Table 2.

Considerations for Selection of Out-of-Office Blood Pressure Monitoring Modalities

	Ambulatory Blood Pressure Monitoring	Home Blood Pressure Monitoring
Appropriate indications	Initial diagnosis and intermittent monitoring of masked hypertension, white coat hypertension, and nocturnal hypertension	Long-term monitoring and medication titration
Measurement frequency and duration	Every 15 to 30 min over a 24-h period	Two measurements at least 1 min apart in the morning before antihypertensive medications and in the evening before bed In unstable patients or patients on high-risk cancer therapy, measurements should be performed twice daily at a minimum once a week (consider daily). In stable patients, measurements should typically be performed for a minimum of 3 (ideally 5 to 7) consecutive days per month and beginning 7 days after any changes in medication.
Measurement setting	Performed during usual daily activities and while sleeping	Performed after resting 3 to 5 min in a quiet room, sitting in a chair with feet flat on the floor and back supported, and with an empty bladder. Patients are asked to avoid caffeine, exercise, and smoking for the 30 min before measurement. Measure with a bare arm, elevated and supported at the level of the heart.
Patient engagement	Patient is unaware of and unable to see blood pressure readings. Monitoring may be perceived as intrusive.	Patient activates the device to perform measurements, and sees the blood pressure readings.
Accessibility	Often only available in hypertension specialty offices (e.g., cardiology, nephrology, hypertension centers) due to cost of monitors	Low-cost, readily accessible to most patients
Quality and reliability of measurements	Highly reliable readings, strongly associated with prognostic outcomes	Highly reproducible readings, require patient training and education to ensure adequate quality