The full content of Annals is available to subscribers

Subscribe/Learn More  >
Position Papers |

Automated Ambulatory Blood Pressure Devices and Self-Measured Blood Pressure Monitoring Devices: Their Role in the Diagnosis and Management of Hypertension

American College of Physicians.
[+] Article, Author, and Disclosure Information

This guideline was authored by Anne-Marie Audet, MD, and was developed using the information provided in the paper, Automated Ambulatory Blood Pressure Monitoring and Self-Measured Blood Pressure, authored by Lawrence J. Appel and William B. Stason. The guideline was written for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: Harold C. Sox, Jr., MD, Chair; Philip M. Gold, MD; Edward J. Huth, MD; Ernest L. Mazzaferri, MD; Albert G. Mulley, Jr., MD; George E. Thibault, MD. Members of the Health and Public Policy Committee were Clifton R. Cleaveland, MD; Chair; Christine K. Cassel, MD; David J. Gullen, MD; Harold C. Sox, Jr., MD; Quentin D. Young, MD; Robert A. Berenson, MD; John M. Eisenberg, MD; Woodrow A. Myers, Jr., MD; Cecil O. Samuelson, Jr., MD; Steven A. Schroeder, MD; Gerald E. Thomson, MD. The clinical guidelines were approved by the Board of Regents on 10 July 1992. Requests for Reprints: Linda Johnson White, Director, Department of Scientific Policy, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572.

Copyright 2004 by the American College of Physicians

Ann Intern Med. 1993;118(11):889-892. doi:10.7326/0003-4819-118-11-199306010-00010
Text Size: A A A

This guideline represents the American College of Physician's policy concerning the use of automated ambulatory blood pressure monitoring devices and self-measured blood pressure monitors in the diagnosis and management of hypertension. It is a technology assessment; a science-based evaluation of two blood pressure measuring devices to supplement or replace traditional office-based physician blood pressure measurements.

The available evidence does not warrant widespread dissemination or routine use of automated ambulatory blood pressure measurement. On the other hand, we support a more circumspect use of such devices for research and for the care of subgroups of hypertensive patients with specific clinical problems.

Self-measure blood pressure devices are increasingly being used by patients, and this practice should be encouraged. There has not been sufficient formal evaluation of this method to warrant managing patients solely using blood pressure readings obtained with self-measured blood pressure monitoring devices. We recommend that self-measured blood pressures be used as adjunct to physicians and nonphysicians office-based measurements, and that patients and physicians electing to use these devices be knowledgeable about their optimal use.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.