Obtaining Accurate In-Office Blood Pressure Readings

Abstract

The ability to consistently obtain accurate blood pressure measurements in the office setting has significant implications for the categorization, risk stratification, and treatment of hypertension at both a societal and individual level. However, obtaining consistently accurate assessments of blood pressure in the outpatient setting is a difficult task. Currently, there is a significant controversy in regard to the optimal method for measuring outpatient blood pressure given the multitude of devices, techniques, and practice guidelines available. In this review, we discuss the pros and cons for different measurement techniques, the most common sources of clinical error, and current guideline recommendations for the optimal timing and method for reliable outpatient blood pressure assessment.