Home blood pressure monitoring: Australian Expert Consensus Statement

James E Sharman, Faline S Howes, Geoffrey A Head, Barry Patrick McGrath, Michael Stowasser, Markus Peter Schlaich, Paul P Glasziou, Mark Raymond Nelson

Research output: Contribution to journalArticleOtherpeer-review

48 Citations (Scopus)

Abstract

Measurement of blood pressure (BP) by a doctor in the clinic has limitations that may result in an unrepresentative measure of underlying BP which can impact on the appropriate assessment and management of high BP. Home BP monitoring is the self-measurement of BP in the home setting (usually in the morning and evening) over a defined period (e.g. 7 days) under the direction of a healthcare provider. When it may not be feasible to measure 24-h ambulatory BP, home BP may be offered as a method to diagnose and manage patients with high BP. Home BP has good reproducibility, is well tolerated, is relatively inexpensive and is superior to clinic BP for prognosis of cardiovascular morbidity and mortality. Home BP can be used in combination with clinic BP to identify white coat and masked hypertension. An average home BP of at least 135/85mmHg is an appropriate threshold for the diagnosis of hypertension. Home BP may also offer the advantage of empowering patients with their BP management, with benefits including increased adherence to therapy and lower achieved BP levels. It is recommended that, when feasible, home BP should be considered for routine use in the clinical management of hypertension. ? 2015 Wolters Kluwer Health, Inc. All rights.
Original languageEnglish
Pages (from-to)1721 - 1728
Number of pages8
JournalJournal of Hypertension
Volume33
Issue number9
DOIs
Publication statusPublished - 2015

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