Guidelines for Home Blood Pressure Monitoring

  • George S. StergiouEmail author
  • Gianfranco Parati
  • Yutaka Imai
  • Richard J. McManus
  • Geoff A. Head
  • Kazuomi Kario
  • Paul Muntner
  • Martin G. Myers
  • James Sharman
  • Eoin O’Brien
  • Michael A. Weber
  • Paul K. Whelton
  • Giuseppe Mancia
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)


Self-measurement of blood pressure at home by patients with hypertension is being widely used for several decades in many countries. Statements and guidelines for using home blood pressure monitoring for hypertension management have been published in the last three decades in the USA, Canada, Europe, Australia, and Japan. Initially there was some caution by several organizations in using home blood pressure measurements for decision-making in hypertension. However, in the last two decades the publication of outcome studies showing superiority of home measurements in predicting risk compared to the conventional office measurements has supported a major role for home blood pressure monitoring in decision-making in hypertension. Several organizations recommend ambulatory blood pressure monitoring as the primary method for hypertension diagnosis, with home monitoring proposed as a useful alterative. However, home blood pressure monitoring is much more widely available than ambulatory monitoring, it is preferred by most patients, and has been shown to improve patients’ long-term compliance with treatment and thereby hypertension control rates. Thus, home blood pressure monitoring is currently recommended for wide clinical application in subjects with suspected or treated hypertension, as it offers a pragmatic approach for out-of-office blood pressure evaluation for clinical practice. Efforts to implement the wide use of home blood pressure monitoring would likely enhance the diagnosis and control of hypertension across communities.


Diagnosis Home blood pressure Management Out-of-office blood pressure Recommendation Self-measurement 


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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

  • George S. Stergiou
    • 1
    Email author
  • Gianfranco Parati
    • 2
    • 3
  • Yutaka Imai
    • 4
  • Richard J. McManus
    • 5
  • Geoff A. Head
    • 6
  • Kazuomi Kario
    • 7
  • Paul Muntner
    • 8
  • Martin G. Myers
    • 9
    • 10
  • James Sharman
    • 11
  • Eoin O’Brien
    • 12
  • Michael A. Weber
    • 13
  • Paul K. Whelton
    • 14
    • 15
  • Giuseppe Mancia
    • 16
  1. 1.Hypertension Center STRIDE-7National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria HospitalAthensGreece
  2. 2.Department of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly
  3. 3.Istituto Auxologico Italiano, IRCCS, Department of CardiovascularNeural and Metabolic SciencesMilanItaly
  4. 4.Tohoku Institute for Management of Blood PressureSendaiJapan
  5. 5.Nuffield Department of Primary Care Health SciencesUniversity of Oxford, Radcliffe Observatory QuarterOxfordUK
  6. 6.Baker Heart and Diabetes InstituteMelbourneAustralia
  7. 7.Division of Cardiovascular Medicine, Department of MedicineJichi Medical University School of Medicine (JMU)TochigiJapan
  8. 8.Department of EpidemiologyUniversity of Alabama at BirminghamBirminghamUSA
  9. 9.Division of CardiologySchulich Heart Program, Sunnybrook Health Sciences CentreTorontoCanada
  10. 10.Department of MedicineUniversity of TorontoTorontoCanada
  11. 11.Menzies Institute for Medical ResearchUniversity of TasmaniaHobartAustralia
  12. 12.The Conway InstituteUniversity College DublinDublinIreland
  13. 13.Division of Cardiovascular MedicineState University of New York, Downstate Medical CenterNew YorkUSA
  14. 14.Department of EpidemiologyTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  15. 15.Department of MedicineTulane University School of MedicineNew OrleansUSA
  16. 16.University of Milano-BicoccaMilanItaly

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