What is the optimal interval between successive home blood pressure readings using an automated oscillometric device?
Open accessAbstract
OBJECTIVES: To clarify whether a shorter interval between three successive home blood pressure (HBP) readings (10 s vs. 1 min) taken twice a day gives a better prediction of the average 24-h BP and better patient compliance. DESIGN: We enrolled 56 patients from a hypertension clinic (mean age: 60 +/- 14 years; 54% female patients). The study consisted of three clinic visits, with two 4-week periods of self-monitoring of HBP between them, and a 24-h ambulatory BP monitoring at the second visit. Using a crossover design, with order randomized, the oscillometric HBP device (HEM-5001) could be programmed to take three consecutive readings at either 10-s or 1-min intervals, each of which was done for 4 weeks. Patients were asked to measure three HBP readings in the morning and evening. All the readings were stored in the memory of the monitors. RESULTS: The analyses were performed using the second-third HBP readings. The average systolic BP/diastolic BP for the 10-s and 1-min intervals at home were 136.1 +/- 15.8/77.5 +/- 9.5 and 133.2 +/- 15.5/76.9 +/- 9.3 mmHg (P = 0.001/0.19 for the differences in systolic BP and diastolic BP), respectively. The 1-min BP readings were significantly closer to the average of awake ambulatory BP (131 +/- 14/79 +/- 10 mmHg) than the 10-s interval readings. There was no significant difference in patients' compliance in taking adequate numbers of readings at the different time intervals. CONCLUSION: The 1-min interval between HBP readings gave a closer agreement with the daytime average BP than the 10-s interval.
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Cross-sectional studies have mainly focused on the effect of different numbers of readings and days on average HBP, HBP variability and reproducibility; cross-classification according to office and home BP; association with ABPM values; and association with indices of preclinical target-organ damage.
“Cross-sectional studies have mainly focused on the effect of different numbers of readings and days on average HBP, HBP variability and reproducibility; cross-classification according to office and home BP (normotension, white-coat, masked and sustained hypertension); association with ABPM values and association with indices of preclinical target-organ damage [17,18,127–133]”
From Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension (2021) · cites this paper as [131]
The Results and Conclusion (pages not provided) compare averages from successive home readings and their agreement with ambulatory blood pressure, supporting those parts of the sentence. The paper does not analyze the number of measurement days, classify participants by office and home BP, or assess preclinical target-organ damage; its Introduction mentions reproducibility and target-organ damage as findings of other studies. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOutcome studies in Japan, Greece and Finland with somewhat different HBPM protocols, as well as the IDHOCO database, indicated that the prognostic value of HBPM for cardiovascular disease is increased within the range of 1-7 days, with most benefit achieved in the first 3-4 days.
“Outcome studies in Japan, Greece and Finland with somewhat different HBPM protocols, as well as of the IDHOCO database indicated that the prognostic value of HBPM for cardiovascular disease is increased within the range of 1–7 days, with most of this benefit achieved in the first 3–4 days [131,136–138]”
From Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension (2021) · cites this paper as [131]
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Experimental — accuracy not yet measuredIn the IDHOCO database (n = 4802), consistency in diagnosing hypertension phenotypes between consecutive monitoring days improved by averaging more HBP measurements, with near perfect agreement after the sixth monitoring day for both office and home BP cross-classification.
“In the International Database on Home blood pressure in relation to Cardiovascular Outcomes (IDHOCO) database (n = 4802), the consistency in diagnosing hypertension phenotypes between consecutive monitoring days was improved by averaging more HBP measurements with near perfect agreement after the sixth monitoring day for both office and home BP cross-classification [131]”
From Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension (2021) · cites this paper as [131]
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- Authors
- Eguchi, K., Kuruvilla, S., Ogedegbe, G., Gerin, W., Schwartz, J. E., & Pickering, T. G.
- Affiliations
- Jichi Medical University (JP)
- Columbia University Irving Medical Center (US)
- Stony Brook University (US)
- Corresponding author
- Eguchi, Kazuo
- Venue
- Journal of Hypertension
- Published
- 2009-06
- Volume
- 27
- Issue
- 6
- Pages
- 1172-1177
- ISSN
- 0263-6352 (ISSN-L)
- PMC
- PMC2941726
- OpenAlex
- W2079814995
- Cited by
- 53
- References
- 27
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 3 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Columbia Academic Commons (Columbia University)
- Funders
- Omron Healthcare
- National Heart, Lung, and Blood Institute (P01 HL47540, R24-HL76857, R24HL076857, P01HL047540)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- home blood pressure monitoring, oscillometric blood pressure measurement, measurement interval, ambulatory blood pressure monitoring, hypertension, medication adherence, self-monitoring
- MeSH terms
- Aged, Automation, Blood Pressure, Female, Humans, Hypertension, Male, Middle Aged, Oscillometry, Patient Compliance, Time Factors, Cross-Over Studies, Blood Pressure Monitoring, Ambulatory
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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