USPSTF recommends screenings, confirmatory measurements for high blood pressure
All adults aged 18 years and older should be screened for high blood pressure.
HealthDay News — The U.S. Preventive Services Task Force (USPSTF) recommends blood pressure screening for adults and use of confirmatory blood pressure measurement outside the clinic setting. These findings form the basis of a review and recommendation statement published online in the Annals of Internal Medicine.
Daichi Shimbo, MD, from the Columbia University Medical Center in New York City, and colleagues reviewed the evidence relating to blood pressure screening and the role of ambulatory and home blood pressure monitoring.
The researchers note that adults aged 18 to 39 years at average risk should be screened for high blood pressure every three to five years. Annual screening is recommended for adults aged 40 years and older or for those at increased risk. The USPSTF recommends that before treatment is started, measurements should be obtained outside a clinical setting. Ambulatory blood pressure monitoring should be considered a reference standard for confirming elevated blood pressure; less evidence supports the use of home blood pressure monitoring.
"Diagnosing high blood pressure, and treating it appropriately, is critical for reducing a patient's risk of strokes, heart attacks, and other adverse health outcomes," task force member Kirsten Bibbins-Domingo, PhD, MD, said in a statement. "Confirmation with blood pressure measurement outside of the office is an important step to ensure that we are carefully and accurately diagnosing this condition."
Two of the review authors disclosed financial ties to the pharmaceutical industry.
- Shimbo D, Abdalla M, Falzon L, Townsend RR, Muntner P. Role of Ambulatory and Home Blood Pressure Monitoring in Clinical Practice: A Narrative Review. Ann Intern Med. 2015; doi:10.7326/M15-1270.
- Siu AL. Screening for High Blood Pressure in Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2015; doi:10.7326/M15-2223.