Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home

Jan A. Staessen; Lutgarde Thijs; Takayoshi Ohkubo; Masahiro Kikuya; Tom Richart; José Boggia; Ahmet Adiyaman; Dirk G. Dechering; Tatiana Kuznetsova; Theo Thien; Peter De Leeuw; Yutuka Imai; Eoin O'Brien; Gianfranco Parati

doi:10.1097/MBP.0b013e3283108f93

Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home

Jan A. Staessen, Lutgarde Thijs, Takayoshi Ohkubo, Masahiro Kikuya, Tom Richart, José Boggia, Ahmet Adiyaman, Dirk G. Dechering, Tatiana Kuznetsova, Theo Thien, Peter De Leeuw, Yutuka Imai, Eoin O'Brien, Gianfranco Parati

Fondazione Istituto Auxologico Italiano

Research output: Contribution to journal › Article › peer-review

Abstract

Objective The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. Methods We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. Results In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower (

Original language	English
Pages (from-to)	352-365
Number of pages	14
Journal	Blood Pressure Monitoring
Volume	13
Issue number	6
DOIs	https://doi.org/10.1097/MBP.0b013e3283108f93
Publication status	Published - Dec 2008

Keywords

Diagnostic threshold
Home blood pressure
Hypertension
Normotension
Reference frame
Self-measured blood pressure

ASJC Scopus subject areas

Internal Medicine
Cardiology and Cardiovascular Medicine
Assessment and Diagnosis
Advanced and Specialised Nursing

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Staessen, J. A., Thijs, L., Ohkubo, T., Kikuya, M., Richart, T., Boggia, J., Adiyaman, A., Dechering, D. G., Kuznetsova, T., Thien, T., De Leeuw, P., Imai, Y., O'Brien, E., & Parati, G. (2008). Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home. Blood Pressure Monitoring, 13(6), 352-365. https://doi.org/10.1097/MBP.0b013e3283108f93

Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home. / Staessen, Jan A.; Thijs, Lutgarde; Ohkubo, Takayoshi; Kikuya, Masahiro; Richart, Tom; Boggia, José; Adiyaman, Ahmet; Dechering, Dirk G.; Kuznetsova, Tatiana; Thien, Theo; De Leeuw, Peter; Imai, Yutuka; O'Brien, Eoin; Parati, Gianfranco.

In: Blood Pressure Monitoring, Vol. 13, No. 6, 12.2008, p. 352-365.

Research output: Contribution to journal › Article › peer-review

Staessen, JA, Thijs, L, Ohkubo, T, Kikuya, M, Richart, T, Boggia, J, Adiyaman, A, Dechering, DG, Kuznetsova, T, Thien, T, De Leeuw, P, Imai, Y, O'Brien, E & Parati, G 2008, 'Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home', Blood Pressure Monitoring, vol. 13, no. 6, pp. 352-365. https://doi.org/10.1097/MBP.0b013e3283108f93

Staessen, Jan A. ; Thijs, Lutgarde ; Ohkubo, Takayoshi ; Kikuya, Masahiro ; Richart, Tom ; Boggia, José ; Adiyaman, Ahmet ; Dechering, Dirk G. ; Kuznetsova, Tatiana ; Thien, Theo ; De Leeuw, Peter ; Imai, Yutuka ; O'Brien, Eoin ; Parati, Gianfranco. / Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home. In: Blood Pressure Monitoring. 2008 ; Vol. 13, No. 6. pp. 352-365.

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abstract = "Objective The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. Methods We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. Results In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower (",

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AU - Richart, Tom

AU - Boggia, José

AU - Adiyaman, Ahmet

AU - Dechering, Dirk G.

AU - Kuznetsova, Tatiana

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AU - De Leeuw, Peter

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