ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Pickering, Thomas G.; White, William Β.

doi:10.1111/j.1751-7176.2008.00043.x

Cited by 76 publications

(73 citation statements)

References 33 publications

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“…The advantages of electronic monitors have begun to be appreciated by epidemiologists as their measurements are free from observer error, digit preference, and many of the other causes of standardized measurement inaccuracy with auscultatory measurements (Pickering et al, 2005;Pickering & White, 2008). Like ABPM, large numbers of readings can be taken.…”

Section: Automatic Home or Self Blood Pressure Monitors (Hbpm)mentioning

confidence: 99%

“…If studies are being conducted under conditions where individuals are given monitors to take pressures on their own, it is of utmost importance to educate them in the proper use of the device (Levy, Gerber, Wu, & Mann, 2016;Pickering & White, 2008). As with the criteria noted for proper auscultatory measurements, appropriate cuff size for automatic measurement should be selected based on arm circumference, and individuals should be instructed to take their readings in the seated position (both feet on the floor, back supported, upper arm supported at heart level) after resting for five minutes.…”

Section: Automatic Home or Self Blood Pressure Monitors (Hbpm)mentioning

confidence: 99%

“…To evaluate out-of-office blood pressure, two to three readings should be taken in succession (at one minute intervals) in the morning and in the evening every day, over a period of a week (Pickering & White, 2008;. It is recommended that the readings of the first day be discarded and a total of 12 readings be used for assessing mean blood pressure for diagnostic or clinical purposes (Pickering & White, 2008;Shimbo, Abdalla, Falzon, Townsend, & Muntner, 2015).…”

Section: Automatic Home or Self Blood Pressure Monitors (Hbpm)mentioning

confidence: 99%

“…The standard type of monitor for home or field use is an oscillometric device that records pressure from the brachial artery, and there are several acceptable devices on the market (Pickering et al, 2005 ering, 2010;. Much like ambulatory monitors, HBPMs run on 2-4 AA or AAA batteries; hence researchers will need a lot of batteries (or fewer rechargeable batteries) to monitor a sufficient number of participants for a study.The advantages of electronic monitors have begun to be appreciated by epidemiologists as their measurements are free from observer error, digit preference, and many of the other causes of standardized measurement inaccuracy with auscultatory measurements (Pickering et al, 2005;Pickering & White, 2008). Like ABPM, large numbers of readings can be taken.…”

mentioning

confidence: 99%

“…In this study, few patients reported that they had been instructed to wait before taking measurements and few reported they were instructed on how many readings to obtain (Levy et al, 2016). These findings emphasize that proper education on the use of home monitors is essential.To evaluate out-of-office blood pressure, two to three readings should be taken in succession (at one minute intervals) in the morning and in the evening every day, over a period of a week (Pickering & White, 2008;. It is recommended that the readings of the first day be discarded and a total of 12 readings be used for assessing mean blood pressure for diagnostic or clinical purposes (Pickering & White, 2008;Shimbo, Abdalla, Falzon, Townsend, & Muntner, 2015).…”

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confidence: 99%

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Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies

James

Gerber

2017

American J Hum Biol

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Human biologists have been examining arterial blood pressure since they began studying the effects of the environment and culture on the health of diverse populations. The Korotkoff auscultatory technique with a trained observer and aneroid sphygmomanometer is the method of choice for blood pressure measurement in many bioanthropological field contexts. Korotkoff sounds (the first and fifth phases) are the preferred determinants of systolic and diastolic pressure, even in infants, children, pregnant women, and the elderly. Training of observers, positioning of individuals, and selection of cuff size are all essential for obtaining standardized measurements. Automatic electronic devices are increasingly being used for blood pressure measurement in human biological studies. The automatic monitors often use the oscillometric method for measuring pressure, but must be validated before use. The emergence of automatic ambulatory blood pressure monitors has opened another avenue of research on blood pressure in human biology, where allostasis and circadian responses to environmental change and real life behavioral challenges can be defined and evaluated, largely because there is now the ability to make multiple measurements over time and in varying contexts. Stand-alone automatic monitors can also be substituted for manual auscultated readings in field contexts, although in studies where participants measure their own pressure, education about how the devices work and protocol specifics are necessary. Finally, computer-driven plethysmographic devices that measure pressure in the finger are available to evaluate shortterm reactivity to specific challenges. | I NT ROD UCTI ONThe circulation of blood in the body is made possible by the continuous rhythmic pumping action of the heart, which generates a pulsatile flow when it ejects blood from the left ventricle into the aorta. The pressure exerted against the inner walls of blood vessels during the maximum push of the blood pulse as the left ventricle contracts is systolic blood pressure. Diastolic blood pressure is the force exerted during relaxation and dilatation of the heart, as it refills with blood prior to its next contraction. It is the minimum pressure of the blood pulse. Arterial blood pressure is thus expressed as two numbers: the maximum (systolic) and minimum (diastolic) pressure of a pulse wave of blood as it is expelled from the heart. Because each pulse generates pressure, the number of measureable maxima and minima over a 24 hour period will be equal to the number of heart beats (or ventricular contractions), which will range from 100,000 to perhaps 130,000 in an average healthy person (James, 2007;O'Rourke, 1990).The first easily reproducible noninvasive method for quantifying the maximum and minimum of the blood pulse was developed by Nikolai Korotkoff (1874Korotkoff ( -1920, a Russian field surgeon during the Russo-Japanese war (1904)(1905). American Journal of Human BiologyKorotkoff stumbled upon the method as he was devising a means of ascert...

