Key result
Non-clinic blood pressure monitoring, including ambulatory and home measurements, improves the accuracy of hypertension diagnosis and cardiovascular risk assessment compared to clinic measurements.
Why the study?
This review was conducted to preferentially discuss the role of non-clinic blood pressure monitoring in making accurate diagnoses and guiding treatment decisions in hypertension.
Does non-clinic blood pressure measurement improve the accurate diagnosis and treatment of hypertension compared to clinic measurement?
Does non-clinic blood pressure measurement improve the accurate diagnosis and treatment of hypertension compared to clinic measurement?
Non-clinic blood pressure measurement provides a more precise assessment of cardiovascular risk and aids in the accurate diagnosis and management of hypertension.
May support wider clinical use of out-of-office BP monitoring; extends evidence synthesis but leaves outcome trials open.
Non-clinic blood pressure measurements are very important in confirming diagnosis of hypertension and they give us an idea of associated cardiovascular risk more precisely than clinic BP measurements. It can detect masked hypertension and white coat hypertension & ABPM especially can monitor night-time BP diagnosing individuals with nocturnal hypertension. Masked hypertension and nocturnal hypertension are strongly related with target organ damage along with enhanced morbidity and mortality due to cardiovascular causes. ABPM can also measure early morning rise of BP, mean 24 hour BP, diurnal variation as well as average real variability. Home BP monitoring by patients themselves leads to their greater involvement in maintaining BP records and in achieving treatment goals. The purpose of this review is to preferentially discuss role of non-clinic BP monitoring in making accurate diagnosis and deciding treatment of hypertension that might help a great deal in reducing morbidity and mortality associated with it. Asian Journal of Medical Sciences Vol.10(1) 2019 13-18
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Vinay Kapur (2018) conducted a review in Hypertension. Non-clinic blood pressure measurement vs. Clinic blood pressure measurement was evaluated. Non-clinic blood pressure monitoring, including ambulatory and home measurements, improves the accuracy of hypertension diagnosis and cardiovascular risk assessment compared to clinic measurements.
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