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Guidelines for Home- and Office-Based Blood Pressure MonitoringGuidelines for Home- and Office-Based Blood Pressure Monitoring

JAMA. 2004;291(19):2315-2315. doi:10.1001/jama.291.19.2315-a
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AUTHOR INFORMATION

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

GUIDELINES FOR HOME- AND OFFICE-BASED BLOOD PRESSURE MONITORING

To the Editor: Dr Staessen and colleagues1 reported that patients whose antihypertensive therapy was guided by home measurements of blood pressure (BP) were more likely to have therapy discontinued after 1 year, and to have poorer BP control, than were those who underwent office monitoring of their BP. In both groups, therapy was adjusted to maintain a target diastolic BP between 80 and 89 mm Hg. However, the expert panel of American Society of Hypertension2 recommends a stricter target value of 135/85 mm Hg for both ambulatory and home meaurements of BP. This difference is comparable to the final difference of 5.9 mm Hg in daytime ambulatory systolic BP between the groups whose treatment was guided by home BP and office BP in the trial by Staessen et al. A target cutoff value of 135/85 mm Hg or lower may have been more appropriate.

References
Staessen JA, Den Hond E, Celis H.  et al. Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) Trial Investigators.  Antihypertensive treatment based on blood pressure measurement at home or in the physician's office: a randomized controlled trial.  JAMA.2004;291:955-964.
PubMed
Pickering TG, Kaplan NM, Krakoff L.  et al.  American Society of Hypertension Expert Panel: conclusions and recommendations on the clinical use of home (self) and ambulatory BP monitoring.  Am J Hypertens.1996;9:1-11.
PubMed

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Staessen JA, Den Hond E, Celis H.  et al. Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) Trial Investigators.  Antihypertensive treatment based on blood pressure measurement at home or in the physician's office: a randomized controlled trial.  JAMA.2004;291:955-964.
PubMed
Pickering TG, Kaplan NM, Krakoff L.  et al.  American Society of Hypertension Expert Panel: conclusions and recommendations on the clinical use of home (self) and ambulatory BP monitoring.  Am J Hypertens.1996;9:1-11.
PubMed
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