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Home Versus Ambulatory Blood Pressure Monitoring

  • Eoin O’Brien
  • Alex de la Sierra
  • Richard J. McManus
  • Anastasia Mihailidou
  • Paul Muntner
  • Martin G. Myers
  • George S. Stergiou
  • Gianfranco Parati
  • Efstathios Manios
Chapter
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Office blood pressure (BP) measurement has been shown to be an unreliable indicator of true BP and although it remains the commonest method of measurement, recent guidelines recommend its use for screening only with diagnostic and management decisions being made with out-of-office measurement techniques, either using 24-h ambulatory BP measurement (ABPM) or home BP measurement (HBPM). The purpose of this brief review is to highlight the benefits each technique can bring to the diagnosis and management of patients with hypertension.

Keywords

Ambulatory blood pressure Home blood pressure Measurement Device accuracy Atrial fibrillation 

Notes

Acknowledgment

Conflict of Interest: EOB, GP, and GS have conducted validation studies for various manufacturers and advised manufacturers on device development. ASM—has advised manufacturers on device development. EM—no conflict of interest. RM—has received BP monitors for research from Omron.

References

  1. 1.
    O’Brien E, Dolan E, Stergiou GS. Achieving reliable blood pressure measurements in clinical practice: It's time to meet the challenge. J Clin Hypertens (Greenwich). 2018;20:1084–8.CrossRefGoogle Scholar
  2. 2.
    Myers MG, Asmar R, Staessen JA. Office blood pressure measurement n the 21st century. J Clin Hypertens. 2018;20:1104–7.CrossRefGoogle Scholar
  3. 3.
    O’Brien E, White WB, Parati G, Dolan E. Ambulatory blood pressure monitoring in the 21st century. J Clin Hypertens. 2018;20:1108–11.CrossRefGoogle Scholar
  4. 4.
    Stergiou GS, Kario K, Kollias A, McManus RJ, Ohkubo T, Parati G, Imai Y. Home blood pressure monitoring in the 21st century. J Clin Hypertens. 2018;20:1116–21.CrossRefGoogle Scholar
  5. 5.
    Stergiou G, Kollias A, Parati G, O’Brien E. Office blood pressure measurement: the weak cornerstone of hypertension diagnosis. Hypertension. 2018;71:813–5.CrossRefGoogle Scholar
  6. 6.
    O'Brien E, Kario K, Staessen JA, de la Sierra A, Ohkubo T. Patterns of ambulatory blood pressure: clinical relevance and application. J Clin Hypertens (Greenwich). 2018;20:1112–5.CrossRefGoogle Scholar
  7. 7.
    O’Brien E, Stergiou GS, Turner MJ. The quest for accuracy of blood pressure measuring devices. J Clin Hypertens (Greenwich). 2018;20:1093–5.Google Scholar
  8. 8.
    Whelton PK, Carey RM, Aronow WS, et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71:e13–e115.PubMedGoogle Scholar
  9. 9.
    Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH. How common is white coat hypertension? JAMA. 1988;259:225–8.CrossRefGoogle Scholar
  10. 10.
    Owens P, Atkins N, O’Brien E. Diagnosis of White Coat Hypertension by Ambulatory Blood Pressure Monitoring. Hypertension. 1999;34:267–72.CrossRefGoogle Scholar
  11. 11.
    O’Brien E, Parati G, Stergiou G, Asmar R, Beilin L, Bilo G, Clement D, de la Sierra A, de Leeuw P, Dolan E, Fagard R, Graves J, Head GA, Imai Y, Kario K, Lurbe E, Mallion JM, Mancia G, Mengden T, Myers M, Ogedegbe G, Ohkubo T, Omboni S, Palatini P, Redon J, Ruilope LM, Shennan A, Staessen JA, van Montfrans G, Verdecchia P, Waeber B, Wang J, Zanchetti A, Zhang Y, et al. European Society of Hypertension position paper on ambulatory blood pressure monitoring. J Hypertens. 2013;31:1731–68.CrossRefGoogle Scholar
  12. 12.
    Anstey DE, Muntner P, Bello NA, Pugliese DN, Yano Y, Kronish IM, Reynolds K, Schwartz JE, Shimbo D. Diagnosing masked hypertension using ambulatory blood pressure monitoring, home blood pressure monitoring, or both? Hypertension. 2018;72:1200–7.CrossRefGoogle Scholar
  13. 13.
    Pierdomenico SD, Pierdomenico AM, Coccina F, Clement DL, De Buyzere ML, De Bacquer DA, Ben-Dov IZ, Vongpatanasin W, Banegas JR, Ruilope LM, Thijs L, Staessen JA. Prognostic value of masked uncontrolled hypertension. Hypertension. 2018;72:862–9.CrossRefGoogle Scholar
  14. 14.
    Staessen JA, Li Y, Hara A, Asayama K, Dolan E, O'Brien E. Blood pressure measurement anno 2016. Am J Hypertens. 2017;30:453–63.PubMedGoogle Scholar
  15. 15.
    Dolan E, O’Brien E. How should ambulatory blood pressure measurement be used in general practice? J Clin Hypertens (Greenwich). 2017;19:218–20.CrossRefGoogle Scholar
  16. 16.
    Banegas JR, de la Cruz JJ, Graciani A, López-García E, Gijón-Conde T, Ruilope LM, Rodriguez-Artalejo F. Impact of ambulatory blood pressure monitoring on reclassification of hypertension prevalence and control in older people in Spain. J Clin Hypertens. 2015;17:453–61.CrossRefGoogle Scholar
  17. 17.
    Salles GF, Reboldi G, Fagard RH, Cardoso CR, Pierdomenico SD, Verdecchia P, Eguchi K, Kario K, Hoshide S, Polonia J, de la Sierra A, Hermida RC, Dolan E, O'Brien E, Roush GC. Prognostic effect of the nocturnal blood pressure fall in hypertensive patients: the ambulatory blood pressure collaboration in patients with hypertension (ABC-H) meta-analysis. Hypertension. 2016;67:693–700.CrossRefGoogle Scholar
