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Home Blood Pressure Monitoring in Prehypertension and Hypertension

  • Angeliki Ntineri
  • Anastasios Kollias
  • George S. Stergiou
Chapter
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Accumulating evidence supports the wide application of home blood pressure (BP) monitoring in clinical practice. Several studies have established the value of self-home BP measurements in predicting preclinical target organ damage and cardiovascular events, which appears to be superior to that of the conventional office BP measurements and similar to that of 24 h ambulatory monitoring. In both untreated and treated subjects, home BP measurements exhibit considerable agreement with ambulatory monitoring in detecting the white-coat and masked hypertension phenomena. The abovementioned features, together with the wide availability, lower cost, and good patients’ acceptance, render home BP monitoring a valuable decision-making tool for physicians. Particularly in untreated or treated individuals with office BP levels close to the diagnostic thresholds (prehypertension, office hypertension stage 1), home BP monitoring is mandatory to identify intermediate phenotypes of hypertension (white-coat and masked hypertension, respectively). Home BP monitoring has also been shown to improve long-term adherence to antihypertensive drug treatment and thereby improved hypertension control rates. These data suggest that home BP should no longer be regarded as only a screening tool that requires confirmation by ambulatory monitoring but have primary role in diagnosis, treatment adjustment, and long-term follow-up of most subjects with elevated BP.

Keywords

Home blood pressure Masked hypertension Self-measurement Prehypertension Hypertension White-coat hypertension Diagnosis Prognosis Diagnostic thresholds 

References

  1. 1.
    Stergiou GS, Kollias A, Zeniodi M, Karpettas N, Ntineri A. Home blood pressure monitoring: primary role in hypertension management. Curr Hypertens Rep. 2014;16:462.CrossRefGoogle Scholar
  2. 2.
    Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M, Christiaens T, Cifkova R, De Backer G, Dominiczak A, Galderisi M, Grobbee DE, Jaarsma T, Kirchhof P, Kjeldsen SE, Laurent S, Manolis AJ, Nilsson PM, Ruilope LM, Schmieder RE, Sirnes PA, Sleight P, Viigimaa M, Waeber B, Zannad F. 2013 ESH/ESC Guidelines for the management of arterial Hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31:1281–357.CrossRefPubMedGoogle Scholar
  3. 3.
    Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, Kario K, Lurbe E, Manolis A, Mengden T, O’Brien E, Ohkubo T, Padfield P, Palatini P, Pickering T, Redon J, Revera M, Ruilope LM, Shennan A, Staessen JA, Tisler A, Waeber B, Zanchetti A, Mancia G. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the second international consensus conference on home blood pressure monitoring. J Hypertens. 2008;26:1505–26.CrossRefPubMedGoogle Scholar
  4. 4.
    Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D. Call to action on use and reimbursement for home blood pressure monitoring: a joint scientific statement from the American Heart Association, American Society Of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52:10–29.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Stergiou GS, Kollias A. Home monitoring of blood Pressure. In: Bakris LG, Sorrentino MJ, editors. Hypertension: a companion to Braunwald’s heart disease. 3rd ed. Philadelphia, PA: Elsevier; 2018. p. 89–95.CrossRefGoogle Scholar
  6. 6.
    Parati G, Stergiou GS. Self measured and ambulatory blood pressure in assessing the ‘white-coat’ phenomenon. J Hypertens. 2003;21:677–82.CrossRefPubMedGoogle Scholar
  7. 7.
    Vaur L, Dubroca II, Dutrey-Dupagne C, Genes N, Chatellier G, Bouvier-d’Yvoire M, Elkik F, Menard J. Superiority of home blood pressure measurements over office measurements for testing antihypertensive drugs. Blood Press Monit. 1998;3:107–14.PubMedGoogle Scholar
  8. 8.
    Rose G. Standardisation of observers in blood-pressure measurement. Lancet. 1965;1:673–4.CrossRefPubMedGoogle Scholar
  9. 9.
