What is the value of home blood pressure measurement in patients with mild hypertension?

Hollis D. Kleinert, Gregory A. Harshfield, Thomas G. Pickering, Richard B. Devereux, Patricia A. Sullivan, Rose Merie Marion, Walter K. Mallory, John H. Laragh

Research output: Contribution to journalArticle

220 Scopus citations

Abstract

To investigate the value of home blood pressure (BP) measurements, the BP was recorded daily by the patient at home and compared with recordings in the physician’s office and with a 24-hour BP recording taken with a noninvasive ambulatory BP recorder in a group of 93 patients with mild untreated hypertension. Office BPs (mean 148/94 mm Hg) were higher than either home (138/89 mm Hg) or average 24-hour BPs (131/89 mm Hg). For systolic BP, home and office measurements gave similar correlations with 24-hour BP (0.67 and 0.55). For diastolic BP, however, home readings were lower and more accurate (0.76 vs 0.36). Thus, our findings indicate that home readings reflect the overall level of BP more reliably than office readings, and if due consideration is given to the fact that they are usually lower than office readings, they may be used as an alternative and costeffective means of evaluating patients with mild hypertension.

Original languageEnglish (US)
Pages (from-to)574-578
Number of pages5
JournalHypertension
Volume6
Issue number4
DOIs
StatePublished - Jan 1 1984
Externally publishedYes

Keywords

  • 24-hour recorder
  • Echocardiography
  • Home blood pressure
  • Mild hypertension

ASJC Scopus subject areas

  • Internal Medicine

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    Kleinert, H. D., Harshfield, G. A., Pickering, T. G., Devereux, R. B., Sullivan, P. A., Marion, R. M., Mallory, W. K., & Laragh, J. H. (1984). What is the value of home blood pressure measurement in patients with mild hypertension? Hypertension, 6(4), 574-578. https://doi.org/10.1161/01.HYP.6.4.574