Measuring BP at Home: The Key Readings

1 Aug

Measuring BP at Home: The Key Readings.

 

… The reason 2011 is important is that the Eighth Joint National Committee for the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, or JNC8, should be coming out with its initial report by the end of this year, and the National Institute of Clinical Excellence (NICE), which is the British hypertension group, will be publishing their updated guidelines in August of this year. We expect some important changes.

Today I want to focus on where we measure blood pressure and how we do it. We’ve been measuring blood pressure in the office with pretty good quality control since really the 1930s. The “Build and Blood Pressure” study done by the insurance industry looked at office readings only. Sometimes people may have come to the home to measure blood pressure, but for the most part it was office readings. That study codified the idea that 140/90 mm Hg in the office was an elevated blood pressure. We’ve been tinkering with that over the years. We’ve staged it in the United States. They grade it in Europe. We’ve added different recommendations, but it has all still been based for the most part on a number, and that’s a number from the office….

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Illusions of Autonomy

Where medical ethics and human behaviour meet

Enjoying every second

Cada lugar, cada rincón, cada momento compartido arreglando el mundo entre imprescindibles

The Commonplace Book

Jim McManus blogs on public health, ethics, books, theology and more