Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University, School of Medicine, Tochigi, Japan.
J Clin Hypertens (Greenwich). 2018 Jul;20(7):1116-1121. doi: 10.1111/jch.13284.
Home blood pressure monitoring provides multiple measurements in the usual environment of each individual, allows the detection of intermediate hypertension phenotypes (white-coat and masked hypertension), and appears to have superior prognostic value compared to the conventional office blood pressure measurements. Accumulating evidence suggests that home blood pressure monitoring improves long-term hypertension control rates. Moreover, it is widely available, relatively inexpensive, and well accepted by patients. Thus, current guidelines recommend home blood pressure monitoring as an essential method for the evaluation of almost all untreated and treated patients with suspected or treated hypertension. Validated automated upper-arm cuff devices with automated storage and averaging of readings should be used. The home blood pressure monitoring schedule for 4 to 7 days with exclusion of the first day (12-24 readings) should be averaged to provide values for decision making.
家庭血压监测可在个体的日常环境中提供多次测量，有助于发现中间型高血压表型（白大衣性高血压和隐匿性高血压），并且与传统诊室血压测量相比，似乎具有更好的预后价值。越来越多的证据表明，家庭血压监测可提高长期高血压控制率。此外，它广泛可用、相对便宜且被患者广泛接受。因此，目前的指南建议将家庭血压监测作为评估疑似或治疗高血压的几乎所有未治疗和治疗患者的基本方法。应使用经过验证的带自动存储和读数平均值功能的自动上臂袖带设备。应将 4 至 7 天的家庭血压监测日程（不包括第 1 天[12-24 次读数]）进行平均，以提供决策值。
