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Guidelines for Home Blood Pressure Monitoring

  • George S. StergiouEmail author
  • Gianfranco Parati
  • Yutaka Imai
  • Richard J. McManus
  • Geoff A. Head
  • Kazuomi Kario
  • Paul Muntner
  • Martin G. Myers
  • James Sharman
  • Eoin O’Brien
  • Michael A. Weber
  • Paul K. Whelton
  • Giuseppe Mancia
Chapter
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Self-measurement of blood pressure at home by patients with hypertension is being widely used for several decades in many countries. Statements and guidelines for using home blood pressure monitoring for hypertension management have been published in the last three decades in the USA, Canada, Europe, Australia, and Japan. Initially there was some caution by several organizations in using home blood pressure measurements for decision-making in hypertension. However, in the last two decades the publication of outcome studies showing superiority of home measurements in predicting risk compared to the conventional office measurements has supported a major role for home blood pressure monitoring in decision-making in hypertension. Several organizations recommend ambulatory blood pressure monitoring as the primary method for hypertension diagnosis, with home monitoring proposed as a useful alterative. However, home blood pressure monitoring is much more widely available than ambulatory monitoring, it is preferred by most patients, and has been shown to improve patients’ long-term compliance with treatment and thereby hypertension control rates. Thus, home blood pressure monitoring is currently recommended for wide clinical application in subjects with suspected or treated hypertension, as it offers a pragmatic approach for out-of-office blood pressure evaluation for clinical practice. Efforts to implement the wide use of home blood pressure monitoring would likely enhance the diagnosis and control of hypertension across communities.

Keywords

Diagnosis Home blood pressure Management Out-of-office blood pressure Recommendation Self-measurement 

References

  1. 1.
    Pickering TG. Self-monitoring of blood pressure. In: Ambulatory monitoring and blood pressure variability (Part 1). London: Science Press; 1991. p. 8.5.Google Scholar
  2. 2.
    Pickering TG. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. American Society of Hypertension Ad Hoc Panel. Am J Hypertens. 1996;9:1–11.CrossRefGoogle Scholar
  3. 3.
    Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, et al. 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
  4. 4.
    O’Brien E, Parati G, Stergiou G, Asmar R, Beilin L, Bilo G, et al. European Society of Hypertension position paper on ambulatory blood pressure monitoring. J Hypertens. 2013;31:1731–68.CrossRefGoogle Scholar
  5. 5.
    Stergiou GS, Asayama K, Thijs L, Kollias A, Niiranen TJ, Hozawa A, et al. Prognosis of white-coat and masked hypertension: International Database of HOme blood pressure in relation to Cardiovascular Outcome. Hypertension. 2014;63(4):675–82.CrossRefGoogle Scholar
  6. 6.
    Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 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: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Hypertension. 2018;71:e13–e115.Google Scholar
  7. 7.
    Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. J Hypertens. 2018;36:1953–2041.CrossRefGoogle Scholar
  8. 8.
    Tsakiri C, Stergiou GS, Boivin JM. Implementation of home blood pressure monitoring in clinical practice. Clin Exp Hypertens. 2013;35:558–62.CrossRefGoogle Scholar
  9. 9.
    Imai Y, Kario K, Shimada K, Kawano Y, Hasebe N, Matsuura H, et al. The Japanese Society of Hypertension Guidelines for Self-monitoring of Blood Pressure at Home (Second Edition). Hypertens Res. 2012;35:777–95.CrossRefGoogle Scholar
  10. 10.
    Jung MH, Kim GH, Kim JH, Moon KW, Yoo KD, Rho TH, et al. Reliability of home blood pressure monitoring: in the context of validation and accuracy. Blood Press Monit. 2015;20:215–20.CrossRefGoogle Scholar
  11. 11.
    Akpolat T, Dilek M, Aydogdu T, Adibelli Z, Erdem DG, Erdem E. Home sphygmomanometers: validation versus accuracy. Blood Press Monit. 2009;14:26–31.CrossRefGoogle Scholar
  12. 12.
    Myers MG, Haynes RB, Rabkin SW. Canadian hypertension society guidelines for ambulatory blood pressure monitoring. Am J Hypertens. 1999;12:1149–57.CrossRefGoogle Scholar
  13. 13.
    Stowasser M, Armstrong R. Self-measurement of blood pressure: a paper for health professionals. National Heart Foundation of Australia 1999. www.heartfoundation.com.au. Accessed 18 Dec 2018.
  14. 14.
    Asmar R, Zanchetti A. Guidelines for the use of self-blood pressure monitoring: a summary report of the First International Consensus Conference. Groupe Evaluation & Measure of the French Society of Hypertension. J Hypertens. 2000;18:493–508.CrossRefGoogle Scholar
  15. 15.
    O’Brien E, Asmar R, Beilin L, Imai Y, Mallion JM, Mancia G, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens. 2003;21:821–48.CrossRefGoogle Scholar
  16. 16.
    Imai Y, Otsuka K, Kawano Y, Shimada K, Hayashi H, Tochikubo O, et al. Japanese Society of Hypertension (JSH) guidelines for self-monitoring of blood pressure at home. Hypertens Res. 2003;26:771–82.CrossRefGoogle Scholar
  17. 17.
    Stergiou G, Mengden T, Padfield PL, Parati G, O’Brien E. Working Group on Blood Pressure Monitoring of the European Society of Hypertension. Self monitoring of blood pressure at home. BMJ. 2004;329:870–1.CrossRefGoogle Scholar
  18. 18.
    Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in humans and experimental animals. Part 1. Blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension. 2005;45:142–61.CrossRefGoogle Scholar
  19. 19.
    Pickering TG, White WB, American Society of Hypertension Writing Group. American Society of Hypertension Position Paper: when and how to use self (home) and ambulatory blood pressure monitoring. J Clin Hypertens. 2008;10:850–5.CrossRefGoogle Scholar
  20. 20.
    Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, et al. European Society of Hypertension practice guidelines for home blood pressure monitoring. J Hum Hypertens. 2010;24:779–85.CrossRefGoogle Scholar
  21. 21.
    Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D, 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;52:1–9.CrossRefGoogle Scholar
  22. 22.
    Siu AL, Preventive Services Task Force US. Screening for high blood pressure in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015;163(10):778–86.CrossRefGoogle Scholar
  23. 23.
    Sharman JE, Howes FS, Head GA, et al. Home blood pressure monitoring: Australian expert consensus statement. J Hypertens. 2015;33:1721–8.CrossRefGoogle Scholar
  24. 24.
    Park S, Buranakitjaroen P, Chen CH, Chia YC, Divinagracia R, Hoshide S, et al. Expert panel consensus recommendations for home blood pressure monitoring in Asia: the Hope Asia Network. J Hum Hypertens. 2018;32:249–58.CrossRefGoogle Scholar
  25. 25.
    Myers MG, Tobe SW, McKay DW, Bolli P, Hemmelgarn BR, McAlister FA, et al. New algorithm for the diagnosis of hypertension. Am J Hypertens. 2005;18:1369–74.CrossRefGoogle Scholar
  26. 26.
    National Institute for Health and Clinical Excellence (NICE). Hypertension: the clinical management of primary hypertension in adults. Clinical Guideline. 2011;127. www.nice.org.uk/guidance/CG127. Accessed 18 Dec 2018
  27. 27.
    Parati G, Pickering TG. Home blood-pressure monitoring: US and European consensus. Lancet. 2009;373(9667):876–8.CrossRefGoogle Scholar
  28. 28.
    Wood S, Greenfield SM, Sayeed Haque M, Martin U, Gill PS, Mant J, et al. Influence of ethnicity on acceptability of method of blood pressure monitoring: a cross-sectional study in primary care. Br J Gen Pract. 2016;66:e577–86.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

