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Home Blood Pressure Monitoring Schedule

  • Teemu J. NiiranenEmail author
  • Richard J. McManus
  • Takayoshi Ohkubo
  • George S. Stergiou
Chapter
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Numerous factors need to be considered when defining an optimal home blood pressure measurement schedule, including the number, interval, and timing of readings. Overall, data from cross-sectional and prospective studies suggest that the predictive accuracy of home blood pressure increases with the number of measurements. Most of the benefit in increased accuracy is achieved already during the initial 3–4 measurement days when duplicate measurements are performed in the morning and evening. No good evidence exists that measurements performed on the first day of measurements need to be discarded, particularly when 7 days of measurements are used. The recommendations of the current hypertension guidelines on the schedule of home blood pressure measurement (duplicate measurements in the morning and evening on ≥3 days) agree relatively well with each other and the existing literature. Additional research and collaboration is needed to create a uniform international recommendation on the optimal schedule of home blood pressure measurement.

Keywords

Hypertension Blood pressure measurement Home blood pressure measurement Schedule Measurement schedule 

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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

  • Teemu J. Niiranen
    • 1
    • 2
    Email author
  • Richard J. McManus
    • 3
  • Takayoshi Ohkubo
    • 4
    • 5
  • George S. Stergiou
    • 6
  1. 1.Department of Public Health SolutionsNational Institute for Health and WelfareTurkuFinland
  2. 2.Department of MedicineTurku University Hospital and University of TurkuTurkuFinland
  3. 3.Nuffield Department of Primary Care Health SciencesUniversity of Oxford, Radcliffe Observatory QuarterOxfordUK
  4. 4.Department of Hygiene and Public HealthTeikyo University School of MedicineTokyoJapan
  5. 5.Tohoku Institute for Management of Blood PressureSendaiJapan
  6. 6.Hypertension Center STRIDE-7National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria HospitalAthensGreece

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