Clinic, Home, and Ambulatory Blood Pressure Measurements - Strengths and Weaknesses (via https://twitter.com/JACCJournals/st ) Clinic Measurements: • BP measured in a medical setting • Patient should be seated, resting quietly with their back supported and feet flat on the floor • Associated with cardiovascular outcomes • Only method that has been used to guide treatment in large outcome trials • Less precise as only 1 or 2 BP measurements typically obtained • Many factors affect the accuracy of readings • Requires training and frequent re-training of staff Home BP Monitoring: • BP measured while seated at home, resting quietly with back supported and feet flat on the floor • BP readings obtained in the morning and evening • Strong association with cardiovascular outcomes • Detects white coat and masked hypertension • Patients may not correctly measure and report their BP • Requires patient training and re-training Ambulatory BP Monitoring: • BP measured during routine activities • 48 to 72 readings obtained over 24 hours • Strong association with cardiovascular outcomes • Detects white coat and masked hypertension • BP measured at work and at night (i.e., during sleep) • Not tolerated by some patients • Equipment is not widely available • Requires two clinic visits: to set up and return the device #BloodPressure #Monitoring #Clinic #Home #Ambulatory #Management #PrimaryCare #Comparison #Strategies
