Key result
Ambulatory and home blood pressure monitoring serve as important supplements to office measurements for accurately diagnosing hypertension and detecting white-coat and masked hypertension.
Why the study?
Traditional clinical BP monitoring may not reflect BP outside the clinic, creating a need to examine the merits and limits of ABPM and HBPM in an Indian context.
Do ambulatory and home blood pressure monitoring improve hypertension management compared to office monitoring in Indian patients?
Do ambulatory and home blood pressure monitoring improve hypertension management compared to office monitoring in Indian patients?
ABPM and HBPM are crucial adjuncts to office blood pressure measurement for accurate diagnosis and management of hypertension in India, despite challenges in accessibility and patient anxiety.
May support out-of-office BP monitoring in India; leaves open optimal implementation strategies to raise control rates.
It is estimated that in India, one in four individuals have hypertension. However, only about 12% of these individuals achieve adequate blood pressure (BP) control. Uncontrolled BP is a major risk factor for cardiovascular diseases, including myocardial infarction and stroke. Along with an appropriate management plan, regular BP monitoring is the key. Traditional methods of monitoring BP in the clinical setting may not adequately reflect an individual’s BP outside of that setting, and higher BP in a non-clinical setting is linked to an increased risk of cardiovascular disease. Ambulatory BP monitoring (ABPM) and home BP monitoring (HBPM) are both recognized methods for measuring BP outside of the clinic. ABPM and HBPM have been recognized by several guidelines and are an effective adjunct to office-based monitoring to measure white-coat and masked hypertension. This review includes the perspectives of Indian specialists and discusses the merits and limits of the ABPM and HBPM in an Indian context.
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Garg et al. (2023) conducted a review in Hypertension. Ambulatory and home blood pressure monitoring vs. Office blood pressure monitoring was evaluated. Ambulatory and home blood pressure monitoring serve as important supplements to office measurements for accurately diagnosing hypertension and detecting white-coat and masked hypertension.
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