Eliminating the Human Factor in Office Blood Pressure Measurement
Article first published online: 4 JAN 2014
©2014 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 16, Issue 2, pages 83–86, February 2014
How to Cite
J Clin Hypertens (Greenwich). 2014;16:83–86. DOI: 10.1111/jch12252 ©2014 Wiley Periodicals, Inc.
- Issue published online: 13 FEB 2014
- Article first published online: 4 JAN 2014
- Manuscript Accepted: 20 NOV 2013
- Manuscript Received: 19 NOV 2013
Factors related to the physician/nurse and patient and their interaction are potential sources of error in manual office blood pressure (MOBP). The use of automated sphygmomanometers to record blood pressure (BP) with the patient alone reduces measurement error and minimizes anxiety-related increases in BP, thus eliminating the “white-coat” response. Comparative studies have shown the cut-point for a normal automated office BP (AOBP), awake ambulatory BP, and home BP (<135/85 mmHg) to be similar, providing the patient does not rest for a prolonged period before the first AOBP reading, as recommended for MOBP measurement. AOBP should now replace MOBP in routine clinical practice.