The Journal of Clinical Hypertension (Mar 2021)

Office blood pressure measurement: A comprehensive review

  • Saulat Siddique,
  • Aamir Hameed Khan,
  • Hunaina Shahab,
  • Yu‐Qing Zhang,
  • Jam Chin Tay,
  • Peera Buranakitjaroen,
  • Yuda Turana,
  • Narsingh Verma,
  • Chen‐Huan Chen,
  • Hao‐Min Cheng,
  • Tzung‐Dau Wang,
  • Huynh Van Minh,
  • Yook‐Chin Chia,
  • Kazuomi Kario

DOI
https://doi.org/10.1111/jch.14169
Journal volume & issue
Vol. 23, no. 3
pp. 440 – 449

Abstract

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Abstract The conventional auscultatory methods for measuring blood pressure have been used to screen, diagnose, and manage hypertension since long. However, these have been found to be prone to errors especially the white coat phenomena which cause falsely high blood pressure readings. The Mercury sphygmomanometer and the Aneroid variety are no longer recommended by WHO for varying reasons. The Oscillometric devices are now recommended with preference for the Automated Office Blood Pressure measurement device which was found to have readings nearest to the Awake Ambulatory Blood Pressure readings. The downside for this device is the cost barrier. The alternative is to use the simple oscillometric device, which is much cheaper, with the rest and isolation criteria of the SPRINT study. This too may be difficult due to space constraints and the post‐clinic blood measurement is a new concept worth further exploration.

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