Recommendations for home blood pressure monitoring in Latin American countries: A Latin American Society of Hypertension position paper
Open accessAbstract
Out‐of‐office blood pressure (BP) monitoring appears to be a very useful approach to hypertension management insofar it allows to obtain multiple measurements in the usual environment of each individual, allows the detection of hypertension phenotypes, such as white‐coat and masked hypertension, and appears to have superior prognostic value than the conventional office BP measurements. Out‐of‐office BP can be obtained through either home or ambulatory monitoring, which provide complementary and not identical information. Home BP monitoring yields BP values self‐measured in subjects' usual living environment; it is an essential method for the evaluation of almost all untreated and treated subjects with suspected or diagnosed hypertension, best if combined with telemonitoring facilities, also allowing long‐term monitoring. There is also increasing evidence that home BP monitoring improves long‐term hypertension control rates by improving patients' adherence to prescribed treatment. In Latin American Countries, it is widely available, being relatively inexpensive, and well accepted by patients. Current US, Canadian, Japanese, and European guidelines recommend out‐of‐office BP monitoring to confirm and refine the diagnosis of hypertension.
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HBPM is recommended in recent hypertension guidelines but without detailed instructions on its practical application.
“which is recommended in recent hypertension guidelines but without detailed instructions on its practical application.”
In low-resource settings, healthcare costs and unavailability of ABPM in daily practice might make HBPM the preferred out-of-office BPM method.
“Unfortunately, this is not often possible in low-resource settings because of healthcare costs and unavailability of these approaches, in particular ABPM, in daily practice, which might make HBPM the preferred out-of-office BPM method [10,11]”
In low-resource settings, healthcare costs and unavailability of ABPM in daily practice might make HBPM the preferred out-of-office BPM method.
“Unfortunately, this is not often possible in low-resource settings because of healthcare costs and unavailability of these approaches, in particular ABPM, in daily practice, which might make HBPM the preferred out-of-office BPM method [10,11]”
Cites
European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring
Parati, G., Stergiou, G., O’Brien, E., Asmar, R., Beilin, L., Bilo, G., Clement, D., de la Sierra, A., de Leeuw, P., Dolan, E., et al. (2014) · Journal of Hypertension · doi:10.1097/hjh.0000000000000221 · Cited by 1,021 · see citing works
Self-citationPickering, T. G., Miller, N. H., Ogedegbe, G., Krakoff, L. R., Artinian, N. T., & Goff, D. (2008) · Hypertension · doi:10.1161/hypertensionaha.107.189011 · Cited by 294 · see citing works
Stergiou, G. S., Alpert, B., Mieke, S., Asmar, R., Atkins, N., Eckert, S., Frick, G., Friedman, B., Graßl, T., Ichikawa, T., et al. (2018) · Journal of Hypertension · doi:10.1097/hjh.0000000000001634 · Cited by 278 · see citing works
Self-citationParati, G., Omboni, S., Albini, F., Piantoni, L., Giuliano, A., Revera, M., Illyes, M., & Mancia, G. (2009) · Journal of Hypertension · doi:10.1097/hjh.0b013e3283163caf · Cited by 166 · see citing works
Self-citationNiiranen, T. J., Asayama, K., Thijs, L., Johansson, J. K., Ohkubo, T., Kikuya, M., Boggia, J., Hozawa, A., Sandoya, E., Stergiou, G. S., et al. (2013) · Hypertension · doi:10.1161/hypertensionaha.111.00100 · Cited by 120 · see citing works
Self-citationAsayama, K., Thijs, L., Brguljan-Hitij, J., Niiranen, T. J., Hozawa, A., Boggia, J., Aparicio, L. S., Hara, A., Johansson, J. K., Ohkubo, T., et al. (2014) · PLoS Medicine · doi:10.1371/journal.pmed.1001591 · Cited by 87 · see citing works
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Parati, G., Stergiou, G. S., Bilo, G., Kollias, A., Pengo, M., Ochoa, J. E., Agarwal, R., Asayama, K., Asmar, R., Burnier, M., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002922 · Cited by 178 · see citing works
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- Authors
- Villar, R., Sánchez, R. A., Boggia, J., Peñaherrera, E., Lopez, J., Barroso, W. S., Barbosa, E., Cobos, L., Hernández Hernández, R., Octavio, J. A., Parra Carrillo, J. Z., Ramírez, A. J., & Parati, G.
- Affiliations
- Hospital la Serena (CL)
- Arterial Hypertension and Metabolic Unit University Hospital Favaloro Foundation Buenos Aires Argentina
- Unidad de Hipertensión Centro de Nefrología Hospital Dr. Manuel Quintela Universidad de la República Montevideo Uruguay
- Hospital Luis Vernaza (EC)
- Hospital Vargas (VE)
- Liga de Hipertensao Universidade Federal de Goias (UFG) Goyania Brazil
- Santa Casa Hospital (BR)
- Hospital El Pino Santiago Chile
- Hypertension and Cardiovascular Risk Factors Clinic School of Medicine Universidad Centro Occidental Lisandro Alvarado Barquisimeto Venezuela
- Universidad Central de Venezuela (VE)
- Universidad de Guadalajara y Hospital Civil Dr. Juan I. Mencháca Guadalajara Mexico
- IRCCS Istituto Auxologico Italiano (IT)
- Corresponding author
- Parati, Gianfranco
- ORCID
- Venue
- The Journal of Clinical Hypertension
- Publisher
- Wiley
- Published
- 2020-02-12
- Volume
- 22
- Issue
- 4
- Pages
- 544-554
- ISSN
- 1524-6175 (ISSN-L)
- 1751-7176
- PMC
- PMC8029829
- OpenAlex
- W3005576945
- Cited by
- 28
- References
- 7
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 11 · 2020: 2
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Hypertension (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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, out-of-office blood pressure, hypertension diagnosis, white coat hypertension, masked hypertension, ambulatory blood pressure monitoring, remote patient monitoring, antihypertensive treatment adherence, hypertension control, Latin America
- MeSH terms
- Blood Pressure, Blood Pressure Determination, Canada, Humans, Hypertension, Latin America, Blood Pressure Monitoring, Ambulatory
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