Correspondence: Home Based Blood Pressure Monitoring in Indian Setting: A Consensus Document
We read a commentary in the January issue of your journal contributed by a group of expert authors . 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 . 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 , 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 , and in American Heart Association website . 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.
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