Home blood pressure monitoring in the 21st century

J Clin Hypertens (Greenwich). 2018 Jul;20(7):1116-1121. doi: 10.1111/jch.13284.


Home blood pressure monitoring provides multiple measurements in the usual environment of each individual, allows the detection of intermediate hypertension phenotypes (white-coat and masked hypertension), and appears to have superior prognostic value compared to the conventional office blood pressure measurements. Accumulating evidence suggests that home blood pressure monitoring improves long-term hypertension control rates. Moreover, it is widely available, relatively inexpensive, and well accepted by patients. Thus, current guidelines recommend home blood pressure monitoring as an essential method for the evaluation of almost all untreated and treated patients with suspected or treated hypertension. Validated automated upper-arm cuff devices with automated storage and averaging of readings should be used. The home blood pressure monitoring schedule for 4 to 7 days with exclusion of the first day (12-24 readings) should be averaged to provide values for decision making.

Keywords: blood pressure measurement; diagnosis; self-measurement; treatment.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Blood Pressure Determination / economics
  • Blood Pressure Determination / methods*
  • Blood Pressure Determination / trends
  • Blood Pressure Monitoring, Ambulatory / economics
  • Blood Pressure Monitoring, Ambulatory / instrumentation
  • Blood Pressure Monitoring, Ambulatory / methods*
  • Decision Making / physiology
  • Humans
  • Hypertension / diagnosis
  • Hypertension / physiopathology*
  • Masked Hypertension / diagnosis
  • Office Visits / statistics & numerical data
  • Predictive Value of Tests
  • Prognosis
  • Reproducibility of Results
  • Self-Management / methods
  • Self-Management / statistics & numerical data
  • White Coat Hypertension / diagnosis