    Stergiou GS, Baibas NM, Gantzarou AP, Skeva II, Kalkana CB, Roussias LG, Mountokalakis TD. Reproducibility of home, ambulatory, and clinic blood pressure: implications for the design of trials for the assessment of antihypertensive drug efficacy. Am J Hypertens. 2002;15:101–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Stergiou GS, Ntineri A. The optimal schedule for self-home blood pressure monitoring. J Hypertens. 2015;33:693–7.CrossRefPubMedGoogle Scholar
  11. 11.
    Little P, Barnett J, Barnsley L, Marjoram J, Fitzgerald-Barron A, Mant D. Comparison of acceptability of and preferences for different methods of measuring blood pressure in primary care. BMJ. 2002;325:258–9.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Nasothimiou EG, Karpettas N, Dafni MG, Stergiou GS. Patients’ preference for ambulatory versus home blood pressure monitoring. J Hum Hypertens. 2014;28:224–9.CrossRefPubMedGoogle Scholar
  13. 13.
    Cappuccio FP, Kerry SM, Forbes L, Donald A. Blood pressure control by home monitoring: meta-analysis of randomised trials. BMJ. 2004;329:145.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Ogedegbe G, Schoenthaler A. A systematic review of the effects of home blood pressure monitoring on medication adherence. J Clin Hypertens (Greenwich). 2006;8:174–80.CrossRefGoogle Scholar
  15. 15.
    Arrieta A, Woods JR, Qiao N, Jay SJ. Cost-benefit analysis of home blood pressure monitoring in hypertension diagnosis and treatment: an insurer perspective. Hypertension. 2014;64:891–6.CrossRefPubMedGoogle Scholar
  16. 16.
    Boubouchairopoulou N, Karpettas N, Athanasakis K, Kollias A, Protogerou AD, Achimastos A, Stergiou GS. Cost estimation of hypertension management based on home blood pressure monitoring alone or combined office and ambulatory blood pressure measurements. J Am Soc Hypertens. 2014;8:732–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Myers MG, Stergiou GS. Reporting bias: Achilles' heel of home blood pressure monitoring. J Am Soc Hypertens. 2014;8:350–7.CrossRefPubMedGoogle Scholar
  18. 18.
    Hosohata K, Kikuya M, Ohkubo T, Metoki H, Asayama K, Inoue R, Obara T, Hashimoto J, Totsune K, Hoshi H, Satoh H, Imai Y. Reproducibility of nocturnal blood pressure assessed by self-measurement of blood pressure at home. Hypertens Res. 2007;30:707–12.CrossRefPubMedGoogle Scholar
  19. 19.
    Stergiou GS, Nasothimiou EG, Destounis A, Poulidakis E, Evagelou I, Tzamouranis D. Assessment of the diurnal blood pressure profile and detection of non-dippers based on home or ambulatory monitoring. Am J Hypertens. 2012;25:974–8.CrossRefPubMedGoogle Scholar
  20. 20.
    Kollias A, Ntineri A, Stergiou GS. Is white-coat hypertension a harbinger of increased risk? Hypertens Res. 2014;37:791–5.CrossRefPubMedGoogle Scholar
  21. 21.
    Briasoulis A, Androulakis E, Palla M, Papageorgiou N, Tousoulis D. White-coat hypertension and cardiovascular events: a meta-analysis. J Hypertens. 2016;34:593–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Stergiou GS, Asayama K, Thijs L, Kollias A, Niiranen TJ, Hozawa A, Boggia J, Johansson JK, Ohkubo T, Tsuji I, Jula AM, Imai Y, Staessen JA, International Database on HOme blood pressure in relation to Cardiovascular Outcome (IDHOCO) Investigators. Prognosis of white-coat and masked hypertension: International Database of HOme blood pressure in relation to Cardiovascular Outcome. Hypertension. 2014;63:675–82.CrossRefPubMedGoogle Scholar
  23. 23.
    Dolan E, Stanton A, Atkins N, Den Hond E, Thijs L, McCormack P, Staessen J, O’Brien E. Determinants of white-coat hypertension. Blood Press Monit. 2004;9:307–9.CrossRefGoogle Scholar
  24. 24.
