Automated Office-Based Blood Pressure Measurement: an Overview and Guidance for Implementation in Primary Care

Purpose of Review The purposes of this study are to review evidence supporting the use of automated office blood pressure (AOBP) measurement and to provide practical guidance for implementing it in clinical settings. Recent Findings Mean AOBP readings correlate with awake ambulatory blood pressure m...

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Bibliographic Details
Published in:Current hypertension reports 2019-04, Vol.21 (4), p.29-10, Article 29
Main Authors: Boonyasai, Romsai T., McCannon, Erika L., Landavaso, Joseph E.
Format: Article
Language:English
Subjects:
Automation
Blood pressure
Blood Pressure Determination - methods
Cardiology
Clinical medicine
Family Medicine
General Practice
Humans
Hypertension
Hypertension - diagnosis
Implementation to Increase Blood Pressure Control: What Works? (Jeffrey Brettler and Kristi Reynolds
Internal Medicine
Measurement techniques
Medical equipment
Medical personnel
Medical practices
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Office Visits
Patients
Practice Guidelines as Topic
Primary care
Primary Care Medicine
Primary Health Care - organization & administration
Section Editors
Topical Collection on Implementation to Increase Blood Pressure Control: What Works?
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Summary:Purpose of Review The purposes of this study are to review evidence supporting the use of automated office blood pressure (AOBP) measurement and to provide practical guidance for implementing it in clinical settings. Recent Findings Mean AOBP readings correlate with awake ambulatory blood pressure monitor (ABPM) values and predict cardiovascular outcomes better than conventional techniques. However, heterogeneity among readings suggests that AOBP does not replace ABPM. Blood pressure (BP) measurement protocols differ among commonly described AOBP devices, but all produce valid BP estimates. Rest periods should not precede AOBP with BpTRU devices but should occur before use with Omron HEM-907 and Microlife WatchBP Office devices. Attended and unattended AOBP appear to produce similar results. This review also describes a framework to aid AOBP’s implementation in clinical practice. Summary Evidence supports AOBP as the preferred method for measuring BP in office settings, but this approach should be a complement to out-of-office measurements, such as self-measured BP monitoring or 24-h ABPM, not a substitute for it.
ISSN:1522-6417
1534-3111
DOI:10.1007/s11906-019-0936-9