Key result
Averaging second and third office BP readings optimizes measurement reproducibility and clinical feasibility.
Why the study?
Recommended office blood pressure measurement procedures differ significantly across major guidelines and outcome studies, complicating cross-study comparability and challenging daily clinical practice.
Standardizing office blood pressure measurements to the mean of the second and third readings after a 5-minute rest period may improve diagnostic accuracy and prevent over- or under-treatment of hypertension.
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May reduce misclassification in hypertension diagnosis; leaves open prospective outcome trials before changing practice.
Vischer et al. (2021) conducted a review in Arterial hypertension. Office blood pressure measurement was evaluated. Office blood pressure measurement utilizing the mean of the second and third readings after a 5-minute rest period provides the best compromise between measurement stability, feasibility, and reproducibility.
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