Replacing manual sphygmomanometers with automated blood pressure measurement in routine clinical practice

摘要: Summary  Conventional manual measurement of blood pressure (BP) in clinical practice is no longer considered to be the best method for evaluating a patient's BP status. Home and 24 h ambulatory monitoring are now recommended diagnosis management hypertension.  Recent studies provide an alternative conventional office BP, namely automated (AO) which involves multiple readings taken with fully device patient resting quietly alone. Automated preferable routine that it exhibits improved accuracy stronger relationship both target organ damage.  Having alone eliminates conversation between observer, cause ‘white coat hypertension’. The use improves accuracy, reduces digit preference, minimizes observer bias facilitates recording readings.  Comparative data obtained research settings community support cut-off point 135/85 mmHg defining hypertension using AOBP, same currently awake home BP.  Reduction white response AOBP should reduce need monitor patients after initiation antihypertensive therapy. There sufficient evidence consider replacing practice.