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Timing of Intervention in Aortic Stenosis A Fully Magnetically Levitated Circulatory Pump for Advanced Heart Failure Heart Failure With Mid-Range (Borderline) Ejection Fraction: Clinical Implications and Future Directions Operator Experience and Outcomes After Left Main Percutaneous Coronary Intervention Clinical applications of machine learning in the diagnosis, classification, and prediction of heart failure Angiotensin–Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction Dual Antiplatelet Therapy Duration: Reconciling the Inconsistencies Rationale and design of the GUIDE-IT study: Guiding Evidence Based Therapy Using Biomarker Intensified Treatment in Heart Failure Association Between Functional Impairment and Medication Burden in Adults with Heart Failure Baseline Features of the VICTORIA (Vericiguat Global Study in Subjects With Heart Failure With Reduced Ejection Fraction) Trial

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.