Table 3.
Key recommendations on home BP monitoring of the Japanese Society of Hypertension guidelines33
Recommendations |
---|
Home BP should be measured with upper‐arm cuff devices using the cuff‐oscillometric method |
Home BP should be measured twice and the mean value used as the BP value on that occasion |
The morning measurement should be taken within 1 h of waking, after urination, before dosing in the morning, and before breakfast, after 1 to 2 min of rest in a sitting position; the evening measurement should be taken prior to retiring to bed, after 1 to 2 min of rest in a sitting position. The legs should not be crossed when sitting |
To evaluate hypertension, normal BP, and the effects of antihypertensive drugs based on home BP, the mean of the values measured 5 to 7 d/wk should be used |
Home BP of 135/85 mm Hg indicates hypertension |
When there is a discrepancy of diagnosis between clinic and home BP, a home BP‐based diagnosis should have priority |
Antihypertensive treatment strategies should target a home BP level of <135/85 mm Hg for young, middle‐aged, and early‐phase elderly patients, <145/85 mm Hg for late‐phase elderly patients (<135/85 mm Hg if tolerated), <125/75 mm Hg in patients with diabetes mellitus or chronic kidney disease, and <135/85 mm Hg in patients with cerebrovascular diseases |
Abbreviation: BP, blood pressure.