    Cuspidi C, Sala C, Tadic M, Rescaldani M, Grassi G, Mancia G. Untreated masked hypertension and subclinical cardiac damage: a systematic review and meta-analysis. Am J Hypertens. 2015;28:806–13.CrossRefPubMedGoogle Scholar
  25. 25.
    Bobrie G, Chatellier G, Genes N, Clerson P, Vaur L, Vaisse B, Menard J, Mallion JM. Cardiovascular prognosis of “masked hypertension” detected by blood pressure self-measurement in elderly treated hypertensive patients. JAMA. 2004;291:1342–9.CrossRefGoogle Scholar
  26. 26.
    Barochiner J, Cuffaro PE, Aparicio LS, Alfie J, Rada MA, Morales MS, Galarza CR, Waisman GD. Predictors of masked hypertension among treated hypertensive patients: an interesting association with orthostatic hypertension. Am J Hypertens. 2013;26:872–8.CrossRefPubMedGoogle Scholar
  27. 27.
    Hänninen MR, Niiranen TJ, Puukka PJ, Mattila AK, Jula AM. Determinants of masked hypertension in the general population: the Finn-Home study. J Hypertens. 2011;29:1880–8.CrossRefPubMedGoogle Scholar
  28. 28.
    Sheppard JP, Fletcher B, Gill P, Martin U, Roberts N, McManus RJ. Predictors of the home-clinic blood pressure difference: a systematic review and meta-analysis. Am J Hypertens. 2016;29:614–25.CrossRefPubMedGoogle Scholar
  29. 29.
    Stergiou GS, Salgami EV, Tzamouranis DG, Roussias LG. Masked hypertension assessed by ambulatory blood pressure versus home blood pressure monitoring: is it the same phenomenon? Am J Hypertens. 2005;18:772–8.CrossRefPubMedGoogle Scholar
  30. 30.
    Stergiou GS, Bliziotis IA. Home blood pressure monitoring in the diagnosis and treatment of hypertension: a systematic review. Am J Hypertens. 2011;24:123–34.CrossRefPubMedGoogle Scholar
  31. 31.
    Nasothimiou EG, Tzamouranis D, Rarra V, Roussias LG, Stergiou GS. Diagnostic accuracy of home vs. ambulatory blood pressure monitoring in untreated and treated hypertension. Hypertens Res. 2012;35:750–5.CrossRefPubMedGoogle Scholar
  32. 32.
    Nasothimiou EG, Tzamouranis D, Roussias LG, Stergiou GS. Home versus ambulatory blood pressure monitoring in the diagnosis of clinic resistant and true resistant hypertension. J Hum Hypertens. 2012;26:696–700.CrossRefPubMedGoogle Scholar
  33. 33.
    Bliziotis IA, Destounis A, Stergiou GS. Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis. J Hypertens. 2012;30:1289–99.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Fuchs SC, Mello RG, Fuchs FC. Home blood pressure monitoring is better predictor of cardiovascular disease and target organ damage than office blood pressure: a systematic review and meta-analysis. Curr Cardiol Rep. 2013;15:413.CrossRefPubMedGoogle Scholar
  35. 35.
    Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360:1903–13.CrossRefGoogle Scholar
  36. 36.
    Stergiou GS, Siontis KC, Ioannidis JP. Home blood pressure as a cardiovascular outcome predictor: it’s time to take this method seriously. Hypertension. 2010;55:1301–3.CrossRefPubMedGoogle Scholar
  37. 37.
    Ward AM, Takahashi O, Stevens R, Heneghan C. Home measurement of blood pressure and cardiovascular disease: systematic review and meta-analysis of prospective studies. J Hypertens. 2012;30:449–56.CrossRefPubMedGoogle Scholar
  38. 38.
    Asayama K, Thijs L, Brguljan-Hitij J, Niiranen TJ, Hozawa A, Boggia J, Aparicio LS, Hara A, Johansson JK, Ohkubo T, Tzourio C, Stergiou GS, Sandoya E, Tsuji I, Jula AM, Imai Y, Staessen JA, International Database of Home Blood Pressure in Relation to Cardiovascular Outcome (IDHOCO) investigators. Risk stratification by self-measured home blood pressure across categories of conventional blood pressure: a participant-level meta-analysis. PLoS Med. 2014;e1001591:11.Google Scholar
  39. 39.
    Mancia G, Facchetti R, Bombelli M, Grassi G, Sega R. Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension. 2006;47:846–53.CrossRefPubMedGoogle Scholar
  40. 40.
    Satoh M, Asayama K, Kikuya M, Inoue R, Metoki H, Hosaka M, Tsubota-Utsugi M, Obara T, Ishiguro A, Murakami K, Matsuda A, Yasui D, Murakami T, Mano N, Imai Y, Ohkubo T. Long-term stroke risk due to partial white-coat or masked hypertension based on home and ambulatory blood pressure measurements: The Ohasama Study. Hypertension. 2016;67:48–55.CrossRefPubMedGoogle Scholar
  41. 41.
    Stergiou GS, Efstathiou SP, Skeva II, Baibas NM, Roussias LG, Mountokalakis TD. Comparison of the smoothness index, the trough: peak ratio and the morning: evening ratio in assessing the features of the antihypertensive drug effect. J Hypertens. 2003;21:913–20.CrossRefPubMedGoogle Scholar
  42. 42.
    Mancia G, Zanchetti A, Agabiti-Rosei E, Benemio G, De Cesaris R, Fogari R, Pessina A, Porcellati C, Rappelli A, Salvetti A, Trimarco B. Ambulatory blood pressure is superior to clinic blood pressure in predicting treatment-induced regression of left ventricular hypertrophy. SAMPLE Study Group. Study on Ambulatory Monitoring of Blood Pressure and Lisinopril Evaluation. Circulation. 1997;95:1464–70.CrossRefGoogle Scholar
  43. 43.
    Karpettas N, Destounis A, Kollias A, Nasothimiou E, Moyssakis I, Stergiou GS. Prediction of treatment-induced changes in target-organ damage using changes in clinic, home and ambulatory blood pressure. Hypertens Res. 2014;37:543–7.CrossRefPubMedGoogle Scholar
  44. 44.
    Zarnke KB, Feagan BG, Mahon JL, Feldman RD. A randomized study comparing a patient-directed hypertension management strategy with usual office-based care. Am J Hypertens. 1997;10:58–67.CrossRefPubMedGoogle Scholar
  45. 45.
    Broege PA, James GD, Pickering TG. Management of hypertension in the elderly using home blood pressures. Blood Press Monit. 2001;6:139–44.CrossRefPubMedGoogle Scholar
  46. 46.
    Staessen JA, Den Hond E, Celis H, Fagard R, Keary L, Vandenhoven G, O’Brien ET, Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) Trial Investigators. Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) Trial Investigators. Antihypertensive treatment based on blood pressure measurement at home or in the physician’s office: a randomized controlled trial. JAMA. 2004;291:955–64.CrossRefPubMedGoogle Scholar
  47. 47.
    Halme L, Vesalainen R, Kaaja M, Kantola I, HOme MEasuRement of blood pressure study group. Self-monitoring of blood pressure promotes achievement of blood pressure target in primary health care. Am J Hypertens. 2005;18:1415–20.CrossRefPubMedGoogle Scholar
  48. 48.
    Verberk WJ, Kroon AA, Lenders JW, Kessels AG, van Montfrans GA, Smit AJ, van der Kuy PH, Nelemans PJ, Rennenberg RJ, Grobbee DE, Beltman FW, Joore MA, Brunenberg DE, Dirksen C, Thien T, de Leeuw PW, Home Versus Office Measurement, Reduction of Unnecessary Treatment Study Investigators. Home versus office measurement, reduction of unnecessary treatment study investigators. Self-measurement of blood pressure at home reduces the need for antihypertensive drugs: a randomized, controlled trial. Hypertension. 2007;50:1019–25.CrossRefPubMedGoogle Scholar
  49. 49.
