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Blood pressure measurement at home


Authors: J. Filipovský
Authors‘ workplace: II. interní kliniky LF UK a FN v Plzni
Published in: Kardiol Rev Int Med 2006, 8(1-2): 32-35
Category: Editorial

Overview

Blood pressure measurement is a simple procedure, however, it must be done properly in order to get reliable values. Clinic blood pressure remains golden standard because it was used in the majority of large clinical trials performed in hypertension, but home blood pressure measurement becomes more and more important. It has numerous advantages: a large number of measurements is obtained, white coat effect or masked hypertension can be detected, patients’ adherence to therapy can increase etc. Its major advantage is that it predicts future cardiovascular events much better than clinic blood pressure; this applies not only to untreated subjects, but, more importantly, to treated hypertensive subjects as well. This is why we should motivate hypertensive patients to measure blood pressure at home in standardized conditions.

Key words:
blood pressure measurement – home blood pressure – cardiovascular risk


Sources

1.Asmar R, Zanchetti A et al. Guidelines for the use of self-blood pressure monitoring: a summary report of the first international consensus conference. J Hypertension 2000; 18: 493-508.

2.Guidelines Committee. 2003 European Society of Hypertension – European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertension 2003; 21: 1011-1053.

3.Cífková R, Horký K, Widimský J sr et al. Doporučení diagnostických a léčebných postupů u arteriální hypertenze – verze 2004. Doporučení České společnosti pro hypertenzi. Cor Vasa 2005; 47(1, Suppl K): 3-16.

4.Cappuccio FP, Kerry SM, Forbes L et al. Blood pressure control by home monitoring: meta-analysis of randomised trials. BMJ, doi:10.1136/bmj.38121.684410.AE.

5.Ohkubo T, Imai Y, Tsuji I et al. Home blood pressure measurement has a stronger predictive power for mortality than does screening blood pressure measurement: a population-based observation in Ohasama, Japan. J Hypertension 1998; 16: 971-975.

6.Bobrie G, Chatellier G, Genes N et al. Cardiovascular prognosis of „masked hypertension“ detected by blood pressure self-measurement in elderly treated hypertensive patients. JAMA 2004; 291: 1342-1349.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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