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International Consensus on Standardized Clinic Blood Pressure Measurement – A Call to Action

  • Alfred K. Cheung
    Affiliations
    Division of Nephrology and Hypertension, Department of Internal Medicine, University of Utah Health, Salt Lake City, Utah, USA

    Kidney Disease: Improving Global Outcomes
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  • Paul K. Whelton
    Affiliations
    Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana

    World Hypertension League
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  • Paul Muntner
    Affiliations
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA

    American Heart Association

    Kidney Disease: Improving Global Outcomes
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  • Aletta E. Schutte
    Affiliations
    School of Population Health, University of New South Wales, Sydney, NSW, Australia

    The George Institute for Global Health, Sydney, NSW, Australia

    International Society of Hypertension

    Lancet Commission of Hypertension
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  • Andrew E. Moran
    Affiliations
    Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Resolve to Save Lives
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  • Bryan Williams
    Affiliations
    Chair of Medicine, University College London, London, UK

    President-Elect, International Society of Hypertension

    European Society of Cardiology

    Resolve to Save Lives
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  • Pantelis Sarafidis
    Affiliations
    Department of Nephrology, Hippokration Hospital, Aristotle University, Thessaloniki, Greece

    European Society of Hypertension
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  • Tara I. Chang
    Affiliations
    Division of Nephrology, Stanford University School of Medicine, Palo Alto, California, USA

    Kidney Disease: Improving Global Outcomes
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  • Stella S. Daskalopoulou
    Affiliations
    Division of Experimental Medicine, Department of Medicine, Faculty of Medicine, Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada

    Division of Internal Medicine, Department of Medicine, Faculty of Medicine, McGill University Health Centre, McGill University Montreal, Canada

    Hypertension Canada
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  • John M. Flack
    Affiliations
    Department of Internal Medicine, Southern Illinois School of Medicine, Springfield, IL, USA

    American Heart Association
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  • Garry Jennings
    Affiliations
    The University of Sydney, Sydney, New South Wales, Australia

    National Heart Foundation of Australia
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  • Stephen P. Juraschek
    Affiliations
    Division of General Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts

    American Heart Association
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  • Reinhold Kreutz
    Affiliations
    Charité – Universitätsmedizin Berlin, Institute of Clinical Pharmacology and Toxicology, Charitéplatz 1, 10117 Berlin, Germany

    European Society of Hypertension
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  • Giuseppe Mancia
    Affiliations
    University of Milano-Bicocca, Milan, Italy

    European Society of Hypertension
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  • Shawna Nesbitt
    Affiliations
    University of Texas Southwestern, 5323 Harry Hines Blvd S2.210, Dallas, TX, 75390-9006, USA

    American Heart Association
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  • Pedro Ordunez
    Affiliations
    Department of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington DC, USA
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  • Raj Padwal
    Affiliations
    Department of Medicine, University of Alberta, Edmonton, AB, Canada

    Hypertension Canada
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  • Alexandre Persu
    Affiliations
    Division of Cardiology, Cliniques Universitaires Saint-Luc and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium

    European Society of Hypertension
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  • Doreen Rabi
    Affiliations
    Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

    Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

    Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

    Hypertension Canada
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  • Markus P. Schlaich
    Affiliations
    Dobney Hypertension Centre, Medical School - Royal Perth Hospital Unit, Royal Perth Hospital Research Foundation, The University of Western Australia, Perth, WA, Australia

    High Blood Pressure Research Council of Australia
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  • George S. Stergiou
    Affiliations
    Hypertension Centre STRIDE, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece

    European Society of Hypertension

    International Society of Hypertension
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  • Sheldon W. Tobe
    Affiliations
    Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada

    Northern Ontario School of Medicine, Sudbury, Ontario, Canada

    Hypertension Canada

    Kidney Disease: Improving Global Outcomes
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  • Maciej Tomaszewski
    Affiliations
    Division of Cardiovascular Sciences, Faculty of Medicine, Biology and Health, University of Manchester, Manchester, UK

    Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, Manchester, UK

    International Society of Hypertension
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  • Kim A. Williams Sr.
    Affiliations
    Department of Internal Medicine, University of Louisville School of Medicine, Louisville, KY

    American College of Cardiology
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  • Johannes F.E. Mann
    Correspondence
    Corresponding and senior author: Johannes F.E. Mann, KfH Kidney Center, Isoldenstreet 15, DE 80804 Munich, Germany
    Affiliations
    KfH Kidney Center, Munich, Germany

    Friedrich Alexander University of Erlangen-Nürnberg, Erlangen, Germany

    Kidney Disease: Improving Global Outcomes
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Published:January 05, 2023DOI:https://doi.org/10.1016/j.amjmed.2022.12.015
      High blood pressure (BP) is the single leading risk factor for cardiovascular disease worldwide,
      • Flint AC
      • Conell C
      • Ren X
      • et al.
      Effect of Systolic and Diastolic Blood Pressure on Cardiovascular Outcomes.
      • Fuchs FD
      • Whelton PK.
      High Blood Pressure and Cardiovascular Disease.
      • He J
      • Whelton PK.
      Elevated systolic blood pressure and risk of cardiovascular and renal disease: overview of evidence from observational epidemiologic studies and randomized controlled trials.
      • Rapsomaniki E
      • Timmis A
      • George J
      • et al.
      Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1.25 million people.
      and BP lowering substantially reduces that risk.
      Blood Pressure Lowering Treatment Trialists Collaboration
      Pharmacological blood pressure lowering for primary and secondary prevention of cardiovascular disease across different levels of blood pressure: an individual participant-level data meta-analysis.
      • Bundy JD
      • Li C
      • Stuchlik P
      • et al.
      Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality: A Systematic Review and Network Meta-analysis.
      • Ettehad D
      • Emdin CA
      • Kiran A
      • et al.
      Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis.
      Effective BP management relies on accurate measurement. This joint statement from 13 scientific health organizations around the globe has the focused goal of emphasizing the importance of, and introducing a pragmatic approach to, standardized clinic BP measurement implemented in clinical practice.

      Keywords

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