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Aust Prescr. 2015 Feb;38(1):16-9. doi: 10.18773/austprescr.2015.005. Epub 2015 Feb 02.

Home monitoring of blood pressure.

Australian prescriber

Barry P McGrath

Affiliations

  1. National Test Centre, Australian Medical Council, Melbourne.

PMID: 26648605 PMCID: PMC4654038 DOI: 10.18773/austprescr.2015.005

Abstract

Home blood pressure monitoring is the self-measurement of blood pressure by patients. In the diagnosis and management of high blood pressure it is complementary to 24-hour ambulatory blood pressure monitoring and clinic blood pressure measurements. Home monitoring can also help to identify white-coat and masked hypertension. Home monitoring has good reproducibility, is well tolerated and relatively inexpensive. It is superior to blood pressure taken in the clinic in predicting cardiovascular events and mortality. Twice-daily measurements are recommended, usually in the morning and evening for a minimum of five days. The threshold for defining hypertension is an average home blood pressure of 135/85 mmHg or above. Patients are engaged with their management when they monitor their own blood pressure. This results in increased adherence to therapy and lower blood pressure.

Keywords: blood pressure; hypertension; patient compliance; self-monitoring

References

  1. J Hypertens. 2001 Feb;19(2):179-85 - PubMed
  2. J Hypertens. 2012 Jul;30(7):1478-86 - PubMed
  3. Blood Press Monit. 1996 Jun;1(3):251-254 - PubMed
  4. J Hum Hypertens. 2010 Dec;24(12):779-85 - PubMed
  5. J Hypertens. 2013 Mar;31(3):455-67; discussion 467-8 - PubMed
  6. J Hypertens. 2012 Mar;30(3):449-56 - PubMed
  7. Aust Fam Physician. 2010 Jul;39(7):511-6 - PubMed
  8. Hypertens Res. 2012 Aug;35(8):777-95 - PubMed
  9. Circulation. 2005 Apr 12;111(14):1777-83 - PubMed
  10. J Hypertens. 2011 Apr;29(4):749-57 - PubMed
  11. BMJ. 2005 Sep 3;331(7515):493 - PubMed
  12. J Hypertens. 2008 Sep;26(9):1715-25 - PubMed
  13. Am J Hypertens. 2002 Feb;15(2 Pt 1):101-4 - PubMed
  14. J Hypertens. 2007 Nov;25(11):2193-8 - PubMed
  15. Hypertens Res. 2004 Sep;27(9):633-9 - PubMed
  16. Am J Hypertens. 2005 Nov;18(11):1415-20 - PubMed
  17. J Clin Hypertens (Greenwich). 2006 Mar;8(3):174-80 - PubMed
  18. Circ Cardiovasc Qual Outcomes. 2013 Mar 1;6(2):157-63 - PubMed
  19. Ann Intern Med. 2013 Aug 6;159(3):185-94 - PubMed
  20. J Hypertens. 2006 Jan;24(1):169-75 - PubMed
  21. Hypertens Res. 2002 Mar;25(2):167-73 - PubMed
  22. Hypertension. 2007 Dec;50(6):1019-25 - PubMed
  23. J Hypertens. 2013 Jul;31(7):1281-357 - PubMed
  24. Blood Press. 2003;12(4):211-9 - PubMed
  25. J Cardiovasc Risk. 2002 Apr;9(2):123-9 - PubMed
  26. J Hypertens. 2006 Mar;24(3):463-70 - PubMed
  27. Am J Hypertens. 2000 Jun;13(6 Pt 1):632-9 - PubMed
  28. J Hypertens Suppl. 1985 Apr;3(1):S31-4 - PubMed
  29. Hypertension. 2011 Jan;57(1):3-10 - PubMed
  30. J Hypertens. 1998 Jul;16(7):971-5 - PubMed
  31. J Hypertens. 2008 Oct;26(10):1919-27 - PubMed
  32. Arch Intern Med. 2005 Jul 11;165(13):1541-6 - PubMed
  33. J Hypertens. 2012 Feb;30(2):253-66 - PubMed
  34. Am J Hypertens. 2012 Aug;25(8):883-91 - PubMed
  35. Br J Gen Pract. 2010 Sep;60(578):675-80 - PubMed
  36. Clin Exp Pharmacol Physiol. 2014 Jan;41(1):22-9 - PubMed
  37. Hypertens Res. 2010 Sep;33(9):937-43 - PubMed
  38. Hypertension. 2013 May;61(5):964-71 - PubMed
  39. Can J Cardiol. 2012 May;28(3):270-87 - PubMed
  40. Am J Hypertens. 2011 Jan;24(1):52-8 - PubMed
  41. Intern Med. 2004 Sep;43(9):771-8 - PubMed
  42. J Hypertens. 2009 Aug;27(8):1672-8 - PubMed
  43. Lancet. 2010 Mar 13;375(9718):938-48 - PubMed

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