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Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines

https://doi.org/10.20996/1819-6446-2020-02-10

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Abstract

The new international guidelines on hypertension management have been issued in the past few years. The AHA (2017) and ESH (2018) Guidelines are similar in many key aspects. However, they differ substantially in the area of blood pressure (BP) measurement methodology. In this article, we aim to explain the ESC Guidelines position, specifically the conservative BP thresholds and a wider use of ambulatory BP measurement methods. In our opinion, the main reason behind this position is the introduction and a relatively widespread use of automatic office BP measurement (AOBP). On one hand, this method has questioned the results of the SPRINT trial – the key evidence source for the AHA Guidelines. On the other hand, AOBP has challenged the concept of “traditional office BP measurement”. Therefore, it is important to be aware of the current multiplicity of BP measurement methods and respective threshold values recommended for each method. It is essential to perform the office BP measurement correctly and thoroughly. Throughout all stages of the hypertensive patient management (diagnosis, antihypertensive treatment choice, and long-term observation), the use of out-of-clinic BP measurement is strongly advisable.

About the Authors

V. M. Gorbunov
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Vladimir M. Gorbunov – MD, PhD, Professor, Head of Laboratory of Ambulatory Diagnostic Methods in the Prevention of Chronic Non-Communicable Diseases

Petroverigsky per.10, Moscow, 101990



E. Y. Fedorova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Elena Y. Fedorova – MD, PhD, Researcher, Laboratory of Ambulatory Diagnostic Methods in the Prevention of Chronic Non-Communicable Diseases

Petroverigsky per.10, Moscow, 101990



E. V. Platonova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Elena V. Platonova – MD, PhD, Senior Researcher, Laboratory of Ambulatory Diagnostic Methods in the Prevention of Chronic Non-Communicable Diseases

Petroverigsky per.10, Moscow, 101990



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For citation:


Gorbunov V.M., Fedorova E.Y., Platonova E.V. Multiple Modern Methods of Blood Pressure Measurement and the 2018 European Society of Hypertesion Guidelines. Rational Pharmacotherapy in Cardiology. 2020;16(1):126-132. (In Russ.) https://doi.org/10.20996/1819-6446-2020-02-10

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