Consultant Cardiologist, S.R Mehta Hospital in Sion East, Mumbai, Maharashtra, India. Hypertension is without doubt one of the most vital public health drawback and a common lifestyle illness at the moment in India. Monitoring of blood stress along with appropriate and well timed management is important as a way to keep away from any morbidity and mortality associated with hypertension. Using Home Blood Pressure Monitoring (HBPM) for the measurement of blood pressure by the patient outside the clinical setting, both at home or at work place, is growing the world over. The observe of monitoring at-home blood monitoring pressure at house is nicely accepted by the patients as effectively and could be a helpful adjuvant to the routine workplace based mostly blood strain measurements. Recently, experts in the sphere of hypertension administration across India had been invited to develop a consensus document on the position of HBPM in the Indian setting. This consensus doc reflects the views and ideas of the consultants who had participated in developing this document.

Disclosure: The authors have no conflicts of curiosity to declare. Correspondence: Thomas MacDonald, Medicines Monitoring Unit and Hypertension Research Centre, Division of Medical Sciences, University of Dundee, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK. Hypertension is the most common preventable cause of cardiovascular illness. Home blood pressure monitoring (HBPM) is a self-monitoring software that may be integrated into the care for patients with hypertension and is beneficial by main pointers. A growing body of proof supports the benefits of patient HBPM in contrast with workplace-based monitoring: these embody improved management of BP, diagnosis of white-coat hypertension and prediction of cardiovascular threat. Furthermore, HBPM is cheaper and simpler to carry out than 24-hour ambulatory BP monitoring (ABPM). All HBPM gadgets require validation, nonetheless, as inaccurate readings have been found in a high proportion of screens. New know-how features a longer inflatable space within the cuff that wraps all the way spherical the arm, growing the ‘acceptable range’ of placement and thus decreasing the impact of cuff placement on studying accuracy, thereby overcoming the limitations of present units.

However, although the impact of BP on CV threat is supported by one in every of the greatest our bodies of clinical trial data in medicine, few clinical studies have been dedicated to the difficulty of BP measurement and its validity. Studies additionally lack consistency in the reporting of BP measurements and some don't even present details on how BP monitoring was carried out. This article aims to debate the advantages and disadvantages of home BP monitoring (HBPM) and examines new expertise aimed at bettering its accuracy. Office BP measurement is related to a number of disadvantages. A study in which repeated BP measurements had been made over a 2-week period beneath research examine circumstances discovered variations of as much as 30 mmHg with no remedy adjustments. A current observational examine required major care physicians (PCPs) to measure BP on 10 volunteers. Two trained research assistants repeated the measures immediately after the PCPs.

The PCPs had been then randomised to receive detailed training documentation on standardised BP measurement (group 1) or details about excessive BP (group 2). The BP measurements were repeated a couple of weeks later and the PCPs’ measurements compared with the average value of four measurements by the research assistants (gold commonplace). At baseline, the mean BP differences between PCPs and the gold commonplace had been 23.0 mmHg for systolic and 15.3 mmHg for diastolic BP. Following PCP coaching, the mean distinction remained high (group 1: 22.3 mmHg and 14.4 mmHg

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Pub: 24 Dec 2025 14:02 UTC

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