home blood pressure monitoring
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Indications
- white-coat hypertension[2]
- patient participation in managing their own blood pressure[7]
Clinical significance
- goal: systolic blood pressure < 135 mm Hg[7]
- systolic BP goal corresponds with threshold for treatment with antihypertensive agent[7]
Procedure
Rest at least 5 minutes before reading[6] .. or 30 minutes after exercising
Wait at least 30 minutes after nicotine use
Wait at least 2 hours after caffeine use
3 reading 1 minute apart & average them[6]
Notes
Comments from clinical trials
- blood pressure may be underestimated[1]
- patients more likely to reach blood pressure goals[4][5]
- self-monitoring of blood pressure improves systolic BP & may reduce stroke risk[10]
- self-referral to the emergency department with asymptomatic hypertension from home or pharmacy blood pressure measurement admitted to hospital 3% of time[11]
Additional terms
- ambulatory blood pressure monitoring (ABPM)
- blood pressure (BP)
- hypertension (HTN, high blood pressure, HBP)
References
- ↑ 1.0 1.1 Journal Watch 24(7):55, 2004 Staessen JA et al, JAMA 291:955, 2004 PMID: https://www.ncbi.nlm.nih.gov/pubmed/14982911
- ↑ 2.0 2.1 Journal Watch 24(8):64, 2004 Bobrie G et al, JAMA 291:1342, 2004 PMID: https://www.ncbi.nlm.nih.gov/pubmed/15026401
- ↑ Home Blood Pressure Monitors Prescriber's Letter 11(2):11 2004 Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=200212&pb=PRL (subscription needed) http://www.prescribersletter.com
- ↑ 4.0 4.1 Journal Watch 24(18):124, 2004 Cappuccio FP, Kerry SM, Forbes L, Donald A. Blood pressure control by home monitoring: meta-analysis of randomised trials. BMJ. 2004 Jul 17;329(7458):145. Epub 2004 Jun 11. Erratum in: BMJ. 2004 Aug 28;329(7464):499. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/15194600 <Internet> http://bmj.bmjjournals.com/cgi/content/full/329/7458/145
- ↑ 5.0 5.1 Halme L, et al, Self-monitoring of blood pressure promotes achievement of blood pressure target in primary health care. Am J Hypertension 2005, 18:1415 PMID: https://www.ncbi.nlm.nih.gov/pubmed/16280273
- ↑ 6.0 6.1 6.2 Prescriber's Letter 15(3): 2008 Blood Pressure Monitoring Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=240304&pb=PRL (subscription needed) http://www.prescribersletter.com
- ↑ 7.0 7.1 7.2 7.3 Medical Knowledge Self Assessment Program (MKSAP) 16, 17 American College of Physicians, Philadelphia 2012, 17
- ↑ Green BB, Cook AJ, Ralston JD et al Effectiveness of home blood pressure monitoring, Web communication, and pharmacist care on hypertension control: a randomized controlled trial. JAMA. 2008 Jun 25;299(24):2857-67 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18577730
- ↑ Pickering TG, Miller NH, Ogedegbe G et al Call to action on use and reimbursement for home blood pressure monitoring: executive summary: a joint scientific statement from the American Heart Association, American Society Of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008 Jul;52(1):1-9 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18497371
- ↑ 10.0 10.1 McManus RJ, Mant J, Franssen M et al Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial. Lancet. Feb 27, 2018 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28193176 Free PMC Article <Internet> http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30309-X/fulltext
Rietzschel ER, De Buyzere ML. Hypertension: time for doctors to switch the driver's seat? Lancet. Feb 27, 2018 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29499874 Free Article <Internet> http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30317-9/fulltext - ↑ 11.0 11.1 Atzema CL, Wong A, Masood S et al. The characteristics and outcomes of patients who make an emergency department visit for hypertension after use of a home or pharmacy blood pressure device. Ann Emerg Med 2018 Jul 18; PMID: https://www.ncbi.nlm.nih.gov/pubmed/30037583
- ↑ Picone DS et al. Availability, cost, and consumer ratings of popular nonvalidated vs validated blood pressure-measuring devices sold online in 10 countries. JAMA. 2023;329(17):1514-1516 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37129661 PMCID: PMC10155061 (available on 2023-11-02) https://jamanetwork.com/journals/jama/fullarticle/2804335