Table 1.
Methods of BP measurement
Method | Advantages | Disadvantages |
---|---|---|
OBPM | Most commonly used in RCTs and long-term outcome trials | Highly variable |
Observer bias | ||
Reimbursed with office visit | May be inaccurate in white coat hypertension and masked hypertension | |
HBPM | Stronger predictor of hypertensive end-organ damage than OBPM | Requires training and device calibration |
Improves adherence and BP control, especially when combined with additional supportive measures | Out of pocket patient expense | |
Unreliable in atrial fibrillation | ||
Detects white coat and masked hypertension | May exacerbate anxiety disorder and obsessive behavior | |
Wide availability and low cost | ||
ABPM | Stronger predictor of hypertensive end-organ damage than OBPM | Expensive |
Cumbersome for the user | ||
Most reliable way to assess nondipping and reverse dipping | Strict criteria for reimbursement | |
Limited availability | ||
Detects white coat and masked hypertension |