Conventional blood pressure measurement is not enough!

Many studies have revealed the unreliability of office blood pressure measurements [1-5]. This increased the awareness that a more extended approach is required to determine a patients’ ”true” blood pressure value.


 

Concerns with single, doctor’s office blood pressure measurements

Many of the quickly performed office measurements provide erroneous blood pressure values, due to a.o. observer bias, blood pressure fluctuations, white-coat hypertension and masked hypertension.

Therefore, experts recommend a more comprehensive approach: diagnosis and treatment decisions should be based on a combination of office and out-of office blood pressure measurements [3, 6]

Adopting new recommendations prove difficult

Unfortunately, adopting new recommendations has proven to be difficult. The increasing number of measurements requires time and makes diagnosis more complicated.

In addition, physicians have expressed their concerns with regard to the accuracy of data provided by patients using their own home blood pressure measurement devices [7].
 Many consumers purchase non-validated devices and do not know how and when to measure their blood pressure and thus provide data of minor value to physicians.

 

 

Better patient outcomes rely on accurate blood pressure measurements

These concerns are both numerous and valid. However, microlife is convinced and supported by the guidelines [8] and scientific evidence [9] that these concerns are largely eliminated when a patient uses the WatchBP Home.

  1. Fagard RH, Van Den Broeke C, De Cort P. Prognostic significance of blood pressure measured in the office, at home and during ambulatory monitoring in older patients in general practice. J Hum Hypertens 2005; 19: 801-807.
  2. Liu JE, Roman MJ, Pini R, Schwartz JE, Pickering TG, Devereux RB. Cardiac and arterial target organ damage in adults with elevated ambulatory and normal office blood pressure. Ann Intern Med 1999; 131: 564-572.
  3. Parati G, Omboni S, Bilo G. Why Is Out-of-Office Blood Pressure Measurement Needed? Home Blood Pressure Measurements Will Increasingly Replace Ambulatory Blood Pressure Monitoring in the Diagnosis and Management of Hypertension. Hypertension 2009;
  4. Sega R,  Facchetti R,  Bombelli M,  Cesana G,  Corrao G,  Grassi G, et al. Prognostic value of ambulatory and home blood pressures compared with office blood pressure in the general population: follow-up results from the Pressioni Arteriose Monitorate e Loro Associazioni (PAMELA) study. Circulation 2005; 111: 1777-1783.
  5. Selenta C, Hogan BE, Linden W. How often do office blood pressure measurements fail to identify true hypertension? An exploration of white-coat normotension. Arch Fam Med 2000; 9: 533-540.
  6. Pickering TG, White WB. ASH Position Paper: Home and ambulatory blood pressure monitoring. When and how to use self (home) and ambulatory blood pressure monitoring. J Clin Hypertens (Greenwich) 2008; 10: 850-855.Johnson KA, Partsch DJ, Rippole LL, McVey DM. Reliability of self-reported blood pressure measurements. Arch Intern Med 1999; 159: 2689-2693.
  7. Parati G,  Stergiou GS,  Asmar R,  Bilo G,  de Leeuw P,  Imai Y, et al. 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: 1505-1526.
  8. Wessel s, van der Hoeven NV, Van den Born BJ, Cammenga M, Van Montfrans G. Microlife Watchbp for Home Blood Pressure Measurement More Accurate in 'Diagnostic' Mode Compared To Usual Mode. J Hypertens 2010; 28: e454.