Key result
Home blood pressure monitoring is superior to clinic measurements in predicting cardiovascular events and mortality, and increases patient adherence to therapy resulting in lower blood pressure.
Why the study?
Does home blood pressure monitoring improve the diagnosis and management of hypertension compared to clinic measurements?
Does home blood pressure monitoring improve the diagnosis and management of hypertension compared to clinic measurements?
Home blood pressure monitoring is a well-tolerated, relatively inexpensive tool that is superior to clinic measurements for predicting cardiovascular events and improves patient adherence and blood pressure control.
Answers are grounded in this paper and cite their sources.
May support home BP monitoring in hypertension care; leaves open confirmation in randomized outcome trials.
Home blood pressure monitoring is the self-measurement of blood pressure by patients. In the diagnosis and management of high blood pressure it is complementary to 24-hour ambulatory blood pressure monitoring and clinic blood pressure measurements. Home monitoring can also help to identify white-coat and masked hypertension. Home monitoring has good reproducibility, is well tolerated and relatively inexpensive. It is superior to blood pressure taken in the clinic in predicting cardiovascular events and mortality. Twice-daily measurements are recommended, usually in the morning and evening for a minimum of five days. The threshold for defining hypertension is an average home blood pressure of 135/85 mmHg or above. Patients are engaged with their management when they monitor their own blood pressure. This results in increased adherence to therapy and lower blood pressure.
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Barry P. McGrath (2015) conducted a review in Hypertension. Home blood pressure monitoring vs. Clinic blood pressure measurements was evaluated. Home blood pressure monitoring is superior to clinic measurements in predicting cardiovascular events and mortality, and increases patient adherence to therapy resulting in lower blood pressure.
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