J Korean Soc Hypertens.  2012 Mar;18(1):1-16. 10.5646/jksh.2012.18.1.1.

Clinical Significance of Home Blood Pressure and Its Possible Practical Application

Affiliations
  • 1Department of Planning for Drug Development and Clinical Evaluation, Tohoku University Graduate School of Pharmaceutical Sciences, Sendai, Japan. rinsyo@mail.pharm.tohoku.ac.jp

Abstract

This review represents the clinical significance of home blood pressure (BP) and its possible practical application. Home BP is highly reproducible and its reproducibility is better than ambulatory BP. According to this feature home BP has a greater prognostic value at least than clinic BP and is extremely effective for the evaluation of drug effects and their duration. The introduction of home BP to the diagnosis and treatment of hypertension facilitates long-term BP control. Home BP is particularly important for the diagnosis and treatment of hypertension in diabetes mellitus, pregnancy, children and renal diseases. Home BP measurements improve the adherence to medications and medical consultations, and are indispensable for diagnosis of white coat hypertension and masked hypertension. Such efficiency of home BP improves medical economy. Home BP can detect minimal charge in BP mediated by medication, and intrinsic and extrinsic stimuli and detect long-term change in BP. Thus, home BP is now indispensable for improvement in the management of hypertension in medical practice as well as for the recognition of hypertension in the general population. Standardization of the measurement procedure may elevate the position of home BP in the practice of diagnosing and treating hypertension.

Keyword

Home blood pressure measurements; Clinical significance; Clinical application; Pharmacology, clinical; Diagnosis; Therapeutics; Hypertension

MeSH Terms

Blood Pressure
Child
Diabetes Mellitus
Fees and Charges
Humans
Hypertension
Masked Hypertension
Pharmacology, Clinical
Pregnancy
Referral and Consultation
White Coat Hypertension
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