Blood pressure measurement: Clinic, home, ambulatory, and beyond

Paul E. Drawz, Mohamed Abdalla, Mahboob Rahman

Research output: Contribution to journalReview article

48 Scopus citations

Abstract

Blood pressure traditionally has been measured in the clinic setting using the auscultatory method and a mercury sphygmomanometer. Technologic advances have led to improvements in measuring clinic blood pressure and allowed for measuring blood pressures outside the clinic. This review outlines various methods for evaluating blood pressure and the clinical utility of each type of measurement. Home blood pressures and 24-hour ambulatory blood pressures have improved our ability to evaluate the risk of target-organ damage and hypertension-related morbidity and mortality. Measuring home blood pressures may lead to more active participation in health care by patients and has the potential to improve blood pressure control. Ambulatory blood pressure monitoring enables measuring nighttime blood pressures and diurnal changes, which may be the most accurate predictors of risk associated with elevated blood pressure. Additionally, reducing nighttime blood pressure is feasible and may be an important component of effective antihypertensive therapy. Finally, estimating central aortic pressures and pulse wave velocity are 2 of the newer methods for assessing blood pressure and hypertension-related target-organ damage.

Original languageEnglish (US)
Pages (from-to)449-462
Number of pages14
JournalAmerican Journal of Kidney Diseases
Volume60
Issue number3
DOIs
StatePublished - Sep 2012

Keywords

  • Blood pressure
  • ambulatory blood pressure
  • cardiovascular risk assessment
  • home blood pressure

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