Sitting on the Evidence: What Is the Proper Patient Position for the Office Measurement of Blood Pressure?
Why the study?
Does measuring blood pressure in the sitting position compared to the supine position provide better prognostic value for cardiovascular outcomes?
Population
Patients undergoing routine office measurement of blood pressure
Comparison
Blood pressure measurement in the sitting position vs Blood pressure measurement in the supine position
Design
Review
Authors
Discussion
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Member takes
Implication
Supports sitting BP measurement to match trial standards; leaves open whether supine values add independent prognostic value.
Structured PICO
Does measuring blood pressure in the sitting position compared to the supine position provide better prognostic value for cardiovascular outcomes?
P
Population
Patients undergoing routine office measurement of blood pressure
I
Intervention
Blood pressure measurement in the sitting position
C
Comparator
Blood pressure measurement in the supine position
O
Outcome
Differences in blood pressure values and correlation with cardiovascular outcomes
Routine office blood pressure should be measured in the sitting position because the evidence base establishing hypertension treatment targets and cardiovascular risk was derived from sitting measurements.
Cite This Study
Mosenkis et al. (2005) studied this question.