Abstract
Home blood pressure monitoring is a convenient and inexpensive technique to monitor
blood pressure in hypertensive patients. There are convincing data that home blood
pressure monitoring is a good predictor of future cardiovascular risk, perhaps better
than office blood pressure. Home blood pressure measurement can be standardized using
validated instruments and systematic protocols; normative criteria have established
home blood pressure >135/85 mm Hg as hypertensive. Home blood pressure monitoring
has been shown to improve compliance and blood pressure control, and to reduce health
care costs. Ongoing studies are evaluating management of hypertension based on home
blood pressure readings compared with traditional office-based readings. Home blood
pressure monitoring is particularly useful for evaluation of white coat hypertension
and masked hypertension. In this article, we discuss the methodology for measuring
blood pressure at home, its comparison to the other measurement techniques, the advantages
and disadvantages, cost benefit analyses, and ongoing clinical trials to help define
the role of home blood pressure monitoring in the clinical management of hypertension.
Keywords
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Article Info
Footnotes
Funding: None.
Conflict of Interest: None of the authors has a conflict of interest with this manuscript.
Authorship: We verify that all authors had access to the data and a role in writing the manuscript.
Identification
Copyright
© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
