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J Clin Hypertens (Greenwich). 2018 Jul;20(7):1089-1091. doi: 10.1111/jch.13295.

Guidelines for blood pressure measurement: development over 30 years.

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Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy.
Cardiology Unit, Department of Cardiovascular, Neural, and Metabolic Sciences, Istituto Auxologco Italiano, S. Luca Hospital, Milano, Italy.
Nuffield Department of Primary Care Health Sciences, Green Templeton College, University of Oxford, Oxford, UK.
Baker Heart and Diabetes Institute, Melbourne, Vic, Australia.
Division of Cardiology, Schulich Heart Program, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.


In the last 2 decades, several scientific societies have published specific guidelines for blood pressure (BP) measurement, providing detailed recommendations for office, home, and ambulatory BP monitoring. These documents typically provided strong support for using out-of-office BP monitoring (ambulatory and home). More recently, several organizations recommended out-of-office BP evaluation as a primary method for diagnosing hypertension and for treatment titration, with office BP regarded as a screening method. Efforts should now be directed towards making ambulatory and home BP monitoring readily available in primary care and ensuring that such measurements are obtained by following current guidelines. Moreover, it should be mandatory for all published clinical research papers on hypertension to provide details on the methodology of the BP measurement.


ambulatory blood pressure monitoring; blood pressure measurement; diagnosis; home blood pressure monitoring; recommendations; treatment

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