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June 13, 1977

Blood Pressure Measurement at Home

Author Affiliations

Sibley Memorial Hospital Washington, DC

JAMA. 1977;237(24):2603. doi:10.1001/jama.1977.03270510025012

To the Editor.—  Let us add a qualified positive response to Dr Page's suggestion that home blood pressure measurement be "universally accepted" ("Egregious Errors in the Management of Hypertension," 236:2621, 1976).Although the benefits of self-monitoring of blood pressure (in terms of lowered average pressures) were disappointing to Carnahan and Nugent,1 we feel that obtaining an overview of the patient's diurnal pattern of blood pressure may still be an invaluable tool to the clinician seeking more rational therapy. Adherence to office pressures alone may tend to give a distorted picture. Self-measurement, or measurement at home by a friend, is the most practical method we know to gain access to the patient's overall blood pressure behavior pattern.The practitioner should not be surprised to find that blood pressure readings taken in his office are subject to peculiar and sometimes poorly recognized circumstances: for example, the patient who repeats the same