Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines

The new international guidelines on hypertension management have been issued in the past few years. The AHA (2017) and ESH (2018) Guidelines are similar in many key aspects. However, they differ substantially in the area of blood pressure (BP) measurement methodology. In this article, we aim to expl...

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Main Authors: V. M. Gorbunov, E. Y. Fedorova, E. V. Platonova
Format: Article
Language:English
Published: Столичная издательская компания 2020-03-01
Series:Рациональная фармакотерапия в кардиологии
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Online Access:https://www.rpcardio.online/jour/article/view/2132
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author V. M. Gorbunov
E. Y. Fedorova
E. V. Platonova
author_facet V. M. Gorbunov
E. Y. Fedorova
E. V. Platonova
author_sort V. M. Gorbunov
collection DOAJ
description The new international guidelines on hypertension management have been issued in the past few years. The AHA (2017) and ESH (2018) Guidelines are similar in many key aspects. However, they differ substantially in the area of blood pressure (BP) measurement methodology. In this article, we aim to explain the ESC Guidelines position, specifically the conservative BP thresholds and a wider use of ambulatory BP measurement methods. In our opinion, the main reason behind this position is the introduction and a relatively widespread use of automatic office BP measurement (AOBP). On one hand, this method has questioned the results of the SPRINT trial – the key evidence source for the AHA Guidelines. On the other hand, AOBP has challenged the concept of “traditional office BP measurement”. Therefore, it is important to be aware of the current multiplicity of BP measurement methods and respective threshold values recommended for each method. It is essential to perform the office BP measurement correctly and thoroughly. Throughout all stages of the hypertensive patient management (diagnosis, antihypertensive treatment choice, and long-term observation), the use of out-of-clinic BP measurement is strongly advisable.
format Article
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institution Kabale University
issn 1819-6446
2225-3653
language English
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publisher Столичная издательская компания
record_format Article
series Рациональная фармакотерапия в кардиологии
spelling doaj-art-440c09c2eda54368afef845b18dd03fa2025-08-23T10:00:31ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532020-03-0116112613210.20996/1819-6446-2020-02-101708Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion GuidelinesV. M. Gorbunov0E. Y. Fedorova1E. V. Platonova2National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineThe new international guidelines on hypertension management have been issued in the past few years. The AHA (2017) and ESH (2018) Guidelines are similar in many key aspects. However, they differ substantially in the area of blood pressure (BP) measurement methodology. In this article, we aim to explain the ESC Guidelines position, specifically the conservative BP thresholds and a wider use of ambulatory BP measurement methods. In our opinion, the main reason behind this position is the introduction and a relatively widespread use of automatic office BP measurement (AOBP). On one hand, this method has questioned the results of the SPRINT trial – the key evidence source for the AHA Guidelines. On the other hand, AOBP has challenged the concept of “traditional office BP measurement”. Therefore, it is important to be aware of the current multiplicity of BP measurement methods and respective threshold values recommended for each method. It is essential to perform the office BP measurement correctly and thoroughly. Throughout all stages of the hypertensive patient management (diagnosis, antihypertensive treatment choice, and long-term observation), the use of out-of-clinic BP measurement is strongly advisable.https://www.rpcardio.online/jour/article/view/2132hypertensionguidelinesblood pressureambulatory blood pressure monitoringautomated office blood pressure
spellingShingle V. M. Gorbunov
E. Y. Fedorova
E. V. Platonova
Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines
Рациональная фармакотерапия в кардиологии
hypertension
guidelines
blood pressure
ambulatory blood pressure monitoring
automated office blood pressure
title Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines
title_full Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines
title_fullStr Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines
title_full_unstemmed Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines
title_short Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines
title_sort multiple modern methods of blood pressure measurement and the 2018 european society of hypertesion guidelines
topic hypertension
guidelines
blood pressure
ambulatory blood pressure monitoring
automated office blood pressure
url https://www.rpcardio.online/jour/article/view/2132
work_keys_str_mv AT vmgorbunov multiplemodernmethodsofbloodpressuremeasurementandthe2018europeansocietyofhypertesionguidelines
AT eyfedorova multiplemodernmethodsofbloodpressuremeasurementandthe2018europeansocietyofhypertesionguidelines
AT evplatonova multiplemodernmethodsofbloodpressuremeasurementandthe2018europeansocietyofhypertesionguidelines