Blood Pressure Assessment in Adults in Clinical Practice and Clinic-Based Research: JACC Scientific Expert Panel (JACC January 2019-2) is organized by American College of Cardiology (ACC).
Date of Release: January 21, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: January 20, 2020
JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.
The accurate measurement of blood pressure (BP) is essential for the diagnosis and management of hypertension. Restricted use of mercury devices, increased use of oscillometric devices, discrepancies between clinic and out-of-clinic BP, and concerns about measurement error with manual BP measurement techniques have resulted in uncertainty for clinicians and researchers. The National Heart, Lung, and Blood Institute of the US National Institutes of Health convened a working group of clinicians and researchers in October 2017 to review data on BP assessment among adults in clinical practice and clinic-based research. In this report, we review the topics discussed during a 2-day meeting, including the current state of knowledge on BP assessment in clinical practice and clinic-based research, knowledge gaps pertaining to current BP assessment methods, research and clinical needs to improve BP assessment, and the strengths and limitations of using BP obtained in clinical practice for research and quality-improvement activities.
After reading this article the reader should be able to:
• Describe the challenges in obtaining valid blood pressure measurements in the clinic setting.
• Discuss the reasons for measuring blood pressure outside of the clinic setting.
• Describe the regulatory issues surrounding blood pressure measurement.
• Discuss the challenges of measuring blood pressure in special populations, including older adults and those with obesity, pregnant women, and those with arrhythmias.
• Identify high-priority research questions that need to be addressed in future studies.
Additional details will be posted as soon as they are available.
Research and Clinical Research, Renal Medicine Disease and Hypertension