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Review
. 2022 Oct 1;28(1):38.
doi: 10.1186/s40885-022-00218-1.

Home blood pressure monitoring: a position statement from the Korean Society of Hypertension Home Blood Pressure Forum

Sang-Hyun Ihm #  1 , Jae-Hyeong Park #  2 , Jang Young Kim  3 , Ju-Han Kim  4 , Kwang-Il Kim  5 , Eun Mi Lee  6 , Hae-Young Lee  7 , Sungha Park  8 , Jinho Shin  9 , Cheol-Ho Kim  10
Affiliations
Review

Home blood pressure monitoring: a position statement from the Korean Society of Hypertension Home Blood Pressure Forum

Sang-Hyun Ihm et al. Clin Hypertens. .

Abstract

Home blood pressure measurement (HBPM) has the advantage of measuring blood pressure (BP) multiple times over a long period. HBPM effectively diagnoses stress-induced transient BP elevations (i.e., white coat hypertension), insufficient BP control throughout the day (i.e., masked hypertension), and even BP variability. In most cases, HBPM may increase self-awareness of BP, increasing the compliance of treatment. Cumulative evidence has reported better improved predictive values of HBPM in cardiovascular morbidity and mortality than office BP monitoring. In this position paper, the Korean Society of Hypertension Home Blood Pressure Forum provides comprehensive information and clinical importance on HBPM.

Keywords: Ambulatory blood pressure monitoring; Blood pressure; Home blood pressure; Hypertension; Measurement; Prevention and control.

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Conflict of interest statement

JHP serves on the Editorial Board as a deputy editor in the Clinical Hypertension. The other authors have no competing interests.

Figures

Fig. 1
Fig. 1
A Fluctuation phase of blood pressure (BP) by change of compression band pressure. B The oscillation due to change in compression band pressure observed by enlarging the slope in (A). Reprinted from Babbs et al. [22]
Fig. 2
Fig. 2
A Oscillation by compression band pressure. B Defined the pressure at maximum oscillation amplitude mean pressure (m) and the pressure in the escalating phase at 50% of maximum amplitude, systolic pressure (s), and the compression band pressure in the declining phase at 75% of maximum amplitude, diastolic pressure (d)
Fig. 3
Fig. 3
Trends in total mortality and cardiovascular death rate by office and home blood pressure. Reprinted from Mancia et al. [42], with permission of Wolters Kluwer Health
Fig. 4
Fig. 4
Transition from white coat hypertension to true hypertension. BP, blood pressure; NT, normotensive. Reprinted from Mancia et al. [49], with permission of Wolters Kluwer Health
Fig. 5
Fig. 5
Incidence of cardio-cerebrovascular disease in patients with white coat hypertension patients and normal blood pressure. NT, normotensive; WCH, white coat hypertension. Reprinted from Franklin et al. [48], with permission of Wolters Kluwer Health
Fig. 6
Fig. 6
Cardiovascular events and total mortality according to the types of hypertension. HTN, hypertension; NT, normotensive. Reprinted from Stergiou et al. [53], with permission of Wolters Kluwer Health
Fig. 7
Fig. 7
Measurement error between blood pressure by heart rate in atrial fibrillation and normal sinus rhythm. AF, atrial fibrillation; BPM, beats per minute; SR, sinus rhythm; VR, ventricular rate. Reprinted from Pagonas et al. [76] with permission of Wolters Kluwer Health
Fig. 8
Fig. 8
Factors related with nocturnal hypertension. BP, blood pressure; CKD, chronic kidney disease; CHF, congestive heart failure; OSA, obstructive sleep apnea; REM, rapid eye movement. Reprinted from Kario et al. [79] with permission of Wolters Kluwer Health
See this image and copyright information in PMC

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