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J Clin Hypertens (Greenwich). 2014 Feb;16(2):83-6. doi: 10.1111/jch.12252. Epub 2014 Jan 4.

Eliminating the human factor in office blood pressure measurement.

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Division of Cardiology, Schulich Heart Program, Sunnybrook Health Sciences, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.


Factors related to the physician/nurse and patient and their interaction are potential sources of error in manual office blood pressure (MOBP). The use of automated sphygmomanometers to record blood pressure (BP) with the patient alone reduces measurement error and minimizes anxiety-related increases in BP, thus eliminating the "white-coat" response. Comparative studies have shown the cut-point for a normal automated office BP (AOBP), awake ambulatory BP, and home BP (<135/85 mmHg) to be similar, providing the patient does not rest for a prolonged period before the first AOBP reading, as recommended for MOBP measurement. AOBP should now replace MOBP in routine clinical practice.

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