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May 23, 2008HypertensionOpen Access

Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring

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Why the study?

Does home blood pressure monitoring improve blood pressure management and cardiovascular risk prediction compared to office blood pressure measurement in patients with or at risk for hypertension?

Population

Patients with known or suspected hypertension, prehypertension, diabetes, kidney disease, pregnant women…

Comparison

Home blood pressure monitoring using… vs Traditional office blood pressure measurement

Design

Guideline

Authors

TPThomas G. PickeringNMNancy Houston MillerGOGbenga Ogedegbe

Discussion

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Overview

Supports routine home BP monitoring in hypertension care; extends evidence for superior risk prediction versus office measurements.

Structured PICO

Does home blood pressure monitoring improve blood pressure management and cardiovascular risk prediction compared to office blood pressure measurement in patients with or at risk for hypertension?

P
Population
Patients with known or suspected hypertension, prehypertension, diabetes, kidney disease, pregnant women, children, and the elderly
I
Intervention
Home blood pressure monitoring (HBPM) using oscillometric monitors on the upper arm
C
Comparator
Traditional office blood pressure measurement
O
Outcome
Accurate blood pressure measurement and cardiovascular risk predictionsurrogate

Home blood pressure monitoring is recommended as a routine, accurate, and cost-effective tool for diagnosing and managing hypertension, predicting cardiovascular risk better than traditional office measurements.

Cite This Study

Pickering et al. (2008) conducted a review in Hypertension. Home blood pressure monitoring (HBPM) vs. Traditional office blood pressure measurement was evaluated. Home blood pressure monitoring is recommended as a routine component of BP measurement for most patients with known or suspected hypertension, with a target goal of <135/85 mm Hg.

synapsesocial.com/papers/6a093437071d6da446961237https://doi.org/10.1161/hypertensionaha.107.189010
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Also Consider

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  4. 4Prognosis of “Masked” Hypertension and “White-Coat” Hypertension Detected by 24-h Ambulatory Blood Pressure Monitoring2005 · 576 citations
  5. 5Blood Pressure Characteristics of Hypertensive Patients in Austria as Determined by Self-monitoring (SCREEN-II)2003 · 12 citations