ArticleHypertension (Dallas, Tex. : 1979)2023
Use of Different Blood Pressure Thresholds to Reduce the Number of Home Blood Pressure Monitoring Days Needed for Detecting Hypertension.
Article in Hypertension (Dallas, Tex. : 1979), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 10 citations in OpenAlex.
- Implications of updated adult hypertension guidelines for the evaluation and management of pediatric patients with high blood pressure.Pediatric nephrology (Berlin, Germany) · 2026Article
- Association of subjective and objective physical activity with home hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Baxdrostat: A Next-Generation Aldosterone Synthase Inhibitor Offering New Hope in Resistant Hypertension.Biomolecules · 2025Review
- Impact of Patient Engagement on Blood Pressure Control Among Older Individuals With Hypertension in a Mobile Health Intervention: Longitudinal Analysis Using Latent Growth Curve Modeling.Journal of medical Internet research · 2025Article
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Authors and funding
13 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundHome blood pressure (BP) monitoring over a 7-day period is recommended to confirm the diagnosis of hypertension.
methodsWe determined upper and lower home BP thresholds with >90% positive predictive value and >90% negative predictive value using 1 to 6 days of monitoring to identify high home BP (systolic BP ≥130 mm Hg or diastolic BP ≥80 mm Hg) based on 7 days of home BP monitoring. The sample included 361 adults from the Improving the Detection of Hypertension Study who were not taking antihypertensive medication. We used two 7-day periods, at least 3 days apart, the first being a sampling period and the second a reference period. For each number of days in the sampling period, we determined the percentage of participants who had a high likelihood of having (>90% positive predictive value) or not having (>90% negative predictive value) high BP and would not need to continue home BP monitoring. Only the participants in an uncertain category (ie, positive predictive value ≤90% and negative predictive value ≤90%) after each day were carried forward to the next day of home BP monitoring.
resultsOf the 361 participants (mean [SD] age of 41.3 [13.2] years; 60.4% women), 38.0% had high home BP during the reference period. There were 63.7%, 17.1%, 10.5%, 3.3%, 3.6%, and 1.4% participants who would not need to continue after 1, 2, 3, 4, 5, and 6 days of monitoring.
conclusionsIn most people, high home BP can be identified or excluded with a high degree of confidence with 3 days or less of monitoring.
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