Home Versus Ambulatory Blood Pressure Monitoring

  • Eoin O’Brien
  • Alex de la Sierra
  • Richard J. McManus
  • Anastasia Mihailidou
  • Paul Muntner
  • Martin G. Myers
  • George S. Stergiou
  • Gianfranco Parati
  • Efstathios Manios
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)


Office blood pressure (BP) measurement has been shown to be an unreliable indicator of true BP and although it remains the commonest method of measurement, recent guidelines recommend its use for screening only with diagnostic and management decisions being made with out-of-office measurement techniques, either using 24-h ambulatory BP measurement (ABPM) or home BP measurement (HBPM). The purpose of this brief review is to highlight the benefits each technique can bring to the diagnosis and management of patients with hypertension.


Ambulatory blood pressure Home blood pressure Measurement Device accuracy Atrial fibrillation 



Conflict of Interest: EOB, GP, and GS have conducted validation studies for various manufacturers and advised manufacturers on device development. ASM—has advised manufacturers on device development. EM—no conflict of interest. RM—has received BP monitors for research from Omron.


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Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG, part of Springer Nature 2020

Authors and Affiliations

  • Eoin O’Brien
    • 1
  • Alex de la Sierra
    • 2
  • Richard J. McManus
    • 3
  • Anastasia Mihailidou
    • 4
    • 5
  • Paul Muntner
    • 6
  • Martin G. Myers
    • 7
    • 8
  • George S. Stergiou
    • 9
  • Gianfranco Parati
    • 10
    • 11
  • Efstathios Manios
    • 12
  1. 1.The Conway InstituteUniversity College DublinDublinIreland
  2. 2.Department of Internal MedicineHospital Mutua Terrassa, University of BarcelonaBarcelonaSpain
  3. 3.Nuffield Department of Primary Care Health SciencesUniversity of Oxford, Radcliffe Observatory QuarterOxfordUK
  4. 4.Cardiovascular & Hormonal Research Laboratory, Department of Cardiology and Kolling InstituteRoyal North Shore HospitalSt LeonardsAustralia
  5. 5.Macquarie UniversitySydneyAustralia
  6. 6.Department of EpidemiologyUniversity of Alabama at BirminghamBirminghamUSA
  7. 7.Department of CardiologySchulich Heart Program, Sunnybrook Health Sciences CentreTorontoCanada
  8. 8.Department of MedicineUniversity of TorontoTorontoCanada
  9. 9.Hypertension Center STRIDE-7National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria HospitalAthensGreece
  10. 10.Department of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly
  11. 11.Istituto Auxologico Italiano, IRCCS, Department of CardiovascularNeural and Metabolic SciencesMilanItaly
  12. 12.Department of Clinical TherapeuticsNational and Kapodistrian University of Athens, Medical School, Alexandra Hospital,AthensGreece

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