home bp measurement

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Post on 06-Mar-2016

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Home BP Measurement (HBPM) Using Electronic Devices Home BP measurement is a useful adjunct in the diagnosis and management of hypertension especially in selected patients. If properly performed, it has good prognostic value. Systematic review has shown that HBPM is superior compared to office measurements in diagnosing uncontrolled hypertension, accessing antihypertensive treatment, improving patient compliance and provides potential cost saving.Additionally, some studies have shown that HBPM measurement can be an alternative to ambulatory blood pressure monitoring Indications for HBPM At initial assessment To Diagnose isolated office hypertension To assess treatment effects To diagnose true resistant hypertension To improve compliance with long term treatment To optimize blood pressure control in high Cardiovascular risk patient HBPM Interpretation Average BP from several monitoring days (at least 3 days) should be used BP values measure on the first monitoring day should be discarded Mean home systolic BP > 135 mmHG and/or diastolic BP > 85 mmHg should be considered as elevated Systolic and diastolic home BP < 130 and