Key result
Out-of-office blood pressure measurements, including ambulatory and home monitoring, are superior to clinic measurements for accurate diagnosis, risk stratification, and improving blood pressure control.
Why the study?
Do out-of-office blood pressure measurements improve the diagnosis and control of hypertension compared to clinic measurements?
Do out-of-office blood pressure measurements improve the diagnosis and control of hypertension compared to clinic measurements?
Out-of-office blood pressure monitoring, particularly home monitoring, is superior to clinic measurements for diagnosing hypertension, risk stratification, and improving patient compliance and blood pressure control.
Hypertension is a major cause of mortality worldwide. out-of-office/clinic blood pressure (BP) measurements (ambulatory BP monitoring [ABPM] and home BP monitoring [HBPM]) are superior to office/clinic measurements for the accurate diagnosis and risk-stratification of hypertensive patients. ABPM is able to provide additional information regarding prognostically important circadian rhythm abnormalities. HBPM is the preferred choice of patients. When used in conjunction with telemonitoring, it has the potential to improve treatment compliance and overcome treatment inertia resulting in better BP control. Challenges remain in implementation of universal HBPM monitoring.
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Azani Mohamed Daud (2011) conducted a review in Hypertension. Out-of-office blood pressure monitoring (ABPM and HBPM) vs. Office/clinic blood pressure measurements was evaluated. Out-of-office blood pressure measurements, including ambulatory and home monitoring, are superior to clinic measurements for accurate diagnosis, risk stratification, and improving blood pressure control.
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