Why the study?
How should home blood pressure monitoring be utilized for the management of arterial hypertension?
How should home blood pressure monitoring be utilized for the management of arterial hypertension?
This consensus statement provides standardized protocols, diagnostic thresholds, and management strategies for home blood pressure monitoring to improve hypertension control.
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Adopt these home BP targets to guide hypertension management; reinforces consensus and standardizes protocols for improved control.
" principle of HBP monitoring should be applied in clinical settings, including confirmation of hypertension diagnosis, 2 weeks after adjustment of antihypertensive medications, and at least every 3 months in well-controlled hypertensive patients. A good reproducibility of HBP monitoring could be achieved by individuals carefully following the instructions before and during HBP measurement, by using validated BP devices with an upper arm cuff. Corresponding to office BP thresholds of 140/90 and 130/80 mmHg, the thresholds (or targets) of HBP are 135/85 and 130/80 mmHg, respectively. HBP-based hypertension management strategies including bedtime dosing (for uncontrolled morning hypertension), shifting to drugs with longer-acting antihypertensive effect (for uncontrolled evening hypertension), and adding another antihypertensive drug (for uncontrolled morning and evening hypertension) should be considered. Only with the support from medical caregivers, paramedical team, or tele- monitoring, HBP monitoring could reliably improve the control of hypertension.
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Lin et al. (2020) conducted a review in Arterial Hypertension. Home Blood Pressure (HBP) monitoring was evaluated. Home blood pressure monitoring targets are recommended as 135/85 and 130/80 mmHg, corresponding to office thresholds of 140/90 and 130/80 mmHg, to improve the control of arterial hypertension.
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