Where can I get my blood pressure checked? Sit with your back straight and supported (on a dining chair, rather than a sofa). Self-Measured Blood Pressure Monitoring: Comparative Effectiveness SMBP monitoring may not be suitable in certain patients, such as those with arrhythmias and ectopic beats, large arm circumferences (as a too-small cuff size may give falsely elevated BP readings), with physical or mental disabilities that interfere with device operation. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. Thank you. Very few trials evaluated objective clinical outcomes. Several national and international hypertension guidelines endorse self-measured BP monitoring. The present Comparative Effectiveness Review (CER) evaluates the effects of self-measured blood pressure (SMBP) monitoring in hypertensive patients. Apr 11, 2011. Content last reviewed August 2018. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. hbbd```b``A$ug`rX|" o/XDLHp0{W$5)"30^` w In addition, SMBP may carry the risk of unreliable BP readings if not obtained in a standard fashion, inappropriate self adjustments of antihypertensive medications, as well as increased anxiety in susceptible patients. 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. SMBP monitoring is the regular measurement of blood pressure by the patient outside the clinical setting, either at home or elsewhere. Strategies aimed at the control of high BP as well as adherence to medication continue to be of foremost concern to providers and patients, health care payers, policymakers, and governments worldwide. Types of clinical support include one-on-one counseling, Web-based and telephone support, and educational classes. Updated Hypertension Guidelines: Implications for Treatment? In total, 49 studies met eligibility criteria. For all comparisons, evidence for clinical outcomes was insufficient; for all other outcomes (surrogate and intermediate outcomes, and health care encounters) strength of evidence was low, thus failing to support a difference. Content last reviewed March 2021. Research Protocol . The https:// ensures that you are connecting to the >gL/?eEAV c,1t D~ 8-?x}0 KQUo~TJa&A6@sY(|x D G&pA32^Y|VLEcx 71HbFFhi3"9#+Z~GqESHm,Y-G1. (Prepared by the Tufts Evidence-based Practice Center under Contract No. This table from a 2021 Current Atherosclerosis Reports journal article features oscillometric blood pressure devices validated for accuracy during pregnancy. Accessibility Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians [PDF 947 KB] Content last reviewed March 2020. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. HHSA 290-2007-10055-I.) Data Sources: Tools to Establish a Self-Measured BP (SMBP) Monitoring Program [PDF 2 MB] Randomized-controlled trials have shown that self-measured blood pressure predicts cardiovascular morbidity and mortality better than office BP measurements. Self-measured BP (SMBP) monitoring is another option that allows for more frequent measurements, and possibly more accurate readings of a patient's typical BP. Uhlig K, Balk EM, Patel K, Ip S, Kitsios GD, Obadan NO, et al. This easy-to-read graphic from CDC shows patients the correct way to measure blood pressure and can be shared on your social channels and patient websites. AHRQ Publication No. Data extraction Data on . Centers for Disease Control and Prevention. Brown Affiliations The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. To review the role of self-measured blood pressure (SMBP) monitoring with or without additional support (interventions such as telemonitoring, counseling, education, Web support, behavioral interventions, home visits, etc.) Obtaining Adequate Fixation in a Periprosthetic Humerus Fracture Around a Shoulder Arthroplasty Stem in 81-Year-Old Man, ECG Challenge: Irregular Pulse During Cardiology Visit. Self Measured Blood Pressure Monitoring (SMBP), the self measurement of blood pressure (BP) outside of the health care setting may be an effective tool to facilitate BP control. Disclaimer. : 13-05194-EF-1. Kallioinen N, Hill A, Horswill MS, Ward HE, Watson MO. For SMBP plus additional support versus usual care, the strength of evidence is high and supports a lower BP with SMBP use (SBP/DBP -3.4 to -8.9/-1.9 to -4.4 mmHg) up to 12 months. This report focuses on SMBP monitoring as a strategy to help patients and clinicians to better manage and control hypertension while avoiding under- or overtreatment or treatment-related hypotension. Show details Contents < Prev Next > Key Informants Susan Booth Project Leader, Personal Care & Wellness Consumer Reports Yonkers, NY Hayden Bosworth, Ph.D. Strong scientific evidence shows that self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure. Progestogens for Prevention of Preterm Birth. Don't smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. SMBP = self-measured BP; KQ = Key Question The figure shows a schematic of possible comparisons between SMBP, SMBP plus additional, support without (more), In light of the potential health care benefits and knowledge gaps highlighted above, a topic titled Self Blood Pressure Monitoring was developed through the processes of topic identification, selection, and refinement for Comparative Effectiveness Review (CER) within the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care program.34.