The Conway Institute, University College Dublin, Dublin, Ireland.
Stroke and Hypertension Unit, Connolly Hospital, Dublin, Ireland.
J Clin Hypertens (Greenwich). 2018 Jul;20(7):1084-1088. doi: 10.1111/jch.13323.
A summary of statements for blood pressure (BP) measurement in the evaluation of hypertension in the 21st century by 25 international experts is provided. The status of office, home and ambulatory BP measurement techniques are discussed. Office BP measurement, whether automated (preferred), or otherwise, should only be used as a screening measurement, and diagnostic decisions for the initiation and titration of drug treatment should be based on out-of-office measurements (ambulatory or home). The hardware and software requirements and the adaptations of BP measuring devices to record other cardiovascular functions, such as arrhythmias, and adaptations for smartphone use and for electronic transmission are discussed. Regulatory bodies are urged to make accuracy and performance assessment mandatory before marketing BP measuring devices. The legal implications of manufacturing inaccurate devices are noted.
提供了 25 位国际专家对 21 世纪高血压评估中血压（BP）测量的陈述摘要。讨论了诊室、家庭和动态血压测量技术的现状。诊室血压测量，无论是自动化（首选）还是其他方式，仅应作为筛查测量，药物治疗的起始和滴定的诊断决策应基于非诊室测量（动态或家庭）。讨论了血压测量设备的硬件和软件要求以及将其记录其他心血管功能（如心律失常）的适应性，以及用于智能手机使用和电子传输的适应性。敦促监管机构在市场推出血压测量设备之前，强制要求进行准确性和性能评估。还指出了制造不准确设备的法律影响。
