Cedars-Sinai Medical Network, Los Angeles, CA, USA.
Department of Pharmacy Practice, Chapman University School of Pharmacy, Irvine, CA, USA.
Blood Press. 2021 Aug;30(4):220-229. doi: 10.1080/08037051.2021.1911622. Epub 2021 Apr 14.
Home blood pressure monitoring (HBPM) is a convenient way to assess out-of-office blood pressure control and is recommended by numerous international guidelines to aid clinicians in the diagnosis and management of essential hypertension. Although available guidelines recommend the use of HBPM in patients receiving antihypertensive medication, their specific recommendations regarding optimal monitoring schedule, duration, and clinician interpretation of home blood pressure readings may differ among guidelines. : The purpose of this article is to review available international hypertension guideline recommendations related to the use of HBPM to improve hypertension control among patients receiving antihypertensive therapy. We also briefly highlight clinical trials that have shown improved blood pressure control using HBPM to intensify antihypertensive therapy and provide a practical guide for implementing HBPM to improve hypertension control. Eleven international guidelines were identified and reviewed. In total, recommendations relating to which HBPM to use, number of measurements per day, and how to interpret home blood pressure values were largely in agreement among available guidelines. Clinicians recommending HBPM to their patients with hypertension should utilise a standardised HBPM protocol, based on available guideline recommendations.
家庭血压监测（HBPM）是评估非诊室血压控制的一种便捷方式，许多国际指南都推荐使用这种方法，以帮助临床医生诊断和管理原发性高血压。虽然现有的指南建议在接受抗高血压药物治疗的患者中使用 HBPM，但它们关于最佳监测时间表、持续时间和临床医生对家庭血压读数的解释的具体建议可能因指南而异。本文的目的是回顾现有的国际高血压指南建议，以改善接受抗高血压治疗的患者的高血压控制。我们还简要介绍了一些临床试验，这些试验表明使用 HBPM 可以加强抗高血压治疗，从而更好地控制血压，并提供了一个实用的指南，以实施 HBPM 来改善高血压控制。确定并审查了 11 项国际指南。总的来说，关于使用哪种 HBPM、每天测量次数以及如何解释家庭血压值的建议在现有的指南中基本一致。建议使用 HBPM 治疗高血压患者的临床医生应根据现有的指南建议，使用标准化的 HBPM 方案。
