JCDR - Register at Journal of Clinical and Diagnostic Research
Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X
Internal Medicine Section DOI : 10.7860/JCDR/2018/35912.12210
Year : 2018 | Month : Nov | Volume : 12 | Issue : 11 PDF Full Version Page : OL01 - OL01

Correspondence: Home Based Blood Pressure Monitoring in Indian Setting: A Consensus Document

Himel Mondal1, Sarika Mondal2, Shaikat Mondal3

1 Postgraduate Student, Department of Physiology, MKCG Medical College, Ganjam, Odisha, India.
2 Freelance Medical writer ORCID: 0000-0001-5039-9919, Odisha, India.
3 Postgraduate Student, Department of Physiology, Medical College and Hospital, Kolkata, West Bengal, India.


NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Mrs. Sarika Mondal, House No: 60, Ashok Nagar 4th Lane, Berhampur, Odisha, India.
E-mail: sarikaceo@gmail.com
Abstract

Keywords

Dear Editor,

We read a commentary in the January issue of your journal contributed by a group of expert authors [1]. It is now well established that Home Blood Pressure Monitoring (HBPM) helps in effective management of hypertension and it is well accepted by the patients [2]. Hence, the consensus document was the need of the hour for Indian medical practitioners.

In the article, Home Based Blood Pressure Monitoring in Indian Setting: A Consensus Document [1], under the sub heading “Normal Level of Home based Blood Pressure”, authors described that blood pressure obtained by HBPM below 130/80 (systolic over diastolic, here the symbol “/” is pronounced as “over”) mm of Hg has been considered as “normal” and 135/85 mm of Hg has been considered as “elevated”.

We found a different cut-off value in recent guideline [3], and in American Heart Association website [4]. Hence, we wanted to share that set of values to categorise adults according to their blood pressure. The blood pressure categories according to measurement at the clinic and HBPM are shown in [Table/Fig-1].

Blood pressure categories for diagnosis of hypertension.

From the values in [Table/Fig-1], it is evident that a value <120/<80 (the symbol “<” denotes “less than”) mm of Hg obtained from HBPM should be considered “normal” blood pressure and a value of 120-129/<80 mm of Hg should be considered as “elevated” blood pressure.

Hope this comparison would help the physicians to adapt appropriate strategies for management of hypertension of their patients according to necessity.

Financial or Other Competing Interests

None.

References

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[3]Whelton PK, Carey RM, Aronow WS, Casey Jr DE, Collins KJ, Dennison Himmelfarb C, 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adultsJournal of the American College of Cardiology 2018 71(6):1269-324.10.1161/HYP.0000000000000065PMC5945323  [Google Scholar]  [CrossRef]  [PubMed]

[4]Monitoring Your Blood Pressure at Home. USA: American Heart Association. [Updated 2017 November 13; cited 2018 February 01]. Available from: http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/KnowYourNumbers/Monitoring-Your-Blood-Pressure-at-Home_UCM_301874_Article.jsp#.WWKTJrYlFdg  [Google Scholar]