    Tobe SW, Hunter K, Geerts R, Raymond N, Pylypchuk G, Canadian Hypertension Society. IMPPACT: Investigation of Medical Professionals and Patients Achieving Control Together. Can J Cardiol. 2008;24:205–8.CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    McManus RJ, Mant J, Bray EP, Holder R, Jones MI, Greenfield S, Kaambwa B, Banting M, Bryan S, Little P, Williams B, Hobbs FD. Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomized controlled trial. Lancet. 2010;376:163–72.CrossRefPubMedGoogle Scholar
  51. 51.
    Niiranen TJ, Kantola IM, Vesalainen R, Johansson J, Ruuska MJ. A comparison of home measurement and ambulatory monitoring of blood pressure in the adjustment of antihypertensive treatment. Am J Hypertens. 2006;19:468–74.CrossRefPubMedGoogle Scholar
  52. 52.
    Stergiou GS, Karpettas N, Destounis A, Tzamouranis D, Nasothimiou E, Kollias A, Roussias L, Moyssakis I. Home blood pressure monitoring alone vs. combined clinic and ambulatory measurements in following treatment-induced changes in blood pressure and organ damage. Am J Hypertens. 2014;27:184–92.CrossRefPubMedGoogle Scholar
  53. 53.
    Agarwal R, Bills JE, Hecht TJ, Light RP. Role of home blood pressure monitoring in overcoming therapeutic inertia and improving hypertension control: a systematic review and meta-analysis. Hypertension. 2011;57:29–38.CrossRefPubMedGoogle Scholar
  54. 54.
    Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review. Br J Gen Pract. 2010;60:e476–88.CrossRefPubMedPubMedCentralGoogle Scholar
  55. 55.
    Fuchs SC, Ferreira-da-Silva AL, Moreira LB, Neyeloff JL, Fuchs FC, Gus M, Wiehe M, Fuchs FD. Efficacy of isolated home blood pressure monitoring for blood pressure control: randomized controlled trial with ambulatory blood pressure monitoring – MONITOR study. J Hypertens. 2012;30:75–80.CrossRefPubMedGoogle Scholar
  56. 56.
    Cuspidi C, Meani S, Fusi V, Salerno M, Valerio C, Severgnini B, Catini E, Leonetti G, Magrini F, Zanchetti A. Home blood pressure measurement and its relationship with blood pressure control in a large selected hypertensive population. J Hum Hypertens. 2004;18:725–31.CrossRefPubMedGoogle Scholar
  57. 57.
    O’Brien E, Parati G, Stergiou G, Asmar R, Beilin L, Bilo G, Clement D, de la Sierra A, de Leeuw P, Dolan E, Fagard R, Graves J, Head GA, Imai Y, Kario K, Lurbe E, Mallion JM, Mancia G, Mengden T, Myers M, Ogedegbe G, Ohkubo T, Omboni S, Palatini P, Redon J, Ruilope LM, Shennan A, Staessen JA, vanMontfrans G, Verdecchia P, Waeber B, Wang J, Zanchetti A, Zhang Y. European Society of Hypertension position paper on ambulatory blood pressure monitoring. J Hypertens. 2013;31:1731–68.CrossRefPubMedGoogle Scholar
  58. 58.
    Hansen TW, Li Y, Boggia J, Thijs L, Richart T, Staessen JA. Predictive role of the nighttime blood pressure. Hypertension. 2011;57:3–10.CrossRefPubMedGoogle Scholar
  59. 59.
    Kollias A, Ntineri A, Stergiou GS. Association of night-time home blood pressure with night-time ambulatory blood pressure and target-organ damage: a systematic review and meta-analysis. J Hypertens. 2017;35:442–52.CrossRefPubMedGoogle Scholar
  60. 60.
    Andreadis EA, Agaliotis G, Kollias A, Kolyvas G, Achimastos A, Stergiou GS. Night-time home versus ambulatory blood pressure in determining target organ damage. J Hypertens. 2016;34:438–44; discussion 444.CrossRefPubMedGoogle Scholar
  61. 61.
