Automated Office-Based Blood Pressure Measurement: an Overview and Guidance for Implementation in Primary Care

Romsai Tony Boonyasai, Erika L. McCannon, Joseph E. Landavaso

Research output: Contribution to journalReview article

Abstract

Purpose of Review: The purposes of this study are to review evidence supporting the use of automated office blood pressure (AOBP) measurement and to provide practical guidance for implementing it in clinical settings. Recent Findings: Mean AOBP readings correlate with awake ambulatory blood pressure monitor (ABPM) values and predict cardiovascular outcomes better than conventional techniques. However, heterogeneity among readings suggests that AOBP does not replace ABPM. Blood pressure (BP) measurement protocols differ among commonly described AOBP devices, but all produce valid BP estimates. Rest periods should not precede AOBP with BpTRU devices but should occur before use with Omron HEM-907 and Microlife WatchBP Office devices. Attended and unattended AOBP appear to produce similar results. This review also describes a framework to aid AOBP’s implementation in clinical practice. Summary: Evidence supports AOBP as the preferred method for measuring BP in office settings, but this approach should be a complement to out-of-office measurements, such as self-measured BP monitoring or 24-h ABPM, not a substitute for it.

Original languageEnglish (US)
Article number29
JournalCurrent hypertension reports
Volume21
Issue number4
DOIs
Publication statusPublished - Apr 1 2019

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Keywords

  • AOBP
  • Automated office blood pressure
  • Blood pressure measurement
  • Hypertension
  • Implementation science
  • Primary care

ASJC Scopus subject areas

  • Internal Medicine

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