Internal Medicine Section DOI : 10.7860/JCDR/2018/35912.12210
Year : 2018 | Month : Nov | Volume : 12 | Issue : 11 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.

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.


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