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How to measure home blood pressure: Recommendations for healthcare professionals and patients

journal contribution
posted on 2023-05-22, 02:52 authored by James SharmanJames Sharman, Howes, FS, Head, GA, McGrath, BP, Stowasser, M, Schlaich, MF, Glasziou, P, Mark NelsonMark Nelson

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.

History

Publication title

Australian Family Physician

Volume

45

Pagination

31-34

ISSN

0300-8495

Department/School

Menzies Institute for Medical Research

Publisher

Royal Australian College of General Practitioners

Place of publication

Australia

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

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    University Of Tasmania

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