Should home blood pressure measurement be used in clinical practice?
George S Stergiou
Correspondence Third University Department of Medicine, The Hypertension Center, Sotiria Hospital, 152 Mesogion Avenue, Athens 11527, Greece
Email gstergi@med.uoa.gr
This article has no abstract so we have provided the first paragraph of the full text.
HBPM is being carried out increasingly by patients and all hypertension guidelines have endorsed the application of HBPM in the management of hypertension in clinical practice. In this paper, Verberk et al. review the evidence on several important issues regarding HBPM. They arrive at useful conclusions, which are generally in agreement with the recommendations of the ESH Working Group on Blood Pressure Monitoring.1, 2 They clearly identify the accurate devices (list available at http://www.dableducational.org), the appropriate monitoring schedule (duplicate morning and evening measurements for at least three working days) and the threshold for HBPM normalcy (under 135/85 mmHg), all of which are essential to optimize the application of this technique in practice. Given that HBPM has been shown to improve both treatment decisions1, 2 and patients' compliance,3 and is being used increasingly, it has the potential to improve hypertension control in the population.3 Physicians should therefore implement the conclusions by Verberk et al. in daily practice by training and supervising their patients carefully in the optimum application of HBPM.
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