  • George S. Stergiou
    • 1
    Email author
  • Gianfranco Parati
    • 2
    • 3
  • Yutaka Imai
    • 4
  • Richard J. McManus
    • 5
  • Geoff A. Head
    • 6
  • Kazuomi Kario
    • 7
  • Paul Muntner
    • 8
  • Martin G. Myers
    • 9
    • 10
  • James Sharman
    • 11
  • Eoin O’Brien
    • 12
  • Michael A. Weber
    • 13
  • Paul K. Whelton
    • 14
    • 15
  • Giuseppe Mancia
    • 16
  1. 1.Hypertension Center STRIDE-7National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria HospitalAthensGreece
  2. 2.Department of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly
  3. 3.Istituto Auxologico Italiano, IRCCS, Department of CardiovascularNeural and Metabolic SciencesMilanItaly
  4. 4.Tohoku Institute for Management of Blood PressureSendaiJapan
  5. 5.Nuffield Department of Primary Care Health SciencesUniversity of Oxford, Radcliffe Observatory QuarterOxfordUK
  6. 6.Baker Heart and Diabetes InstituteMelbourneAustralia
  7. 7.Division of Cardiovascular Medicine, Department of MedicineJichi Medical University School of Medicine (JMU)TochigiJapan
  8. 8.Department of EpidemiologyUniversity of Alabama at BirminghamBirminghamUSA
  9. 9.Division of CardiologySchulich Heart Program, Sunnybrook Health Sciences CentreTorontoCanada
  10. 10.Department of MedicineUniversity of TorontoTorontoCanada
  11. 11.Menzies Institute for Medical ResearchUniversity of TasmaniaHobartAustralia
  12. 12.The Conway InstituteUniversity College DublinDublinIreland
  13. 13.Division of Cardiovascular MedicineState University of New York, Downstate Medical CenterNew YorkUSA
  14. 14.Department of EpidemiologyTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  15. 15.Department of MedicineTulane University School of MedicineNew OrleansUSA
  16. 16.University of Milano-BicoccaMilanItaly

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