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Automated office blood pressure measurement for routine clinical practice

An accurate blood pressure (BP) reading can be 
obtained if measurement guidelines are followed 
properly. However, BP readings recorded in 
routine clinical practice are often inaccurate and much 
higher than mean awake ambulatory BP values and 
readings obtained by home measurement. In studies 
that have included data on office BP readings that were 
recorded manually in routine clinical practice (ie, not in the 
context of a research study), mean office BP readings are 
about 10/5 mmHg higher than mean awake ambulatory BP 
values and home BP readings. Several factors contribute 
to the poor quality of manually recorded office readings, 
including the anxiety patients experience in the doctor’s 
office, poor measurement technique and patient–observer 
interaction. The development of a new class of automated 
sphygmomanometers has made it possible to eliminate 
many of these factors, with the result being more accurate 
office BP measurement that is less subject to white-coat 
effect (office-induced hypertension).