Comparison of acceptability of and preferences for different methods of measuring blood pressure in primary care

Little, Paul; Barnett, Jane; Barnsley, Lucy; Marjoram, Jean; Fitzgerald-Barron, Alex; Mant, David

doi:10.1136/bmj.325.7358.258

Cited by 136 publications

(107 citation statements)

References 2 publications

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“…19 It is acceptable to patients. 20 Most recently, the use of home measurements during follow-up has been shown to lead to lower costs and less intensive treatment when compared to clinic measurements. 21 There is even potential for the use of charting techniques to improve the sensitivity of home measurements as a means of determining treatment effects.…”

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confidence: 99%

Blood pressure measurement: the problem and its solution

Marshall

2004

J Hum Hypertens

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confidence: 99%

Blood pressure measurement: the problem and its solution

Marshall

2004

J Hum Hypertens

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“…A large part of the popularity of home BP monitoring can be attributed to its ease of use compared with other methods of measurement, particularly as it allows patients to measure their BP in their own homes. 3 Home BP measurement also seems to have medical advantages as it is free from the white-coat effect and is more strongly associated with hypertensive target organ damage than office BP. 4 -6 More importantly, some studies, [7][8][9] though not all, 10,11 have suggested that home BP could have a stronger predictive power for future cardiovascular (CV) events than office BP.…”

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confidence: 99%

Home-Measured Blood Pressure Is a Stronger Predictor of Cardiovascular Risk Than Office Blood Pressure

et al. 2010

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Abstract-Previous studies with some limitations have provided equivocal results for the prognostic significance of home-measured blood pressure (BP). We investigated whether home-measured BP is more strongly associated with cardiovascular events and total mortality than is office BP. A prospective nationwide study was initiated in 2000 to 2001 on 2081 randomly selected subjects aged 45 to 74 years. Home and office BP were determined at baseline along with other cardiovascular risk factors. The primary end point was incidence of a cardiovascular event (cardiovascular mortality, nonfatal myocardial infarction, nonfatal stroke, hospitalization for heart failure, percutaneous coronary intervention, or coronary artery bypass graft surgery). The secondary end point was total mortality. After a mean follow-up of 6.8 years, 162 subjects had experienced a cardiovascular event, and 118 subjects had died.

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“…This study shows that patients can accurately measure their blood pressure themselves at home with great potential advantages of greater acceptability, 33 lower equipment and staff costs compared with ambulatory pressure. Since all the subjects were able to learn the technique, it appears that this telemedical HBP method can be used across a wide range of educational and employment backgrounds.…”

Section: Discussionmentioning

confidence: 91%

Accuracy of telemedical home blood pressure measurement in the diagnosis of hypertension

et al. 2003

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This study was conducted to compare the accuracy of clinic blood pressure (CBP) and telemedical home blood pressure (HBP) measurement in the diagnosis of hypertension in primary care. The study subjects were 411 patients with average CBP X140 mmHg systolic or X90 mmHg diastolic, who performed telemedical HBP measurement (5 days, four times daily) and ambulatory blood pressure (ABP) monitoring in random order. Main outcome measure was the agreement of CBP and HBP with daytime ABP. CBP was much higher than daytime ABP and average HBP (Po0.001) with no difference between the latter two. The correlation between CBP and ABP was weak (systolic: r ¼ 0.499, diastolic: r ¼ 0.543), whereas strong correlations existed between HBP and ABP (systolic: r ¼ 0.847, diastolic: r ¼ 0.812). A progressive improvement in the strength of the linear regression between average HBP of single days and ABP was obtained from day 1 to day 4, with no further benefit obtained on the fifth day. The HBP readings taken at noon and in the afternoon showed significantly stronger correlations with ABP than the blood pressures measured in the morning and in the evening. In conclusion, the accuracy of telemedical HBP measurement was substantially better than that of CBP in the diagnosis of hypertension in primary care. HBP most accurately reflected ABP on the fourth day of monitoring, and the readings at noon and in the afternoon seemed to be most accurate.

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Comparison of acceptability of and preferences for different methods of measuring blood pressure in primary care

Cited by 136 publications

References 2 publications

Blood pressure measurement: the problem and its solution

Blood pressure measurement: the problem and its solution

Home-Measured Blood Pressure Is a Stronger Predictor of Cardiovascular Risk Than Office Blood Pressure

Accuracy of telemedical home blood pressure measurement in the diagnosis of hypertension

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