title: Evaluation of a short home blood pressure measurement in an outpatient population of hypertensives.
abstract: Current guidelines suggest the use of home blood pressure monitoring (HBPM) as a method complementary to ambulatory blood pressure monitoring (ABPM) for the identification of arterial hypertension. A cross-sectional study was conducted to evaluate the accuracy of a short HBPM schedule compared with ABPM, and to evaluate to what extent HBPM can replace ABPM. A total of 310 patients who performed ABPM in our hypertension clinic were enrolled between November 2011 and June 2015. They performed a 4-day HBPM schedule, with two readings in the morning and two readings at night. Results showed a moderate correlation between HBPM and ABPM (r = 0.59 for systolic blood pressure (SBP) and r = 0.72 for diastolic blood pressure (DBP)) and moderate diagnostic agreement (area under curve: 0.791 for SBP and 0.857 for DBP). No significant difference was found between first-day average and those of days 2-4. Diagnostic agreement between the two techniques was moderate, supporting the notion that HBPM cannot replace ABPM in the general population. However, we identified two HBPM thresholds, 123/75 and 144/87 mm Hg, through which subjects who may not require further ABPM can be identified.
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Di Monaco
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Rabbia
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Covella
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Fulcheri
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Berra
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Pappaccogli
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Perlo
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Bertello
authors.affiliation: a Department of Medical Sciences , University of Turin , Turin , Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Veglio
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D055815:Young Adult
keywords: Arterial hypertension; ambulatory blood pressure monitoring; blood pressure measurement; diagnostic algorithm; home blood pressure monitoring