Blood Pressure: Definition, Diagnosis, and Management

2010 ◽  
pp. 3-19
Author(s):  
Raymond R. Townsend ◽  
Susan P. Steigerwalt
Keyword(s):  
Blood Pressure ◽  
Diagnosis And Management

Pediatrician Adherence to Guidelines for Diagnosis and Management of High Blood Pressure

2021 ◽  
Author(s):  
Corinna J. Rea ◽  
Tammy M. Brady ◽  
David G. Bundy ◽  
Moonseong Heo ◽  
Elissa Faro ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Adherence To Guidelines ◽  
Diagnosis And Management

The practicalities of blood pressure measurement in children

2020 ◽  
Vol 5 (1) ◽  
pp. 13-17
Author(s):  
Eileen Brennan
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Traditional Methods ◽  
Diagnosis And Management ◽  
Hypertension In Children ◽  
Diagnosis Of Hypertension ◽  
Methods Of Measurement

The accurate measurement of children's blood pressure is essential to guide the diagnosis and management of hypertension and other blood pressure-related risks. However, the traditional methods of measurement using a sphygmomanometer and stethoscope have largely been superseded by the use of electronic monitor; however, their use in the diagnosis of hypertension in children is not recommended for children

Blood Pressure: Definition, Diagnosis, and Management

2016 ◽  
pp. 3-15
Author(s):  
Raymond R. Townsend ◽  
Susan P. Steigerwalt
Keyword(s):  
Blood Pressure ◽  
Diagnosis And Management

scholarly journals Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Statement From the American Heart Association and American Medical Association

Circulation ◽  
2020 ◽  
Vol 142 (4) ◽  
Author(s):  
Daichi Shimbo ◽  
Nancy T. Artinian ◽  
Jan N. Basile ◽  
Lawrence R. Krakoff ◽  
Karen L. Margolis ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
The United States ◽  
White Coat ◽  
Policy Statement ◽  
Masked Hypertension ◽  
Financial Investment ◽  
Diagnosis And Management ◽  
The Impact ◽  
At Home

The diagnosis and management of hypertension, a common cardiovascular risk factor among the general population, have been based primarily on the measurement of blood pressure (BP) in the office. BP may differ considerably when measured in the office and when measured outside of the office setting, and higher out-of-office BP is associated with increased cardiovascular risk independent of office BP. Self-measured BP monitoring, the measurement of BP by an individual outside of the office at home, is a validated approach for out-of-office BP measurement. Several national and international hypertension guidelines endorse self-measured BP monitoring. Indications include the diagnosis of white-coat hypertension and masked hypertension and the identification of white-coat effect and masked uncontrolled hypertension. Other indications include confirming the diagnosis of resistant hypertension and detecting morning hypertension. Validated self-measured BP monitoring devices that use the oscillometric method are preferred, and a standardized BP measurement and monitoring protocol should be followed. Evidence from meta-analyses of randomized trials indicates that self-measured BP monitoring is associated with a reduction in BP and improved BP control, and the benefits of self-measured BP monitoring are greatest when done along with cointerventions. The addition of self-measured BP monitoring to office BP monitoring is cost-effective compared with office BP monitoring alone or usual care among individuals with high office BP. The use of self-measured BP monitoring is commonly reported by both individuals and providers. Therefore, self-measured BP monitoring has high potential for improving the diagnosis and management of hypertension in the United States. Randomized controlled trials examining the impact of self-measured BP monitoring on cardiovascular outcomes are needed. To adequately address barriers to the implementation of self-measured BP monitoring, financial investment is needed in the following areas: improving education and training of individuals and providers, building health information technology capacity, incorporating self-measured BP readings into clinical performance measures, supporting cointerventions, and enhancing reimbursement.

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