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Home Blood Pressure Monitoring in Prehypertension and Hypertension

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Prehypertension and Cardiometabolic Syndrome

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

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Authors and Affiliations

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

    Angeliki Ntineri, Anastasios Kollias & George S. Stergiou

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  1. Angeliki Ntineri
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  2. Anastasios Kollias
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  3. George S. Stergiou
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Correspondence to George S. Stergiou .

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  1. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Reuven Zimlichman

  2. Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA

    Stevo Julius

  3. Emeritus Professor of Medicine, University of Milano-Bicocca, Milan, Italy

    Giuseppe Mancia

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Ntineri, A., Kollias, A., Stergiou, G.S. (2019). Home Blood Pressure Monitoring in Prehypertension and Hypertension. In: Zimlichman, R., Julius, S., Mancia, G. (eds) Prehypertension and Cardiometabolic Syndrome. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-319-75310-2_29

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