Home blood pressure monitoring: Australian Expert Consensus Statement
Open accessAbstract
Measurement of blood pressure (BP) by a doctor in the clinic has limitations that may result in an unrepresentative measure of underlying BP which can impact on the appropriate assessment and management of high BP. Home BP monitoring is the self-measurement of BP in the home setting (usually in the morning and evening) over a defined period (e.g. 7 days) under the direction of a healthcare provider. When it may not be feasible to measure 24-h ambulatory BP, home BP may be offered as a method to diagnose and manage patients with high BP. Home BP has good reproducibility, is well tolerated, is relatively inexpensive and is superior to clinic BP for prognosis of cardiovascular morbidity and mortality. Home BP can be used in combination with clinic BP to identify 'white coat' and 'masked' hypertension. An average home BP of at least 135/85 mmHg is an appropriate threshold for the diagnosis of hypertension. Home BP may also offer the advantage of empowering patients with their BP management, with benefits including increased adherence to therapy and lower achieved BP levels. It is recommended that, when feasible, home BP should be considered for routine use in the clinical management of hypertension.
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Home BP monitoring, when performed according to recommendations, can provide complementary information surrounding BP control to that of clinic and ambulatory BP.
“Home BP monitoring, when performed according to recommendations, can provide complementary information surrounding BP control to that of clinic and ambulatory BP [54,55].”
From The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance (2022) · cites this paper as [55]
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- Authors
- Sharman, J. E., Howes, F. S., Head, G. A., McGrath, B. P., Stowasser, M., Schlaich, M., Glasziou, P., & Nelson, M. R.
- Affiliations
- Bond University (AU)
- University of Tasmania (AU)
- Baker Heart and Diabetes Institute (AU)
- Monash University (AU)
- The University of Queensland (AU)
- Corresponding author
- Sharman, James E.
- ORCID
- Venue
- Journal of Hypertension
- Published
- 2015-09
- Volume
- 33
- Issue
- 9
- Pages
- 1721-1728
- ISSN
- 0263-6352 (ISSN-L)
- PMC
- PMC4671913
- OpenAlex
- W2157171980
- Cited by
- 83
- References
- 50
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 11 · 2020: 14 · 2019: 9 · 2018: 11 · 2017: 8 · 2016: 7
- FWCI
- 6.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Hypertension (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Figshare (submittedVersion)
- Bond University Research Portal (Bond University) (submittedVersion, other-oa)
- Funders
- National Heart Foundation of Australia
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Keywords
- home blood pressure monitoring, hypertension diagnosis, white coat hypertension, masked hypertension, ambulatory blood pressure monitoring, blood pressure thresholds, antihypertensive medication adherence, cardiovascular risk, patient empowerment
- MeSH terms
- Australia, Blood Pressure, Blood Pressure Determination, Humans, Hypertension, Self Care, Reproducibility of Results, Blood Pressure Monitoring, Ambulatory, Consensus, White Coat Hypertension, Masked Hypertension
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