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European Society of Hypertension Practice Guidelines for home blood pressure monitoring

Abstract

Self-monitoring of blood pressure by patients at home (home blood pressure monitoring (HBPM)) is being increasingly used in many countries and is well accepted by hypertensive patients. Current hypertension guidelines have endorsed the use of HBPM in clinical practice as a useful adjunct to conventional office measurements. Recently, a detailed consensus document on HBPM was published by the European Society of Hypertension Working Group on Blood Pressure Monitoring. However, in daily practice, briefer documents summarizing the essential recommendations are needed. It is also accepted that the successful implementation of clinical guidelines in routine patient care is dependent on their acceptance by involvement of practising physicians. The present document, which provides concise and updated guidelines on the use of HBPM for practising physicians, was therefore prepared by including the comments and feedback of general practitioners.

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Acknowledgements

The writing committee, on behalf of all the members of the Working Group on Blood Pressure Monitoring of the European Society of Hypertension is very grateful to the European Society of Hypertension and to the International Society of Hypertension for their support; to Microlife Ltd, Novartis France, Novartis Italy and Omron Japan Ltd for their contribution and financial support to the organization of the Verbania Consensus Conference and publication of the HBPM Guidelines; and to Dr Mariaconsuelo Valentini, Dr Stefano Omboni and Dr Licia Pietrobon for the help in organizing the Verbania Conference. All authors dedicate this paper to the memory of Thomas G Pickering, who greatly contributed to the field of BP monitoring, and died in May 2009. For the revision of this document in perspective of general practice, the writing committee acknowledges the contribution of the following doctors: Alessandro Filippi, Italo Paolini, Antonino Di Guardo from the Italian Society of General Medicine (SIMG), and Fabio Albini, general practitioner and field cardiologist, Cormano, Italy; Antonios Batikas, Georgios Bellos, Antonios Karotsis, Christos Lionis, Anargiros Mariolis, Nikolaos Papanikolaou, Pigi Perdikaki, Athanasios Symeonidis, Eleftherios Thireos from the Hellenic Association of General Practitioners (ELEGEIA). The contribution of the following document reviewers is also acknowledged: Denis L Clement (Department of the Dean, Ghent University Hospital, Ghent, Belgium), Eamon Dolan (Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital, Cambridge, UK), Robert Fagard (Hypertension and Cardiovascular Rehabilitation Unit, Faculty of Medicine, University of Leuven, Belgium), Tine W Hansen (Research Center for Prevention and Health, Copenhagen, Denmark), Jean-Michel Mallion (Service de Cardiologie et hypertension artérielle, CHU, Grenoble, France), Martin G Myers (Division of Cardiology, Sunnybrook Health Sciences Centre, Toronto, Canada), Stefano Omboni (Italian Institute of Telemedicine, Varese, Italy), Paolo Verdecchia (Department of Cardiology, Hospital S Maria della Misericordia, Perugia, Italy), Ji-Guang Wang (Centre for Epidemiological Studies and Clinical Trials, Ruijin Hospital, Shanghai Jiaotong University Medical School, China), William B White (Department of Medicine, University of Connecticut School of Medicine, Farmington, USA).

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Competing interests

Gianfranco Parati is on the speaker's bureau of Omron Health Care, Microlife and Bayer Healthcare. George S Stergiou has received research support from Microlife and UEBE Medical; and is a consultant for Microlife. Roland Asmar has received research support from Novartis, Boehringer Ingelheim and Omron and is a consultant for Novartis, Takeda and Bayer. He is on the speaker's bureau of Astra Zeneca, Bayer, Boehringer Ingelheim, Novartis, Sanofi and Recordati. Grzegorz Bilo is on the speaker's bureau of Recordati, Docleader; and is a Consultant for Boehringer-Ingelheim and Daiichi Sankyo. Yutaka Imai has received research support from Takeda, Pfizer, AstraZeneca, Kyowa, Sankyo, Asteras and Novartis; and is on the speaker's bureau of Takeda, Bayer, Pfizer, AstraZeneca, Kyowa, Sankyo, Asteras and Novartis. Kazuomi Kario is on the speaker's bureau of Sankyo, Takeda, Pfizer and Boehringer Ingelheim. Athanasios Manolis has received research support from Glaxo and Sanofi; and is on the speaker's bureau of Menarini and Recordati. Thomas Mengden is on the speaker's bureau of Bayer, Boehringer Ingelheim, Customed, Fukuda Denshi, Merckle Recordati, Microlife, Servier, Takeda and UCB/Schwarz Pharma Germ. Eoin O’Brien has received research support from Omron Healthcare. Takayoshi Ohkubo has received research support from Omron Healthcare and Microlife. Paul Padfield has received research support from Microlife and is on the speaker's bureau of Microlife. Miriam Revera is on the speaker's bureau of Docleader. Luis M Ruilope has received research support from Bayer, Novartis, Pfizer; and is a consultant for Daiichi Sankyo, Merck and Co, D, Novartis, Menarini, Bayer, Pfizer, Sanofi Aventis, GSK, Recordati and Servier. He is on the speaker's bureau of Daiichi Sankyo, Merck and Co, D, Novartis, Menarini, Bayer, Pfizer, Sanofi Aventis, GSK, Recordati and Servier. Andrew Shennan has received research support from Omron, Microlife, GE Medical, Johnson and Johnson, Health and Life, Rossmax, SpaceLabs, Welch Allyn, Hartmanns and Nessei; and is on the speaker's bureau of Microlife, Omron, Hartmanns. Alberto Zanchetti has been reimbursed by Menarini International, Recordati, Servier for attending symposia, and has received speaking fees by Menarini International, Recordati and Abbott. The remaining authors declare no conflict of interest.

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Parati, G., Stergiou, G., Asmar, R. et al. European Society of Hypertension Practice Guidelines for home blood pressure monitoring. J Hum Hypertens 24, 779–785 (2010). https://doi.org/10.1038/jhh.2010.54

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