Year: 2008
Type: article
Abstract: Hypertension, the leading global risk factor for early mortality, can not be detected or treated without accurate and practical methods of BP measurement.Although home blood pressure (BP) measurement enjoys considerable popularity among patients, the lack of evidence needed to assure its place in modern clinical practice has hindered its widespread acceptance among physicians.The objective of this study was to show that home BP measurement is more accurate than conventional clinic BP measurement and can be used effectively in clinical practice.We assessed the use of home BP for diagnosing hypertension and guiding antihypertensive treatment.The association between home BP and hypertensive end-organ damage was also examined.evidence of left ventricular hypertrophy) than was clinic BP.The adjustment of antihypertensive treatment based on home BP measurement is effective as it led to equally good BP control as did ambulatory BP monitoring, which has been considered by many as the gold standard.On the basis of these results and data from previous studies, it can be concluded that home BP measurement is an improvement over conventional clinic BP measurement.Home monitoring of BP is as a convenient, accurate, and widely available option and may become the method of choice when diagnosing and treating hypertension.A paradigm shift is needed in BP measurement as evidencebased medicine suggests that clinic BP measurement should only be used for screening purposes.
Author: Teemu Niiranen
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funder: Turun Yliopisto
OpenAlex ID: W2138593707