![]() In recognizing this limitation of manual office BP, some guidelines have gone so far as to recommend that home BP and 24-hour ambulatory BP monitoring (ABPM) may need to be performed to obtain an accurate measure of a patient’s BP status. ![]() 3 More recent recommendations 4 for diagnosing hypertension clearly acknowledge that an increase in BP attributable to the “white coat response” is frequently associated with manual BP recordings performed in community-based practice. However, the guidelines do not take into account widely recognized problems associated with the quality of manual BP measurement in routine clinical practice. There are robust scientific data to support the use of 140/90 mm Hg to define hypertension in clinical practice guidelines. Hypertension Is Not Defined by 140/90 in the “ Real World”
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