Blood pressure measurements taken by patients are similar to home and ambulatory blood pressure measurements

objective: to compare blood pressure measurements taken at home by physicians, nurses, and patients with office blood pressure measurement , ambulatory blood pressure monitoring and home blood pressure measurement. methods: a total of 44 patients seen by a home care program were studied. protocol 1 a) blood pressure was measured by the patient, a physician and a nurse during a regular home visit (home1); b) home blood pressure measurement was measured for 4 days (hbpm1); c) office blood pressure measurement was measured by a physician, a nurse, and the patient; and by 24-hour ambulatory blood pressure monitoring. protocol 2 blood pressure was measured by the patient, a physician, and a nurse during a special home visit in the presence of a physician and a nurse only (home2); and b) home blood pressure measurement was taken for the second time (hbpm2). echocardiography, guided by a two-dimensional echocardiograph, was performed. results: protocol 1: a) office blood pressure measurement and home1 were significantly higher than ambulatory blood pressure monitoring, except for systolic and diastolic office blood pressure measurement taken by the patient or a family member, systolic blood pressure taken by a nurse, and diastolic blood pressure taken by a physician. b) ambulatory blood pressure monitoring and hbpm1 were similar. protocol 2: a) hbpm2 and home2 were similar. b) home2 was significantly lower than home1, except for diastolic blood pressure taken by a nurse or the patient. there were significant relationships between: a) diastolic blood pressure measured by the patient and the thickness of the interventricular septum, posterior wall, and left ventricular mass; and b) ambulatory and hbpm2 diastolic and systolic blood pressure taken by a physician (home2) and left ventricular mass. therefore, the data indicate that home blood pressure measurement and ambulatory blood pressure monitoring had good prognostic values relative to "office measurement." conclusion: thi