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Measurement of Blood Pressure in the Office: Recognizing the Problem and Proposing the Solution
Abstract
T he widely accepted cut-point for normal blood pressure (BP) in the office setting evolved over several decades, based on data derived from a variety of sources.The Actuarial Society of America was one of the first organizations to publish BP data on thousands of community residents, followed by other classic studies such as Framingham, Western Electric Company, Kaiser Permanente, and the Multiple Risk Factor Intervention Trial. 1,2In every instance, BP readings were based on measurements taken by specially trained health professionals following guidelines for proper BP measurement.As a result of these and other population studies examining the association between different BP levels and cardiovascular outcomes, the importance of systolic and diastolic hypertension was recognized and an office BP of 140/90 mm Hg became the universally established cut-point for separating normal BP from hypertension.
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“further measurement bias can be introduced to office BP if the person doing the measurement had poor adherence to measurement recommendations. 53”
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- 10.1161/circ.77.3.3277736 · DOI
- Ishikawa J. Nasothimiou E, Karpettas N, Feltheimer S, McDoniel S, Schwartz J Stergiou G, Pickering T. Automatic office blood pressure measurement without doctors or nurses present is more predictive of ambulatory blood pressure than is office blood pressure by mercury sphygmomanometer. J Hypertens. 2009; 27 (Suppl 4): S170.
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- Myers MG, Dawes M, Godwin M, Kaczorowski J, Kiss A, Tobe SW Minimum number of readings for automated office blood pressure measurement. J Hypertens. 2009; 27 (Suppl 4): S197.
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Metadata
- Authors
- Myers, M. G., Godwin, M., Dawes, M., Kiss, A., Tobe, S. W., & Kaczorowski, J.
- Affiliations
- Memorial University of Newfoundland (CA)
- ORCID
- Venue
- Hypertension
- Published
- 2010-02
- Volume
- 55
- Issue
- 2
- Pages
- 195-200
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2171867406
- Cited by
- 260
- References
- 37
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 4 · 2021: 17 · 2020: 18 · 2019: 22 · 2018: 31 · 2017: 27 · 2016: 34 · 2015: 16 · 2014: 15 · 2013: 14 · 2012: 19
- FWCI
- 8.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hypertension (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
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- office blood pressure measurement, normotension, systolic hypertension, diastolic hypertension, cardiovascular outcomes, Framingham Heart Study, Multiple Risk Factor Intervention Trial
- MeSH terms
- Blood Pressure Determination, Female, Humans, Hypertension, Male, Office Visits, Ontario, Reference Standards, Risk Factors, Self Care, Reproducibility of Results, Blood Pressure Monitors, Blood Pressure Monitoring, Ambulatory
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