Interní Med. 2009; 11(11): 494-497

Why and how to check blood pressure at home

doc.MUDr.Eliška Sovová, Ph.D., MBA
I. interní klinika FN a LF UP v Olomouci

Cardiovascular mortality is the leading cause of death in the developed countries. High blood pressure is one of the essential risk factors. In

2002, the Prospective Studies Collaborators study was published which summarized the findings of 61 observational studies on the association

of hypertension and mortality from cardiovascular diseases (CVD). Based on this metaanalysis, a correlation between blood pressure level

and the risk of death from CVD was clearly confirmed. In 2007, the latest European guidelines for the diagnosis and treatment of hypertension

were issued that place an emphasis on the assessment of cardiovascular risk. Regular blood pressure measurements (ambulatory, 24-hour

monitoring, home BP measurements) are recommended in accordance with proper treatment and in order to reduce organ complications.

Home blood pressure measurement can determine the risk of organ complications better than that performed in the surgery. Home measurement

is relatively inexpensive, excludes the white coat syndrome, confirms masked hypertension and improves treatment adherence,

and leads to obtaining more information on therapy efficacy. The paper reviews the options of home blood pressure measurement – how

to choose the device, how and how often to perform correct measurements, and what the most common measurement errors are.

errors, patient education.

Keywords: home blood pressure measurement, monitor selection, cuff, blood pressure measurement method, blood pressure measurement

Published: May 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Sovová E. Why and how to check blood pressure at home. Interní Med. 2009;11(11):494-497.

Download citation

References

  1. Laurent S, Cockcroft J, Van Bortel L, et al. On behalf of the European Network for non invasive investigation of large arteries. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006 27: 2588-2605. Go to original source... Go to PubMed...
  2. Mancia G, Facchetti R, Bombelli M, et al. Long term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension 2006; 47: 846-853. Go to original source... Go to PubMed...
  3. Ohkubo T, Kikuya M, Metoki H, et al. Prognosis of masked hypertension and white-coat hypertension detected by 24-h ambulatory blood pressure monitoring. J Am Coll Cardiol 2005; 46: 508-515. Go to original source... Go to PubMed...
  4. Guidelines Sub-Committee. 1999 Health Organization/International Society of Hypertension Guidelines for the management of hypertension. J Hypertens 1999; 17: 151-183. Go to original source...
  5. Prospective Studies Collaborators. Age-specific relevance of usual blood pressure to vascular mortality: a meta analysis of individual data of one million adults in 61 prospective studies. Lancet 2002; 360: 1903-1913. Go to original source... Go to PubMed...
  6. Špinar J, Vítovec J. Hypertenze, diagnostika a léčba. Praha: Grada 1999.
  7. Widimský J, a kol. Hypertenze. 2. rozšířené a přepracované vydání. Praha: Triton 2004.
  8. 2007 Guidelines fot the management of arterial hypertension: the task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal of Hypertension 2007; 25(6): 1105-1187. Go to PubMed...
  9. Widimský J jn, Cífková R, Špinar J, et al. Doporučení diagnostických a léčebných postupů u arteriální hypertenze - verze 2007. Cor Vasa 2008; 50 (1): Kardio 5-22.
  10. O´Brien E, Asmar R, Beilin L, et al. European Society of Hypertension Recommendation for Conventional, Ambulatory and Home Blood Pressure Measurement. J Hypertension 2003; 21: 821-848. Go to original source... Go to PubMed...
  11. O´Brien E, Asmar R, Beilin L, et al. Practice guidelines of the European Society of Hypertension for clinic, ambulatory and self blood pressure measurement J Hypertens 2005; 23: 697-701. Go to original source... Go to PubMed...
  12. Fagard RH, Van Den Broeke C, et al. Prognostic significance of blood pressure measured in the office, at home and during ambulatory monitoring in older patiens in general practice. J Hum Hypertens 2005; 19: 801-807. Go to original source... Go to PubMed...
  13. Ohkubo T, Imag Y, Tsug I, et al. Home blood pressure measurement has a stronger predictive power for mortality than does screening blood pressure measurements: a population-based observation in Ohasama Japan. J Hypertension 1998; 16: 971-975. Go to original source... Go to PubMed...
  14. Verberk WJ, Kroon AA, Kessels AG, et al. Home blood pressure measurement. A systematic review. JACC 2005; 46 (5): 743-751. Go to original source... Go to PubMed...
  15. O´Brien E, Pickering T, Staessen J, et al. Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protokol for validation of blood pressure measuring device in adults. Blood Press Monit 2002; 7: 3-17. Go to original source... Go to PubMed...
  16. Peleška J. Domácí měření krevního tlaku. Med pro Praxi 2006; 3: 111-114.
  17. Dorigatti F, Bonso E, Saladini F, et al. Validation of the visocor HM40 wrist blood pressure measuring device according to the International Protokol. Blood Presure Monitoring 2009; 14: 83-86. Go to original source... Go to PubMed...
  18. Stergiou GS, Christodoulakis GR, Nasothimiou EG, et al. Can validated wrist device with position sensors replace arm device for self home blood pressure monitoring as reference. Am J Hypertens 2008; 21: 753-758. Go to original source... Go to PubMed...
  19. Sovová E, Hrčková I, Kmoníčková A, Marečková J. Hypertenze pro praxi: pro lékaře, pro studenty, pro sestry, pro pacienty. Nakladatelství UP Olomouc 2008.




Internal Medicine for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.