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February 1, 2002Blood Pressure Monitoring

Self-monitored blood pressure: a role in clinical practice?

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Why the study?

Does self-monitoring of blood pressure improve blood pressure control and outcome prediction compared to clinic measurement in hypertensive patients?

Population

Potentially hypertensive individuals and patients with hypertension

Comparison

Electronic self-monitoring of blood pressure vs Clinic blood pressure measurement and ambulatory…

Design

Review

Authors

PPPaul L. PadfieldGeneral / Preventive / Lipids

Discussion

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Implication

May support self-monitoring as ambulatory alternative in hypertension; leaves open confirmation of outcome benefits versus clinic measurement in RCTs.

Structured PICO

Does self-monitoring of blood pressure improve blood pressure control and outcome prediction compared to clinic measurement in hypertensive patients?

P
Population
Potentially hypertensive individuals and patients with hypertension
I
Intervention
Electronic self-monitoring of blood pressure (SBPM)
C
Comparator
Clinic blood pressure measurement and ambulatory blood pressure monitoring (ABPM)
O
Outcome
Blood pressure control and outcome prediction

Self-monitoring of blood pressure is a valid and practical alternative to ambulatory monitoring and is superior to routine clinic measurement for managing hypertension.

Limitations

  • Availability of validated devices
  • Quality of training of patients
  • Possibility of inaccurate recording

Cite This Study

Paul L. Padfield (2002) studied this question.

synapsesocial.com/papers/6a8517ba5c0b46d4e2991949https://doi.org/10.1097/00126097-200202000-00008

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reliability of Self-reported Blood Pressure Measurements1999 · 127 citations
  2. 2Home Blood Pressure as a Predictor of Future Blood Pressure Stability in Borderline Hypertension The Tecumseh Study1997 · 55 citations
  3. 3Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.1994 · 1,682 citations
  4. 4Reference Values for Self-recorded Blood Pressure1998 · 138 citations
  5. 5Guidelines for the use of self-blood pressure monitoring2000 · 214 citations