Home blood pressure monitoring should involve:
National Heart Foundation of Australia. Guideline for the diagnosis and management of hypertension in adults – 2016. Melbourne: National Heart Foundation of Australia, 2016.
Procedures for ambulatory blood pressure monitoring should be adequately explained to patients. Those undertaking home measurements require appropriate training under qualified supervision.
Leung AA, Nerenberg K, Daskalopoulou SS, et al. Hypertension Canada’s 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension. Can J Cardiol. 2016; 32(5): 569-588. doi: 10.1016/j.cjca.2016.02.066.
Use of standardized measurement techniques and validated equipment for all methods (office BP measurement taken with a nonautomated device [non-AOBP], AOBP, home BP monitoring, and ambulatory BP monitoring) is recommended (Grade D; see Supplemental Table S2; section VII. Home BP Measurement; section VIII. Ambulatory BP Measurement; Table 1 in section VII. Home BP Measurement; and Table 2 in section VIII. Ambulatory BP Measurement). Measurement using electronic (oscillometric) upper arm devices is preferred over auscultation (Grade C). (Unless specified otherwise, electronic [oscillometric] measurement should be used).
Health care professionals should ensure that patients who measure their BP at home have adequate training and, if necessary, repeat training in measuring their BP. Patients should be observed to determine that they measure BP correctly and should be given adequate information about interpreting these readings
National Institute for Health and Care Excellence (NICE). Hypertension in adults: Diagnosis and management 2011. Available from: nice.org.uk/guidance/cg127. Accessed: August 2017.
When measuring blood pressure in the clinic or in the home, standardise the environment and provide a relaxed, temperate setting, with the person quiet and seated, and their arm outstretched and supported.
When using HBPM to confirm a diagnosis of hypertension, ensure that:
Discard the measurements taken on the first day and use the average value of all the remaining measurements to confirm a diagnosis of hypertension.