Oscillometric Blood Pressure Devices Validated for Accuracy During Pregnancy [PDF 441 KB] Details on design, patients, interventions, outcomes, and quality were extracted into standard forms. Self-measured BP monitoring, the measurement of BP by an individual outside of the office at home, is a validated approach for out-of-office BP measurement. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. 2012 Sep 21. There is growing evidence that selfmonitoring of blood pressure (SMBP) with guided support beyond usual primary care improves BP control. hb```f`` & B,@Q+g~ (Prepared by the Tufts Evidence-based Practice Center under Contract No. Read the full Million Hearts Hypertension Control Change Package. Ann Intern Med. An official website of the Department of Health & Human Services. This process is quick and painless. Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. Self-measured blood pressure monitoring (SMBP), the regular measurement of blood pressure by a patient outside the clinical setting, plus additional support, is a proven, cost-effective but underutilized strategy to improve hypertension outcomes. Data extraction Data on . With training, additional support and treatment algorithms, patients may be able to self adjust medications based on SMBP results. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Aug. Report No. There is within-individual biological variability as well as measurement error. Lozano P, Henrikson NB, Morrison CC, Dunn J, Nguyen M, Blasi P, Whitlock EP. Effective BP control has been shown to decrease incidence for stroke by 35 to 40 percent, myocardial infarction by 20 to 25 percent, and heart failure more than 50 percent.11,12 Systematic reviews have also shown the beneficial effects of lowering BP on reducing fatal and nonfatal stroke, cardiac events, and total among individuals with severe hypertension or at increased risk (such as of older age or with other comorbid risk factors).11,13,14 A decrease of 5 mmHg in systolic BP has been estimated to result in a 14 percent overall reduction in mortality due to stroke, 9 percent reduction in mortality due to chronic heart disease and 7 percent reduction in all-cause mortality.1,15,16 However, long-term adherence to lifestyle modification and medication remains a challenge in the management of hypertension, which is usually a lifelong condition.

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