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Review paper
Published online: 2021-05-18
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Unattended automated office blood pressure measurement – current evidence and the role in clinical practice

Marek Stopa, Agnieszka Olszanecka, Marek Rajzer
DOI: 10.5603/AH.a2021.0012

open access

Ahead of print
REVIEW
Published online: 2021-05-18

Abstract

Arterial hypertension is a leading preventable cardiovascular risk factor. The definition and thresholds for the diagnosis of hypertension vary between European and American guidelines. That is mainly due to the widely known SPRINT trial in which unattended automated blood pressure measurements were used. This technique of blood pressure estimation requires a patient to be left alone in an office and then a programmed device measures blood pressure automatically. The absence of a health professional during the measurement helps to reduce or eliminate the “white coat” effect, therefore, values of blood pressure may be lower than in after conventional office blood pressure measurements. There are premises that this technique can be a solid substitution for 24-hour ambulatory blood pressure measurements and that it can predict hypertension-mediated organ damage more accurately than standard techniques. However, due to the many methods in which measurement can be carried out , no universal protocol exists. More research is needed to evaluate the usefulness of unattended automated office blood pressure measurements in clinical practice.

Abstract

Arterial hypertension is a leading preventable cardiovascular risk factor. The definition and thresholds for the diagnosis of hypertension vary between European and American guidelines. That is mainly due to the widely known SPRINT trial in which unattended automated blood pressure measurements were used. This technique of blood pressure estimation requires a patient to be left alone in an office and then a programmed device measures blood pressure automatically. The absence of a health professional during the measurement helps to reduce or eliminate the “white coat” effect, therefore, values of blood pressure may be lower than in after conventional office blood pressure measurements. There are premises that this technique can be a solid substitution for 24-hour ambulatory blood pressure measurements and that it can predict hypertension-mediated organ damage more accurately than standard techniques. However, due to the many methods in which measurement can be carried out , no universal protocol exists. More research is needed to evaluate the usefulness of unattended automated office blood pressure measurements in clinical practice.

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Keywords

arterial hypertension, blood pressure measurement, unattended automated blood pressure measurement, ambulatory blood pressure measurement, home blood pressure measurement, hypertension-mediated organ damage

About this article
Title

Unattended automated office blood pressure measurement – current evidence and the role in clinical practice

Journal

Arterial Hypertension

Issue

Ahead of print

Article type

Review paper

Published online

2021-05-18

DOI

10.5603/AH.a2021.0012

Keywords

arterial hypertension
blood pressure measurement
unattended automated blood pressure measurement
ambulatory blood pressure measurement
home blood pressure measurement
hypertension-mediated organ damage

Authors

Marek Stopa
Agnieszka Olszanecka
Marek Rajzer

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