European Society of Hypertension Practice Guidelines for home blood pressure monitoring

Use of home sphygmomanometers in Turkey: a nation-wide survey

“…4 The feature of memory associated with the devices is quite useful and therefore is recommended. [2][3][4] Bringing the device to the physician, when visiting, serves to reduce problems due to inaccurate recording of readings and increases the reliability of HBPM, but only a limited number of patients were performing this, according to our survey. As increased prevalence of obesity leads to a larger mean arm circumference in the hypertensive population, 25 and as appropriate cuff size is essential for accurate measurement of BP, 2-4 overweight and obese patients often require sphygmomanometers with large-or extra-large-sized cuffs.…”

“…Despite common ownership of a home sphygmomanometer, daily practice of HBPM in Turkey was far from the recommendations of the current guidelines. [2][3][4]18 In spite of common ownership of a home sphygmomanometer, the regular measurement of BP by a small group of patients, before visits with their physicians, indicated ineffective BP measurement at home. We suspect that the main findings of the current study, namely, the lack of training by health-care professionals and the dominance of wrist devices, would also be found in other developing and underdeveloped countries.…”

“…Substantial evidence regarding the usefulness of HBPM has accumulated in the last decade. In 2008, two guidelines specifically focusing on the clinical application of HBPM were published by the European Society of Hypertension, 2 in which its practice version was summarized recently, 3 and by the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association. 4 A recent systematic review found HBPM to be superior to office measurements in diagnosing uncontrolled hypertension, assessing anti-hypertensive drug efficiency, and improving patients' compliance and hypertension control.…”

Similaridade entre os valores da pressão arterial aferida pelo método auscultatório com aparelho de coluna de mercúrio e o método oscilométrico automático com aparelho digital

“…10,11 Although there is still reluctance on the part of the medical community to indicate HBPM, its use has become more common, the strategy being now an important source of information on BP levels. 9,17,18 Furthermore, HBPM has high acceptability by the patients.…”

“…Several studies have demonstrated the benefits of HBPM compared with casual ambulatory BP measurements, making the diagnosis of hypertension more precise and favoring BP control, with consequent lower disease-related morbidity and mortality. 10,11 In spite of great technological advances and the high acceptability of automated digital devices, some researchers still dispute HBPM validity, believing that values obtained outside a medical environment are prone to error. [12][13][14] Because of controversy surrounding the precision and effectiveness of the automated oscillometric method, the purpose of this study was to compare measurements simultaneously obtained, through use of the same cuff, with the mercury sphygmomanometer auscultatory method and the automated digital method.…”