    Ushio H, Ishigami T, Araki N, Minegishi S, Tamura K, Okano Y, Uchino K, Tochikubo O, Umemura S. Utility and feasibility of a new programmable home blood pressure monitoring device for the assessment of nighttime blood pressure. Clin Exp Nephrol. 2009;13(5):480.CrossRefPubMedGoogle Scholar
  62. 62.
    Ishikawa J, Hoshide S, Eguchi K, Ishikawa S, Shimada K, Kario K, Japan Morning Surge-Home Blood Pressure Study Investigators Group. Nighttime home blood pressure and the risk of hypertensive target organ damage. Hypertension. 2012;60:921–8.CrossRefPubMedGoogle Scholar
  63. 63.
    Lindroos AS, Johansson JK, Puukka PJ, Kantola I, Salomaa V, Juhanoja EP, Sivén SS, Jousilahti P, Jula AM, Niiranen TJ. The association between home versus ambulatory night-time blood pressure and end-organ damage in the general population. J Hypertens. 2016;34:1730–7.CrossRefPubMedGoogle Scholar
  64. 64.
    Ishikawa J, Shimizu M, Sugiyama Edison E, Yano Y, Hoshide S, Eguchi K, Kario K, J-TOP (Japan Morning Surge-Target Organ Protection) Study Investigators Group. Assessment of the reductions in night-time blood pressure and dipping induced by antihypertensive medication using a home blood pressure monitor. J Hypertens. 2014;32:82–9.PubMedGoogle Scholar
  65. 65.
    Appel LJ, Stason WB. Ambulatory blood pressure monitoring and blood pressure self-measurement in the diagnosis and management of hypertension. Ann Intern Med. 1993;118:867–82.CrossRefPubMedGoogle Scholar
  66. 66.
    Funahashi J, Ohkubo T, Fukunaga H, Kikuya M, Takada N, Asayama K, Metoki H, Obara T, Inoue R, Hashimoto J, Totsune K, Kobayashi M, Imai Y. The economic impact of the introduction of home blood pressure measurement for the diagnosis and treatment of hypertension. Blood Press Monit. 2006;11:257–67.CrossRefPubMedGoogle Scholar
  67. 67.
    Fukunaga H, Ohkubo T, Kobayashi M, Tamaki Y, Kikuya M, Obara T, Nakagawa M, Hara A, Asayama K, Metoki H, Inoue R, Hashimoto J, Totsune K, Imai Y. Cost-effectiveness of the introduction of home blood pressure measurement in patients with office hypertension. J Hypertens. 2008;26:685–90.CrossRefPubMedGoogle Scholar
  68. 68.
    Association for the Advancement of Medical Instrumentation. American National Standard. Electronic or automated sphygmomanometers ANSI/AAMI SP10-1987. 3330 Washington Boulevard, Suite 400, Arlington, VA 22201-4598. USA: AAMI; 1987.Google Scholar
  69. 69.
    O'Brien E, Petrie J, Littler W, de Swiet M, Padfield PL, O'Malley K, Jamieson M, Altman D, Bland M, Atkins N. The British Hypertension Society Protocol for the evaluation of automated and semi-automated blood pressure measuring devices with special reference to ambulatory systems. J Hypertens. 1990;8:607–19.CrossRefPubMedGoogle Scholar
  70. 70.
    O’Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J, Mengden T, Imai Y, Waeber B, Palatini P, Gerin W, Working Group on Blood Pressure Monitoring of the European Society of Hypertension. Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults. Blood Press Monit. 2002;7:3–17.CrossRefPubMedGoogle Scholar
  71. 71.
    O’Brien E, Atkins N, Stergiou G, Karpettas N, Parati G, Asmar R, Imai Y, Wang J, Mengden T, Shennan A. European Society of Hypertension International Protocol revision 2010 for the validation of blood pressure measuring devices in adults. Blood Press Monit. 2010;15:23–38.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Angeliki Ntineri
    • 1
  • Anastasios Kollias
    • 1
  • George S. Stergiou
    • 1
  1. 1.Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of MedicineSotiria HospitalAthensGreece

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