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Noninvasive Imaging for the Evaluation of Diastolic Function: Promises Fulfilled Effects of Icosapent Ethyl on Total Ischemic Events: From REDUCE-IT Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Patients With Left Main and Multivessel Coronary Artery Disease: Do We Have the Evidence? Usefulness of intravascular ultrasound to predict outcomes in short-length lesions treated with drug-eluting stents Transcatheter Mitral Valve Replacement in Patients with Heart Failure and Secondary Mitral Regurgitation: From COAPT Trial Long-term outcomes following mini-crush versus culotte stenting for the treatment of unprotected left main disease: insights from the Milan and New-Tokyo (MITO) registry Haptoglobin genotype: a determinant of cardiovascular complication risk in type 1 diabetes Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap: A Scientific Statement From the American Heart Association Baseline Characteristics and Risk Profiles of Participants in the ISCHEMIA Randomized Clinical Trial Long-term outcomes with use of intravascular ultrasound for the treatment of coronary bifurcation lesions

Volume 73, Issue 3, January 2019

JOURNAL:J Am Coll Cardiol. Article Link

Blood Pressure Assessment in Adults in Clinical Practice and Clinic-Based Research: JACC Scientific Expert Panel

P Muntner, PT Einhorn, 2017 National Heart, Lung, and Blood Institute Working Group. Keywords: blood pressure; hypertension; measurement

ABSTRACT


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 U.S. 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, the authors 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.