Why the study?
Hypertension is a major cardiovascular risk factor, and advances in electronic technology have expanded blood pressure measurement beyond the physician's office.
Does out-of-office blood pressure monitoring improve the detection and management of hypertension?
Does out-of-office blood pressure monitoring improve the detection and management of hypertension?
Out-of-office blood pressure monitoring, including HBPM and ABPM, is an effective tool for detecting abnormal BP phenotypes and improving hypertension management and prognosis.
Supports integration of out-of-office BP monitoring into hypertension evaluation; leaves open need for outcome trials before broad practice change.
Hypertension is one of the most common chronic diseases as well as the leading risk factor for cardiovascular disease (CVD). Efficient screening and accurate blood pressure (BP) monitoring are the basic methods of detection and management. However, with developments in electronic technology, BP measurement and monitoring are no longer limited to the physician's office. Epidemiological and clinical studies have documented strong evidence for the efficacy of out-of-office BP monitoring in multiple fields for managing hypertension and CVD. This review discusses applications for out-of-office BP monitoring, including home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring (ABPM), based on recent epidemiological data and clinical studies regarding the following factors: the detection of abnormal BP phenotypes, namely, white coat hypertension and masked hypertension; stronger ability to determine the prognosis for target organ damage and mortality; better BP control; screening for hypotension; and unique approaches to identifying circadian BP patterns and BP variability.
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Zhu et al. (2020) studied this question.
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