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Home Blood Pressure Monitoring pp 45–54Cite as

Diagnostic Value of Home Blood Pressure

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Part of the book series: Updates in Hypertension and Cardiovascular Protection ((UHCP))

Abstract

Home blood pressure (BP) monitoring is a more accurate diagnostic modality for hypertension than office BP measurement. Nonetheless, home BP measurement (HBPM) must be performed at specific times (morning and evening) under specific conditions (e.g., with the subject at rest), and thus it is of limited use for detecting various forms of masked hypertension, such as daytime ambulatory hypertension and nighttime hypertension, which are better detected by ambulatory BP monitoring (ABPM). Indeed, if we use the same threshold of 135/85 mmHg for the diagnosis of hypertension by both HBPM and daytime ABPM, we find that HBPM misdiagnoses a significant number of cases of masked hypertension. On the other hand, HBPM has the important advantage of including a greater number of BP readings due to the use of repeated home measurements. In addition, out-of-office BP is not stable, but rather changes with the various day-by-day individual and environmental conditions. The diagnosis of hypertension and uncontrolled hypertension on medication, which is affected by real-world stressors and other conditions, could be detected more immediately by repeated self-measured HBPM than by the intermittent measurements used for office and/or ABPM.

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References

  1. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021–104.

    Article  Google Scholar 

  2. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and Management of High Blood Pressure in adults: executive summary: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Hypertension. 2018;71:1269–324.

    Article  CAS  Google Scholar 

  3. Shimamoto K, Ando K, Fujita T, Hasebe N, Higaki J, Horiuchi M, et al. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2014). Hypertens Res. 2014;37:253–390.

    Article  Google Scholar 

  4. Park S, Buranakitjaroen P, Chen CH, Chia YC, Divinagracia R, Hoshide S, et al. Expert panel consensus recommendations for home blood pressure monitoring in Asia: the Hope Asia network. J Hum Hypertens. 2018;32:249–58.

    Article  Google Scholar 

  5. Kario K, Park S, Buranakitjaroen P, Chia YC, Chen CH, Divinagracia R, et al. Guidance on home blood pressure monitoring: a statement of the HOPE Asia Network. J Clin Hypertens. 2018;20:456–61.

    Article  Google Scholar 

  6. Pierdomenico SD, Pierdomenico AM, Coccina F, Clement DL, De Buyzere ML, De Bacquer DA, et al. Prognostic value of masked uncontrolled hypertension. Hypertension. 2018;72:862–9.

    Article  CAS  Google Scholar 

  7. Kario K, Thijs L, Staessen JA. Blood pressure measurement and treatment decisions: masked and white coat hypertension. Circ Res. 2019;124(7):990–1008.

    Article  CAS  Google Scholar 

  8. Banegas JR, Ruilope LM, de la Sierra A, Vinyoles E, Gorostidi M, de la Cruz JJ, et al. Relationship between clinic and ambulatory blood-pressure measurements and mortality. N Engl J Med. 2018;378:1509–20.

    Article  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. Kario K. Global impact of 2017 American Heart Association/American College of Cardiology Hypertension Guidelines: a perspective from Japan. Circulation. 2018;137:543–5.

    Article  Google Scholar 

  11. Satoh M, Asayama K, Murakami T, Kikuya M, Metoki H, Imai Y, et al. Stroke risk due to partial white-coat or masked hypertension based on the ACC/AHA guideline's blood pressure threshold: the Ohasama study. Hypertens Res. 2019;42:120–2.

    Article  Google Scholar 

  12. Stergiou GS, Kollias A, Zeniodi M, Karpettas N, Ntineri A. Home blood pressure monitoring: primary role in hypertension management. Curr Hypertens Rep. 2014;16(8):462.

    Article  Google Scholar 

  13. Stergiou GS, Ntineri A. The optimal schedule for self-home blood pressure monitoring. J Hypertens. 2015;33(4):693–7.

    Article  CAS  Google Scholar 

  14. Kang YY, Li Y, Huang QF, Song J, Shan XL, Dou Y, Xu XJ, Chen SH, Wang JG. Accuracy of home versus ambulatory blood pressure monitoring in the diagnosis of white-coat and masked hypertension. J Hypertens. 2015;33:1580–7.

