across the lifespan, disease conditions, and physical environmental context. Moreover, complex uncertainties in BP assessment may contribute to underdiagnosis, undertreatment, and preventable morbidity and mortality. Recent advances in BP measurement devices have enabled comprehensive characterization of BP that could dramatically change how hypertension is managed to optimize CVD risk reduction, avoid complications of low BP, and improve hypertension control rates. To address the rapidly evolving landscape in BP assessment, the National Heart, Lung, and Blood Institute of the U.S. National Institutes of Health convened a 2-day workshop of clinicians and researchers in December 2024. The present report summarizes the topics presented and discussed during the meeting, which focused on the latest evidence on BP assessment as well as obstacles and knowledge gaps to be addressed to advance BP assessment in clinical practice and research.
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Prepare for the Procedure:
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
