Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Aug;38(8):1407-1411.
doi: 10.1097/HJH.0000000000002439.

Attended versus unattended automated office blood pressure measurement in the diagnosis and treatment of hypertension

Martin G Myers  1 , Alejandro de La Sierra  2 , Michael Roerecke  3 , Janusz Kaczorowski  4
Affiliations

Attended versus unattended automated office blood pressure measurement in the diagnosis and treatment of hypertension

Martin G Myers et al. J Hypertens. 2020 Aug.

Abstract

: The main advantage of automated office (AO)BP in hypertension screening is that it eliminates white-coat effect seen in routine office practice, with readings similar to awake ambulatory (A)BP. Recent studies examining the possible equivalence between AOBP recorded with and without research staff present have reported attended systolic AOBP to be 5.8 mmHg higher. Moreover, attended automated SBP readings in 27 211 patients in clinical practice were 25 mmHg higher than awake ABP. These data are consistent with the presence of staff increasing AOBP. In research studies, all types of office BP measurement at target SBP less than 130 mmHg were generally lower than awake ABP, whereas, in clinical practice, attended automated office BP was slightly higher than awake ABP. However, AOBP may still be preferred, if target BP is to be similar to 24-h ABP. Further research is needed to determine the optimum technique for recording office BP at target.

PubMed Disclaimer

Comment in

References

    1. Roerecke M, Kaczorowski J, Myers MG. Comparing automated office blood pressure readings with other methods of blood pressure measurement for identifying patients with possible hypertension. A systematic review and meta-analysis. JAMA Int Med 2019; 179:351–362.
    1. Myers MG, Kaczorowski J, Paterson JM, Dolovich L, Tu K. Thresholds for diagnosing hypertension based upon automated office blood pressure measurements and cardiovascular risk. Hypertension 2015; 66:489–495.
    1. Myers MG, Kaczorowski J, Dolovich L, Tu K, Paterson JM. Cardiovascular risk in hypertension in relation to achieved blood pressure using automated office blood pressure measurement. Hypertension 2016; 68:866–872.
    1. Myers MG. Automated blood pressure measurement in routine clinical practice. Blood Press Monit 2006; 11:59–62. Myers MG.
    1. Myers MG, Godwin M, Dawes M, Kiss A, Tobe SW, Grant FC, Kaczorowski J. Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension: randomized parallel design controlled trial. BMJ 2011; 342:d286.

MeSH terms

LinkOut - more resources