    Article  CAS  Google Scholar 

  15. Gill P, Haque MS, Martin U, Mant J, Mohammed MA, Heer G, et al. Measurement of blood pressure for the diagnosis and management of hypertension in different ethnic groups: one size fits all. BMC Cardiovasc Disord. 2017;17:55.

    Article  Google Scholar 

  16. Anstey DE, Muntner P, Bello NA, Pugliese DN, Yano Y, Kronish IM, et al. Diagnosing masked hypertension using ambulatory blood pressure monitoring, home blood pressure monitoring, or both? Hypertension. 2018;72:1200–7.

    Article  CAS  Google Scholar 

  17. Satoh M, Asayama K, Kikuya M, Inoue R, Metoki H, Hosaka M, et al. 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.

    Article  CAS  Google Scholar 

  18. 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.

    Article  CAS  Google Scholar 

  19. Kario K. Nocturnal hypertension: new technology and evidence. Hypertension. 2018;71:997–1009.

    Article  CAS  Google Scholar 

  20. Asayama K, Fujiwara T, Hoshide S, Ohkubo T, Kario K, Stergiou GS, et al. Nocturnal blood pressure measured by home devices: evidence and perspective for clinical application. J Hypertens. 2019;37(5):905–16.

    Article  CAS  Google Scholar 

  21. Imai Y, Asayama K, Fujiwara S, Saito K, Sato H, Haga T, et al. Development and evaluation of a home nocturnal blood pressure monitoring system using a wrist-cuff device. Blood Press Monit. 2018;23:318–26.

    Article  Google Scholar 

  22. Ishikawa J, Hoshide S, Eguchi K, Ishikawa S, Shimada K, Kario K, et al. Nighttime home blood pressure and the risk of hypertensive target organ damage. Hypertension. 2012;60:921–8.

    Article  CAS  Google Scholar 

  23. Kollias A, Andreadis E, Agaliotis G, Kolyvas GN, Achimastos A, Stergiou GS. The optimal night-time home blood pressure monitoring schedule: agreement with ambulatory blood pressure and association with organ damage. J Hypertens. 2018;36:243–9.

    Article  CAS  Google Scholar 

  24. Fujiwara T, Nishizawa M, Hoshide S, Kanegae H, Kario K. Comparison of different schedules of nocturnal home blood pressure measurement using an information/communication technology-based device in hypertensive patients. J Clin Hypertens. 2018;20:1633–41.

    Article  Google Scholar 

  25. Kario K, Wang JG. Could 130/80 mm hg be adopted as the diagnostic threshold and management goal of hypertension in consideration of the characteristics of Asian populations? Hypertension. 2018;71:979–84.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine (JMU), Tochigi, Japan

    Kazuomi Kario

  2. Tohoku Institute for Management of Blood Pressure, Sendai, Japan

    Yutaka Imai & Takayoshi Ohkubo

  3. Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece

    Anastasios Kollias & George S. Stergiou

  4. Department of Public Health Solutions, National Institute for Health and Welfare, Turku, Finland

    Teemu J. Niiranen

  5. Department of Medicine, Turku University Hospital and University of Turku, Turku, Finland

    Teemu J. Niiranen

  6. Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan

    Takayoshi Ohkubo

  7. Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, UK

    Richard J. McManus

Authors
  1. Kazuomi Kario
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  2. Yutaka Imai
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  3. Anastasios Kollias
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  4. Teemu J. Niiranen
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  5. Takayoshi Ohkubo
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  6. Richard J. McManus
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  7. George S. Stergiou
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Corresponding author

Correspondence to Kazuomi Kario .

Editor information

Editors and Affiliations

  1. Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece

    George S. Stergiou

  2. Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy, Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, Milano, Italy

    Gianfranco Parati

  3. University of Milano-Bicocca, Milano, Italy

    Giuseppe Mancia

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

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Kario, K. et al. (2020). Diagnostic Value of Home Blood Pressure. In: Stergiou, G., Parati, G., Mancia, G. (eds) Home Blood Pressure Monitoring. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-030-23065-4_5

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  • DOI: https://doi.org/10.1007/978-3-030-23065-4_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23064-7

  • Online ISBN: 978-3-030-23065-4

  • eBook Packages: MedicineMedicine (R0)

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