Home Blood Pressure Measurement

Abstract

The purpose of this research was to review the literature on home blood pressure measurement (HBPM) and to provide recommendations regarding HBPM assessment. Observational studies on HBPM, published after 1992, as identified by PubMed, EMBASE, and Cochrane literature searches were reviewed. Studies were selected if they met the following criteria: 1) self-measurements had been performed with validated devices; 2) measurement procedures were described in sufficient detail; and 3) papers clearly explained how final HBPM results were calculated upon which conclusions and/or treatment decisions were based. Office blood pressure measurement (OBPM) yields higher blood pressure values than HBPM. For systolic blood pressure, differences between OBPM and HBPM increase with age and the height of office pressure. Differences also tend to be greater in men than in women and greater in patients without than in those with antihypertensive treatment. Furthermore, HBPM can diagnose normotension with almost absolute certainty; it correlates better with target organ damage and cardiovascular mortality than OBPM, it enables prediction of sustained hypertension in patients with borderline hypertension, and it proves to be an appropriate tool for assessing drug efficacy. Despite some limitations and although more data are needed, HBPM is suitable for routine clinical practice.

Stroke patients' perceptions of home blood pressure monitoring: a qualitative study

“…Not only are average blood pressure measurements obtained from selfmonitoring better predictors of stroke risk than office or clinic readings, 21 but this intervention also provides an opportunity to measure day-to-day variability in blood pressure. Blood pressure variability itself is an important determinant of recurrent stroke risk.…”

Electronic Communications and Home Blood Pressure Monitoring (e-BP) study: Design, delivery, and evaluation framework

“…They also receive a pamphlet with written instructions on home blood pressure measurement and their home blood pressure goal: =135/85 mm Hg. Consensus has not yet been reached about which target home blood pressure number to use for decision making; but in several large clinical trials and a meta-analysis, a home blood pressure of 135/85 mm Hg was roughly equivalent to a clinic blood pressure of 140/90 mm Hg [36,37].…”

Feasibility of a New Cuffless Device for Ambulatory Blood Pressure Measurement in Patients With Hypertension: Mixed Methods Study (Preprint)

“…[1] BP is however a highly variable vital parameter, and circumstances under which measuring takes place may influence the result extensively. [2][3][4] Compared to office BP, home BP better predicts cardiovascular risk. [5][6][7][8] The predictive value increases progressively with the number of home measurements.…”