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Automated Office-Based Blood Pressure Measurement: an Overview and Guidance for Implementation in Primary Care

  • Romsai T. BoonyasaiEmail author
  • Erika L. McCannon
  • Joseph E. Landavaso
Implementation to Increase Blood Pressure Control: What Works? (Jeffrey Brettler and Kristi Reynolds, Section Editors)
  • 59 Downloads
Part of the following topical collections:
  1. Topical Collection on Implementation to Increase Blood Pressure Control: What Works?

Abstract

Purpose of Review

The purposes of this study are to review evidence supporting the use of automated office blood pressure (AOBP) measurement and to provide practical guidance for implementing it in clinical settings.

Recent Findings

Mean AOBP readings correlate with awake ambulatory blood pressure monitor (ABPM) values and predict cardiovascular outcomes better than conventional techniques. However, heterogeneity among readings suggests that AOBP does not replace ABPM. Blood pressure (BP) measurement protocols differ among commonly described AOBP devices, but all produce valid BP estimates. Rest periods should not precede AOBP with BpTRU devices but should occur before use with Omron HEM-907 and Microlife WatchBP Office devices. Attended and unattended AOBP appear to produce similar results. This review also describes a framework to aid AOBP’s implementation in clinical practice.

Summary

Evidence supports AOBP as the preferred method for measuring BP in office settings, but this approach should be a complement to out-of-office measurements, such as self-measured BP monitoring or 24-h ABPM, not a substitute for it.

Keywords

Blood pressure measurement Automated office blood pressure AOBP Hypertension Implementation science Primary care 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Romsai T. Boonyasai
    • 1
    • 2
    Email author
  • Erika L. McCannon
    • 2
  • Joseph E. Landavaso
    • 2
  1. 1.Division of General Internal MedicineJohn Hopkins UniversityBaltimoreUSA
  2. 2.Center for Health EquityJohns Hopkins UniversityBaltimoreUSA

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