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

James E. Sharman, Faline S. Howes, Geoffrey A. Head, Barry P. McGrath, Michael Stowasser, Markus Schlaich, Paul Glasziou, Mark R. Nelson

Research output: Contribution to journalArticleResearchpeer-review

8 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)31-34
Number of pages4
JournalAustralian Family Physician
Volume45
Issue number1-2
Publication statusPublished - 8 Apr 2016

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Blood Pressure
Delivery of Health Care
Ambulatory Blood Pressure Monitoring
Hypertension
Reading
Arm
Exercise
Food
Equipment and Supplies

Cite this

Sharman, J. E., Howes, F. S., Head, G. A., McGrath, B. P., Stowasser, M., Schlaich, M., ... Nelson, M. R. (2016). How to measure home blood pressure: Recommendations for healthcare professionals and patients. Australian Family Physician, 45(1-2), 31-34.
Sharman, James E. ; Howes, Faline S. ; Head, Geoffrey A. ; McGrath, Barry P. ; Stowasser, Michael ; Schlaich, Markus ; Glasziou, Paul ; Nelson, Mark R. / How to measure home blood pressure: Recommendations for healthcare professionals and patients. In: Australian Family Physician. 2016 ; Vol. 45, No. 1-2. pp. 31-34.
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Sharman, JE, Howes, FS, Head, GA, McGrath, BP, Stowasser, M, Schlaich, M, Glasziou, P & Nelson, MR 2016, 'How to measure home blood pressure: Recommendations for healthcare professionals and patients' Australian Family Physician, vol. 45, no. 1-2, pp. 31-34.

How to measure home blood pressure: Recommendations for healthcare professionals and patients. / Sharman, James E.; Howes, Faline S.; Head, Geoffrey A.; McGrath, Barry P.; Stowasser, Michael; Schlaich, Markus; Glasziou, Paul; Nelson, Mark R.

In: Australian Family Physician, Vol. 45, No. 1-2, 08.04.2016, p. 31-34.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - How to measure home blood pressure: Recommendations for healthcare professionals and patients

AU - Sharman, James E.

AU - Howes, Faline S.

AU - Head, Geoffrey A.

AU - McGrath, Barry P.

AU - Stowasser, Michael

AU - Schlaich, Markus

AU - Glasziou, Paul

AU - Nelson, Mark R.

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N2 - BackgroundHome 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.ObjectiveThe 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.DiscussionHome 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.

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Sharman JE, Howes FS, Head GA, McGrath BP, Stowasser M, Schlaich M et al. How to measure home blood pressure: Recommendations for healthcare professionals and patients. Australian Family Physician. 2016 Apr 8;45(1-2):31-34.