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

Department of Clinical Medicine and Prevention, University of Milano-Bicocca
Journal of Hypertension (Impact Factor: 4.72). 09/2008; 26(8):1505-26. DOI: 10.1097/HJH.0b013e328308da66
Source: PubMed

ABSTRACT This document summarizes the available evidence and provides recommendations on the use of home blood pressure monitoring in clinical practice and in research. It updates the previous recommendations on the same topic issued in year 2000. The main topics addressed include the methodology of home blood pressure monitoring, its diagnostic and therapeutic thresholds, its clinical applications in hypertension, with specific reference to special populations, and its applications in research. The final section deals with the problems related to the implementation of these recommendations in clinical practice.

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Available from: Peter de Leeuw, Sep 28, 2015
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    • "There are diurnal variations in HBPM averages, and current guidelines recommend the BP measurements to be performed at least in the morning and in the evening [8] [9] [10] [11] [12]. "
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    ABSTRACT: Background. The morning home blood pressure (BP) rise is a significant asymptomatic target organ damage predictor in hypertensives. Our aim was to evaluate determinants of home-based morning-evening difference (MEdiff) in Argentine patients. Methods. Treated hypertensive patients aged ≥18 years participated in a cross-sectional study, after performing home morning and evening BP measurement. MEdiff was morning minus evening home average results. Variables identified as relevant predictors were entered into a multivariable linear regression analysis model. Results. Three hundred sixty-seven medicated hypertensives were included. Mean age was 66.2 (14.5), BMI 28.1 (4.5), total cholesterol 4.89 (1.0) mmol/L, 65.9% women, 11.7% smokers, and 10.6% diabetics. Mean MEdiff was 1.1 (12.5) mmHg systolic and 2.3 (6.1) mmHg diastolic, respectively. Mean self-recorded BP was 131.5 (14.1) mmHg systolic and 73.8 (7.6) mmHg diastolic, respectively. Mean morning and evening home BPs were 133.1 (16.5) versus 132 (15.7) systolic and 75.8 (8.4) versus 73.5 (8.2) diastolic, respectively. Significant beta-coefficient values were found in systolic MEdiff for age and smoking and in diastolic MEdiff for age, smoking, total cholesterol, and calcium-channel blockers. Conclusions. In a cohort of Argentine medicated patients, older age, smoking, total cholesterol, and use of calcium channel blockers were independent determinants of home-based MEdiff.
    International Journal of Hypertension 12/2014; 2014. DOI:10.1155/2014/569259
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    • "Systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were measured with an automated device (Stabilograph, Stolberg, Germany) according to the guidelines of the European Society of Hypertension (Parati et al., 2008). After the participants had rested in a sitting position for 5 min, SBP, DBP and HR were measured five times consecutively during each of the 4 study visits. "
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    ABSTRACT: Exposure to ambient particulate matter and elevated blood pressure are risk factors for cardiovascular morbidity and mortality. Microvascular changes might be an important pathway in explaining the association between air pollution and blood pressure. The objective of the study was to evaluate the role of the retinal microcirculation in the association between black carbon (BC) exposure and blood pressure.We estimated subchronic BC exposure based on 1-week personal measurements (μ-Aethalometer, AethLabs) in 55 healthy nurses. Blood pressure and retinal microvasculature were measured on four different days (range: 2–4) during this week.Subchronic BC exposure averaged (± SD) 1334 ± 631 ng/m3 and ranged from 338 ng/m3 to 3889 ng/m3. An increased exposure of 631 ng/m3 BC was associated with a 2.77 mm Hg (95% CI: 0.39 to 5.15, p = 0.027) increase in systolic blood pressure, a 2.35 mm Hg (95% CI: 0.52 to 4.19, p = 0.016) increase in diastolic blood pressure and with 5.65 μm (95% CI: 1.33 to 9.96, p = 0.014) increase in central retinal venular equivalent. Mediation analysis failed to reveal an effect of retinal microvasculature in the association between blood pressure and subchronic BC exposure.In conclusion, we found a positive association between blood pressure and subchronic black carbon exposure in healthy adults. This finding adds evidence to the association between black carbon exposure and cardiovascular health effects, with elevated blood pressure as a plausible intermediate effector. Our results suggest that the changes in a person's blood pressure as a result of subchronic black carbon exposure operate independently of the retinal microcirculation.
    Environment International 11/2014; 75. DOI:10.1016/j.envint.2014.11.006 · 5.56 Impact Factor
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    • "“Out-of-office” blood pressure (BP) monitoring is important in the diagnosis and management of hypertension.1 Out-of-office BP is commonly assessed by ambulatory BP monitoring (ABPM), or home BP monitoring (HBPM) which involves self-measurement. Previous reports suggest that HBPM is readily accepted and conducted by hypertensive patients.2–4 An increasing number of hypertensive patients are using the technique to check HBPM regularly, whereas young healthy subjects seldom check their BP. "
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    ABSTRACT: Blood pressure (BP) telemonitoring systems and pharmacist management programs were introduced into Haruka Community Pharmacy. A 22-year-old healthy male came to the community pharmacy, although he was not in a diseased state, he had been informed previously that he had a moderately high BP during a routine examination. He continued home BP telemonitoring for 28 days. A pharmacist intervention was conducted at 2 week intervals. His average nighttime systolic BP was higher than the daytime systolic BP. The pharmacist consulted a doctor based on the BP telemonitoring results, and ambulatory blood pressure monitoring (ABPM) was initiated. The doctor detected nocturnal hypertension based on the results of ABPM monitoring. BP telemonitoring systems have been introduced into a small percentage of pharmacies in Japan, and this is the first case report for the usefulness of these systems in a community pharmacy.
    Patient Preference and Adherence 09/2014; 8:1169-71. DOI:10.2147/PPA.S69016 · 1.68 Impact Factor
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