Recommendations for home blood pressure monitoring in Latin American countries: A Latin American Society of Hypertension position paper

Raúl Villar, Ramiro A. Sánchez, José Boggia, Ernesto Peñaherrera, Jesús Lopez, Weimar Sebba Barroso, Eduardo Barbosa, Leonardo Cobos, Rafael Hernández Hernández, José Andrés Octavio, José Z. Parra Carrillo, Agustín J. Ramírez, Gianfranco Parati

Research output: Contribution to journalReview articlepeer-review

Abstract

Out-of-office blood pressure (BP) monitoring appears to be a very useful approach to hypertension management insofar it allows to obtain multiple measurements in the usual environment of each individual, allows the detection of hypertension phenotypes, such as white-coat and masked hypertension, and appears to have superior prognostic value than the conventional office BP measurements. Out-of-office BP can be obtained through either home or ambulatory monitoring, which provide complementary and not identical information. Home BP monitoring yields BP values self-measured in subjects' usual living environment; it is an essential method for the evaluation of almost all untreated and treated subjects with suspected or diagnosed hypertension, best if combined with telemonitoring facilities, also allowing long-term monitoring. There is also increasing evidence that home BP monitoring improves long-term hypertension control rates by improving patients' adherence to prescribed treatment. In Latin American Countries, it is widely available, being relatively inexpensive, and well accepted by patients. Current US, Canadian, Japanese, and European guidelines recommend out-of-office BP monitoring to confirm and refine the diagnosis of hypertension.

Original languageEnglish
Pages (from-to)544-554
Number of pages11
JournalJournal of Clinical Hypertension
Volume22
Issue number4
DOIs
Publication statusPublished - Apr 1 2020

Keywords

  • adherence to treatment
  • arterial hypertension diagnosis
  • blood pressure measurement
  • home blood pressure
  • hypertension treatment
  • self-measurement

ASJC Scopus subject areas

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

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