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Section: Automatic Home or Self Blood Pressure Monitors (Hbpm)mentioning

confidence: 99%

Section: Automatic Home or Self Blood Pressure Monitors (Hbpm)mentioning

confidence: 99%

Section: Automatic Home or Self Blood Pressure Monitors (Hbpm)mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies

James

Gerber

2017

American J Hum Biol

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Pharmacist-Physician Comanagement of Hypertension and Reduction in 24-Hour Ambulatory Blood Pressures

Weber

Ernst

Sezate³

et al. 2010

Arch Intern Med

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Background Pharmacist-physician co-management of hypertension has been shown to improve office blood pressures (BP). We sought to describe the effect of such a model on 24-hour ambulatory BPs. Methods We performed a prospective, cluster-randomised controlled clinical trial in 179 patients with uncontrolled hypertension from five primary care clinics in Iowa City, Iowa. Patients were randomized by clinic to receive pharmacist-physician collaborative management of hypertension (intervention) or usual care (control) for a 9-month period. In the intervention group, pharmacists helped patients identify barriers to BP control, counselled on lifestyle and dietary modifications, and adjusted antihypertensive therapy in collaboration with the patient’s primary care provider. Patients were seen by pharmacists a minimum every 2 months. Ambulatory BP was obtained at baseline and study end. Results Baseline and end of study ambulatory BP profiles were evaluated for 175 patients. Ambulatory BPs were reduced to a greater extent in the intervention compared to control group (daytime ΔSBP [SD] 15.2[11.5] vs 5.5[13.5], p<0.001; nighttime ΔSBP [SD] 12.2[14.8] vs 3.4[13.3], p<0.001; 24-hour ΔSBP [SD] 14.1[11.3] vs 5.5[12.5], p<0.001). More patients in the intervention group had BP controlled at the end of the study (75% vs 50.7%, p<0.001) as defined by overall 24-hour ambulatory BP monitoring. Conclusions Pharmacist-physician collaborative management of hypertension achieved consistent and significantly greater reduction in 24-hour BP and a high rate of BP control.

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Exposure to Racial Discrimination and Ambulatory Blood Pressure in Women with Type 2 Diabetes

Wagner

Tennen

Finan³

et al. 2015

Stress and Health

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Diabetes is the only disorder in which women's risk for heart disease exceeds men's. Elevated blood pressure (BP) increases cardiovascular risk in people with type 2 diabetes. Racial discrimination and neuroticism are both associated with BP levels but have not been examined in concert. This study investigated self-reported racial discrimination, neuroticism and ambulatory BP in women with type 2 diabetes. Thirty-nine Black and 38 White women completed a race-neutral version of the Schedule of Racist Events; BP was evaluated using ambulatory monitoring devices. Actigraphy and diaries were used to document times of sleep and wakefulness. Racial discrimination interacted with neuroticism to predict systolic and diastolic BP both while awake and during sleep, after adjustment for covariates. For each, the influence of racist events was stronger at lower levels of neuroticism. Racial discrimination is associated with higher levels of 24-h BP in diabetic women who are low in neuroticism. Copyright © 2015 John Wiley & Sons, Ltd.

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ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Cited by 76 publications

References 33 publications

Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies

Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies

Pharmacist-Physician Comanagement of Hypertension and Reduction in 24-Hour Ambulatory Blood Pressures

Exposure to Racial Discrimination and Ambulatory Blood Pressure in Women with Type 2 Diabetes

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ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Cited by 76 publications

References 33 publications

Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies

Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies

Pharmacist-Physician Comanagement of Hypertension and Reduction in 24-Hour Ambulatory Blood Pressures

Exposure to Racial Discrimination and Ambulatory Blood Pressure in Women with Type 2 Diabetes

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Product

Resources

About

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring