Home Blood Pressure Monitoring: Executive Monitoring Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring: Executive Summary A Joint Scientific Statement From the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association

摘要: Home blood pressure monitoring (HBPM) overcomes many of the limitations traditional office (BP) measurement and is both cheaper easier to perform than ambulatory BP monitoring. Monitors that use oscillometric method are currently available accurate, reliable, easy use, relatively inexpensive. An increasing number patients using them regularly check their at home, but although this has been endorsed by national international guidelines, detailed recommendations for have lacking. There a rapidly growing literature showing measurements taken home often lower readings in closer average recorded 24-hour monitors, which best predicts cardiovascular risk. Because larger numbers can be HBPM elimination white-coat effect (the increase during an visit), more reproducible show better correlations with measures target organ damage. In addition, prospective studies used multiple express true found risk (class IIa; level evidence A). This call-to-action article makes following recommendations: 1) It recommended should become routine component majority known or suspected hypertension; 2) Patients advised purchase monitors measure on upper arm appropriate cuff size shown accurate according standard protocols. They how healthcare providers; 3) Two three while subject resting seated position, morning night, over period 1 week. A total 12 making clinical decisions; 4) indicated newly diagnosed hypertension, whom it may distinguish between sustained hypertension. If results equivocal, help establish diagnosis; 5) prehypertension, useful detecting masked 6) evaluating response any type antihypertensive treatment improve adherence; 7) The goal 135/85 mm Hg 130/80 high-risk patients; 8) elderly, variability increased; 9) value diabetes, tight control paramount importance; 10) Other populations beneficial include pregnant women, children, kidney disease; 11) potential quality care reducing costs reimbursed. © 2008 American Society Hypertension. All rights reserved.