Home BP Measurement (HBPM) Using

Electronic Devices
Home BP measurement is a useful adjunct in the
diagnosis and management of hypertension
especially in selected patients. If properly
performed, it has good prognostic value.
Systematic review has shown that HBPM is
superior compared to office measurements in
diagnosing uncontrolled hypertension, accessing
antihypertensive treatment, improving patient
compliance and provides potential cost saving.
Additionally, some studies have shown that HBPM
measurement can be an alternative to
ambulatory blood pressure monitoring
Indications for HBPM
-

At initial assessment
To Diagnose isolated office hypertension
To assess treatment effects
To diagnose true resistant hypertension
To improve compliance with long term
treatment
To optimize blood pressure control in
high Cardiovascular risk patient

HBPM Interpretation
-

Average BP from several monitoring days

(at least 3 days) should be used
BP values measure on the first monitoring
day should be discarded

Mean home systolic BP > 135 mmHG

and/or diastolic BP > 85 mmHg should be
considered as elevated
Systolic and diastolic home BP < 130 and
<80 mmHG respectively, should be
considered normal

Patient Corner
Recommendations for home measurements;
-

minimum measurement for 3 days and

ideally 7 days should be performed
should be done t about the same time
once in the morning and evening

morning (before drug intake if treated )

and evening (before meal) readings
the result must be immediately recorded in
a specific logbook or stored in device
memory

Correct way of using Electronic BP set;