Sharman, JE and Howes, FS and Head, GA and McGrath, BP and Stowasser, M and Schlaich, MF and Glasziou, P and Nelson, MR, How to measure home blood pressure: Recommendations for healthcare professionals and patients, Australian Family Physician, 45, (1) pp. 31-34. ISSN 0300-8495 (2016) [Contribution to Refereed Journal]
Background: Home blood pressure (BP) monitoring is the self-measurement of BP in the home environment. It is complementary to 24-hour ambulatory BP, for better diagnosis and management of patients with high BP. Home BP monitoring is in widespread use, but variation in monitoring protocols could lead to inaccurate assessment of BP.
Objective: The aim of this article is to provide a practical guide (with resources) for patients and doctors on how to measure home BP according to a standardised, evidence-based protocol.
Discussion: Home BP should be measured using a validated, automatic BP device (preferably with memory storage), using an appropriately sized upper arm cuff. Measurements should be taken after five minutes of seated rest and before medication, food or vigorous exercise. BP should be recorded for seven days (five days minimum) in the morning and evening (two readings each). Overall, home BP is the average systolic and diastolic BP over seven days (excluding the first day); an average of ≥135/85 mmHg is indicative of hypertension.
|Item Type:||Contribution to Refereed Journal|
|Keywords:||Blood pressure measurement|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Primary health care|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Sharman, JE (Professor James Sharman)|
|UTAS Author:||Howes, FS (Dr Faline Howes)|
|UTAS Author:||Nelson, MR (Professor Mark Nelson)|
|Web of Science® Times Cited:||10|
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