Home blood pressure monitoring in the 21st century

George S. Stergiou, Kazuomi Kario, Anastasios Kollias, Richard J. McManus, Takayoshi Ohkubo, Gianfranco Parati, Yutaka Imai

Research output: Contribution to journalArticlepeer-review

Abstract

Home blood pressure monitoring provides multiple measurements in the usual environment of each individual, allows the detection of intermediate hypertension phenotypes (white-coat and masked hypertension), and appears to have superior prognostic value compared to the conventional office blood pressure measurements. Accumulating evidence suggests that home blood pressure monitoring improves long-term hypertension control rates. Moreover, it is widely available, relatively inexpensive, and well accepted by patients. Thus, current guidelines recommend home blood pressure monitoring as an essential method for the evaluation of almost all untreated and treated patients with suspected or treated hypertension. Validated automated upper-arm cuff devices with automated storage and averaging of readings should be used. The home blood pressure monitoring schedule for 4 to 7 days with exclusion of the first day (12–24 readings) should be averaged to provide values for decision making.

Original languageEnglish
Pages (from-to)1116-1121
Number of pages6
JournalJournal of Clinical Hypertension
Volume20
Issue number7
DOIs
Publication statusPublished - Jul 1 2018

Keywords

  • blood pressure measurement
  • diagnosis
  • self-measurement
  • treatment

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

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