Home blood pressuremonitoring: Australian expert consensus statement

Sharman, James E., Howes, Faline S., Head, Geoffrey A., McGrath, Barry P., Stowasser, Michael, Schlaich, Markus, Glasziou, Paul and Nelson, Mark R. (2015) Home blood pressuremonitoring: Australian expert consensus statement. Journal of Hypertension, 33 9: 1721-1728. doi:10.1097/HJH.0000000000000673


Author Sharman, James E.
Howes, Faline S.
Head, Geoffrey A.
McGrath, Barry P.
Stowasser, Michael
Schlaich, Markus
Glasziou, Paul
Nelson, Mark R.
Title Home blood pressuremonitoring: Australian expert consensus statement
Journal name Journal of Hypertension   Check publisher's open access policy
ISSN 1473-5598
0263-6352
Publication date 2015-09
Sub-type Article (original research)
DOI 10.1097/HJH.0000000000000673
Open Access Status Not Open Access
Volume 33
Issue 9
Start page 1721
End page 1728
Total pages 8
Place of publication London, United Kingdom
Publisher Lippincott Williams and Wilkins
Collection year 2016
Language eng
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 135/85 mmHg 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.
Keyword Blood pressure
Blood pressure measurement
Guidelines
Home blood pressure
Hypertension
Management
Treatment
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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