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Implementing Home Blood Pressure Monitoring into Clinical Practice

  • Implementation to Increase Blood Pressure Control: What Works? (Jeffrey Brettler and Kristi Reynolds, Section Editors)
  • Published:
Current Hypertension Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To review data supporting the use of home blood pressure monitoring (HBPM) and provide practical guidance to clinicians wishing to incorporate HBPM into their practice.

Recent Findings

HBPM more accurately reflects the risk of cardiovascular events than office blood pressure measurement. In addition, there is high-quality evidence that HBPM combined with clinical support improves blood pressure control. Therefore, HBPM is increasingly recommended by guidelines to confirm the diagnosis of hypertension and evaluate the efficacy of blood pressure-lowering medications. Nevertheless, HBPM use remains low due to barriers from the patient, clinician, and healthcare system level. Understanding these barriers is crucial for developing strategies to effectively implement HBPM into routine clinical practice.

Summary

HBPM is a valuable adjunct to office blood pressure measurement for diagnosing hypertension and guiding antihypertensive therapy. Following recommended best practices can facilitate the successful implementation of HBPM and impact how hypertension is managed in the primary care setting.

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Acknowledgments

Dr. Kronish and Dr. Phillips received support from the Agency for Healthcare Research and Quality (R01 HS024262.)

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Authors and Affiliations

  1. Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 W.168th Street, PH9-311, New York, NY, 10032, USA

    Nadia Liyanage-Don & Ian M. Kronish

  2. Division of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA

    Deborah Fung & Erica Phillips

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  1. Nadia Liyanage-Don
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  2. Deborah Fung
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Liyanage-Don, N., Fung, D., Phillips, E. et al. Implementing Home Blood Pressure Monitoring into Clinical Practice. Curr Hypertens Rep 21, 14 (2019). https://doi.org/10.1007/s11906-019-0916-0

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