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J Am Coll Cardiol. 2019 Jan 29;73(3):317-335. doi: 10.1016/j.jacc.2018.10.069.

Blood Pressure Assessment in Adults in Clinical Practice and Clinic-Based Research: JACC Scientific Expert Panel.

Author information

1
Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: pmuntner@uab.edu.
2
Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute of the National Institutes of Health, Bethesda, Maryland.
3
Preventive Medicine Section, Medical Service, Veterans Affairs Medical Center, Memphis, Tennessee.
4
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana.
5
Department of Medicine, Division of Cardiology, Columbia University Medical Center, New York, New York.
6
Division of Renal Diseases & Hypertension, University of Minnesota, Minneapolis, Minnesota.
7
Kaiser Permanente Washington Health Research Institute, Seattle, Washington.
8
Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
9
Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
10
HealthPartners Institute, Minneapolis, Minnesota.
11
Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
12
Duke Clinical Research Institute, Durham, North Carolina.
13
National Center for Health Statistics of the Centers for Disease Control and Prevention, Hyattsville, Maryland.
14
American Medical Association, Chicago, Illinois.
15
Department of Medicine, Brigham's and Women's Hospital, Harvard University, Boston, Massachusetts.
16
Department of Psychiatry and Behavioral Sciences, Stony Brook University, Stony Brook, New York.
17
The Hypertension Center, Columbia University Medical Center, New York, New York.
18
Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece.
19
Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
20
Department of Medicine, Wake Forest University, Winston-Salem, North Carolina.
21
Department of Medicine, Case Western Reserve University, Cleveland, Ohio.

Abstract

The accurate measurement of blood pressure (BP) is essential for the diagnosis and management of hypertension. Restricted use of mercury devices, increased use of oscillometric devices, discrepancies between clinic and out-of-clinic BP, and concerns about measurement error with manual BP measurement techniques have resulted in uncertainty for clinicians and researchers. The National Heart, Lung, and Blood Institute of the U.S. National Institutes of Health convened a working group of clinicians and researchers in October 2017 to review data on BP assessment among adults in clinical practice and clinic-based research. In this report, the authors review the topics discussed during a 2-day meeting including the current state of knowledge on BP assessment in clinical practice and clinic-based research, knowledge gaps pertaining to current BP assessment methods, research and clinical needs to improve BP assessment, and the strengths and limitations of using BP obtained in clinical practice for research and quality improvement activities.

KEYWORDS:

blood pressure; hypertension; measurement

PMID:
30678763
PMCID:
PMC6573014
[Available on 2020-01-29]
DOI:
10.1016/j.jacc.2018.10.069

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