  18. 18.
    Kollias A, Ntineri A, Stergiou GS. Association of night-time home blood pressure with night-time ambulatory blood pressure and target organ damage: a systematic review and meta-analysis. J Hypertens. 2017;35:442–52.CrossRefGoogle Scholar
  19. 19.
    Parati G, Ochoa JE, Lombardi C, Bilo G. Assessment and management of blood pressure variability. Nat Rev Cardiol. 2013;10:143–55.CrossRefGoogle Scholar
  20. 20.
    Stevens SL, Wood S, Koshiaris C, Law K, Glasziou P, Stevens RJ, McManus RJ. Blood pressure variability and cardiovascular disease: systematic review and meta-analysis. BMJ. 2016;354:i4098.CrossRefGoogle Scholar
  21. 21.
    Parati G, Lombardi C, Hedner J, Bonsignore MR, Grote L, Tkacova R, Levy P, Riha R, Bassetti C, Narkiewicz K, Mancia G, McNicholas WT, European Respiratory Society; EU COST ACTION B26 members. Position paper on the management of patients with obstructive sleep apnea and hypertension: joint recommendations by the European Society of Hypertension, by the European Respiratory Society and by the members of European COST (COoperation in Scientific and Technological research) ACTION B26 on obstructive sleep apnea. J Hypertens. 2012;30:633–46.CrossRefGoogle Scholar
  22. 22.
    Benetos A, Bulpitt CJ, Petrovic M, Ungar A, Agabiti Rosei E, Cherubini A, Redon J, Grodzicki T, Dominiczak A, Strandberg T, Mancia G. An Expert Opinion From the European Society of Hypertension-European Union Geriatric Medicine Society Working Group on the Management of Hypertension in Very Old, Frail Subjects. Hypertension. 2016;67:820–5.CrossRefGoogle Scholar
  23. 23.
    O’Brien E, Dolan E. Ambulatory blood pressure measurement in the elderly: an opportunity to screen for atrial fibrillation. Hypertension. 2019;73:961–4.CrossRefGoogle Scholar
  24. 24.
    Parati G, Dolan E, McManus RJ, Omboni S. Home blood pressure telemonitoring in the 21st century. J Clin Hypertens (Greenwich). 2018;20:1128–32.CrossRefGoogle Scholar
  25. 25.
    Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, Kario K, Lurbe E, Manolis A, Mengden T, O'Brien E, Ohkubo T, Padfield P, Palatini P, Pickering T, Redon J, Revera M, Ruilope LM, Shennan A, Staessen JA, Tisler A, Waeber B, Zanchetti A, Mancia G. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. J Hypertens. 2008;26:1505–26.CrossRefGoogle Scholar
  26. 26.
    Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, Kario K, Lurbe E, Manolis A, Mengden T, O'Brien E, Ohkubo T, Padfield P, Palatini P, Pickering TG, Redon J, Revera M, Ruilope LM, Shennan A, Staessen JA, Tisler A, Waeber B, Zanchetti A, Mancia G. European Society of Hypertension practice guidelines for home blood pressure monitoring. J Hum Hypertens. 2010;24:779–85.CrossRefGoogle Scholar
  27. 27.
    Stergiou GS, Siontis KC, Ioannidis JP. Home blood pressure as a cardiovascular outcome predictor: it’s time to take this method seriously. Hypertension. 2010;55:1301–3.CrossRefGoogle Scholar
  28. 28.
    Stergiou GS, Asayama K, Thijs L, Kollias A, Niiranen TJ, Hozawa A, Boggia J, Johansson JK, Ohkubo T, Tsuji I, Jula AM, Imai Y, Staessen JA. Prognosis of white-coat and masked hypertension: International Database of HOme blood pressure in relation to Cardiovascular Outcome. Hypertension. 2014;63:675–82.CrossRefGoogle Scholar
  29. 29.
    Ntineri A, Kalogeropoulos PG, Kyriakoulis KG, Aissopou EK, Thomopoulou G, Kollias A, Stergiou GS. Prognostic value of average home blood pressure and variability:19-year follow-up of the Didima study. J Hypertens. 2018;36:69–76.CrossRefGoogle Scholar
  30. 30.
    Stergiou GS, Karpettas N, Destounis A, Tzamouranis D, Nasothimiou E, Kollias A, Roussias L, Moyssakis I. Home blood pressure monitoring alone vs. combined clinic and ambulatory measurements in following treatment-induced changes in blood pressure and organ damage. Am J Hypertens. 2014;27:184–92.CrossRefGoogle Scholar
  31. 31.
    Agarwal R, Bills JE, Hecht TJ, Light RP. Role of home blood pressure monitoring in overcoming therapeutic inertia and improving hypertension control: a systematic review and meta-analysis. Hypertension. 2011;57:29–38.CrossRefGoogle Scholar
  32. 32.
    McManus RJ, Mant J, Franssen M, et al. Telemonitoring and/or self-monitoring of blood pressure in hypertension (TASMINH4): A Randomised Controlled Trial. J Hypertens. 2018;36:e5.CrossRefGoogle Scholar
  33. 33.
    Asayama K, Ohkubo T, Metoki H, Obara T, Inoue R, Kikuya M, Thijs L, Staessen JA, Imai Y. Cardiovascular outcomes in the first trial of antihypertensive therapy guided by self-measured home blood pressure. Hypertens Res. 2012;35:1102–10.CrossRefGoogle Scholar
  34. 34.
    Verberk WJ, Omboni S, Kollias A, Stergiou GS. Screening for atrial fibrillation with automated blood pressure measurement: Research evidence and practice recommendations. Int J Cardiol. 2016;203:465–73.CrossRefGoogle Scholar
  35. 35.
    Parati G, Omboni S, Albini F, Piantoni L, Giuliano A, Revera M, Illyes M, Mancia G. Home blood pressure telemonitoring improves hypertension control in general practice. The TeleBPCare study. J Hypertens. 2009;27:198–203.CrossRefGoogle Scholar

Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG, part of Springer Nature 2020

Authors and Affiliations

  • Eoin O’Brien
    • 1
  • Alex de la Sierra
    • 2
  • Richard J. McManus
    • 3
  • Anastasia Mihailidou
    • 4
    • 5
  • Paul Muntner
    • 6
  • Martin G. Myers
    • 7
    • 8
  • George S. Stergiou
    • 9
  • Gianfranco Parati
    • 10
    • 11
  • Efstathios Manios
    • 12
  1. 1.The Conway InstituteUniversity College DublinDublinIreland
  2. 2.Department of Internal MedicineHospital Mutua Terrassa, University of BarcelonaBarcelonaSpain
  3. 3.Nuffield Department of Primary Care Health SciencesUniversity of Oxford, Radcliffe Observatory QuarterOxfordUK
  4. 4.Cardiovascular & Hormonal Research Laboratory, Department of Cardiology and Kolling InstituteRoyal North Shore HospitalSt LeonardsAustralia
  5. 5.Macquarie UniversitySydneyAustralia
  6. 6.Department of EpidemiologyUniversity of Alabama at BirminghamBirminghamUSA
  7. 7.Department of CardiologySchulich Heart Program, Sunnybrook Health Sciences CentreTorontoCanada
  8. 8.Department of MedicineUniversity of TorontoTorontoCanada
  9. 9.Hypertension Center STRIDE-7National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria HospitalAthensGreece
  10. 10.Department of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly
  11. 11.Istituto Auxologico Italiano, IRCCS, Department of CardiovascularNeural and Metabolic SciencesMilanItaly
  12. 12.Department of Clinical TherapeuticsNational and Kapodistrian University of Athens, Medical School, Alexandra Hospital,AthensGreece

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