RESEARCH ARTICLE


A Comparison of Office Blood Pressure, Telemedical Home Blood Pressure and Ambulatory Blood Pressure Monitoring



Nikolai Hoffmann-Petersen*, Erling B. Pedersen
University Clinic of Nephrology and Hypertension, Departments of Medical Research and Medicine, Holstebro Hospital and Aarhus University, Denmark

Article Information


Identifiers and Pagination:

Year: 2015
Volume: 7
First Page: 7
Last Page: 13
Publisher Id: TOHYPERJ-7-7
DOI: 10.2174/1876526201507010007

Article History:

Received Date: 31/10/2014
Revision Received Date: 31/12/2014
Acceptance Date: 01/01/2015
Electronic publication date: 20/3/2015
Collection year: 2015

© 2015 Hoffmann-Petersen and Pedersen.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Departments of Medical Research and Medicine, Holstebro Hospital, 7500 Holstebro, Denmark; Tel: +45 78436584; Fax: + 45 78436582; E-mail: nikolai@hoffmann-petersen.dk


Abstract

Background:

Telemonitoring of home blood pressure (HBP) is a new advance in blood pressure monitoring. The aim of this study was to compare office blood pressure (OBP) and telemedical home blood pressure with daytime ambulatory blood pressure (ABP).

Methods:

One hundred and two patients were recruited consecutively from our Renal Outpatients’ Clinic. Office blood pressure was measured three times with the HBP equipment (A&D UA-767Plus BT). Telemonitoring of HBP was done for four consecutive days with three measurements three times daily followed by ABP (A&D TM-2430) on the next day. All patients received a questionnaire regarding acceptance of the equipment.

Results:

OBP was a significantly higher than daytime ABP (systolic/diastolic, 3.3/3.8 mmHg). HBP was significantly lower than daytime ABP (systolic/diastolic, -4.6/-1.6 mmHg). The strongest correlations were seen between all HBP readings day 2-4 and daytime ABP (systolic, r=0.69, p<0.001; diastolic, r=0.61, p<0.001). There were no significant differences between the different HBP schedules, i.e. 3 measurements twice daily for 3 days and 3 measurements three times daily for 4 days. Patients were content with and accepted the HBP measuring device.

Conclusion:

The telemedical HBP was lower than daytime ABP. The observed difference could possible be due to less pain and more relaxation during HBP measurements or a systematic difference in the algoritms between the blood pressure measuring devices. HBP measurement during three days was as good as measurement during 4 days.. The equipment was well accepted among patients.

Keywords: Home blood pressure measurements, hypertension, telemedicine, telemedical home blood pressure, telemonitoring, TM-2430 , UA-767PlusBT.