This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (17) Citing Articles via Google Scholar Google Scholar Articles by Verberk, W. J. Articles by de Leeuw, P. W. Search for Related Content PubMed PubMed Citation Articles by Verberk, W. J. Articles by de Leeuw, P. W.

STATE-OF-THE-ART PAPER

Home Blood Pressure Measurement

A Systematic Review

Willem J. Verberk, MSc^_*, Abraham A. Kroon, MD, PhD^_*, Alfons G.H. Kessels, MD, MSc and Peter W. de Leeuw, MD, PhD^_*,_*

^_* Department of Medicine, University Hospital Maastricht and Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands
Department of Clinical Epidemiology and Technology Assessment, University Hospital Maastricht, Maastricht, the Netherlands

Manuscript received March 21, 2005; revised manuscript received May 2, 2005, accepted May 16, 2005.

^_* Reprint requests and correspondence: Prof. Dr. Peter W. de Leeuw, Department of Medicine, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, the Netherlands (Email: p.deleeuw{at}intmed.unimaas.nl).

The purpose of this research was to review the literature on home blood pressure measurement (HBPM) and to provide recommendations regarding HBPM assessment. Observational studies on HBPM, published after 1992, as identified by PubMed, EMBASE, and Cochrane literature searches were reviewed. Studies were selected if they met the following criteria: 1) self-measurements had been performed with validated devices; 2) measurement procedures were described in sufficient detail; and 3) papers clearly explained how final HBPM results were calculated upon which conclusions and/or treatment decisions were based. Office blood pressure measurement (OBPM) yields higher blood pressure values than HBPM. For systolic blood pressure, differences between OBPM and HBPM increase with age and the height of office pressure. Differences also tend to be greater in men than in women and greater in patients without than in those with antihypertensive treatment. Furthermore, HBPM can diagnose normotension with almost absolute certainty; it correlates better with target organ damage and cardiovascular mortality than OBPM, it enables prediction of sustained hypertension in patients with borderline hypertension, and it proves to be an appropriate tool for assessing drug efficacy. Despite some limitations and although more data are needed, HBPM is suitable for routine clinical practice.

Abbreviations and Acronyms   AAMI = Association for the Advancement of Medical Instrumentation   ABPM = ambulatory blood pressure measurement   BHS = British Hypertension Society   BP = blood pressure   CI = confidence interval   DBP = diastolic blood pressure   ESH = European Society of Hypertension   HBP(M) = home blood pressure (measurement)   OBPM = office blood pressure measurement   SBP = systolic blood pressure   TOD = target organ damage

This article has been cited by other articles:

				R. J McManus, P. Glasziou, A. Hayen, J. Mant, P. Padfield, J. Potter, E. P Bray, and D. Mant Blood pressure self monitoring: questions and answers from a national conference BMJ, December 22, 2008; 337(dec22_1): a2732 - a2732. [Full Text]

				J. Ishikawa, D. J. Carroll, S. Kuruvilla, J. E. Schwartz, and T. G. Pickering Changes in Home Versus Clinic Blood Pressure With Antihypertensive Treatments: A Meta-Analysis Hypertension, November 1, 2008; 52(5): 856 - 864. [Abstract] [Full Text] [PDF]

				L. R. Krakoff On Treatment Blood Pressures: Which Can Be Trusted, Home or Clinic? Hypertension, November 1, 2008; 52(5): 795 - 796. [Full Text] [PDF]

				O. K. Bhattacharyya MD PhD, B. R. Shah MD PhD, and G. L. Booth MD MSc Management of cardiovascular disease in patients with diabetes: the 2008 Canadian Diabetes Association guidelines Can. Med. Assoc. J., October 21, 2008; 179(9): 920 - 926. [Full Text] [PDF]

				T. G. Pickering, N. H. Miller, G. Ogedegbe, L. R. Krakoff, N. T. Artinian, and D. Goff Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring: A Joint Scientific Statement From the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association Hypertension, July 1, 2008; 52(1): 10 - 29. [Abstract] [Full Text] [PDF]

				B. B. Green, A. J. Cook, J. D. Ralston, P. A. Fishman, S. L. Catz, J. Carlson, D. Carrell, L. Tyll, E. B. Larson, and R. S. Thompson Effectiveness of Home Blood Pressure Monitoring, Web Communication, and Pharmacist Care on Hypertension Control: A Randomized Controlled Trial JAMA, June 25, 2008; 299(24): 2857 - 2867. [Abstract] [Full Text] [PDF]

				W. J. Verberk, A. A. Kroon, J. W.M. Lenders, A. G.H. Kessels, G. A. van Montfrans, A. J. Smit, P.-H. M. van der Kuy, P. J. Nelemans, R. J.M.W. Rennenberg, D. E. Grobbee, et al. Self-Measurement of Blood Pressure at Home Reduces the Need for Antihypertensive Drugs: A Randomized, Controlled Trial Hypertension, December 1, 2007; 50(6): 1019 - 1025. [Abstract] [Full Text] [PDF]

				D. Conen, P. M Ridker, J. E Buring, and R. J Glynn Risk of cardiovascular events among women with high normal blood pressure or blood pressure progression: prospective cohort study BMJ, September 1, 2007; 335(7617): 432 - 432. [Abstract] [Full Text] [PDF]

				N. M. Kaplan Treatment of Hypertension: Remaining Issues After the Anglo-Scandinavian Cardiac Outcomes Trial Hypertension, January 1, 2006; 47(1): 10 - 13. [Full Text] [PDF]