Home blood pressure monitors inaccurate 70 percent of the time, study finds

June 7, 2017
A study led by Jennifer Ringrose, assistant professor of medicine at the University of Alberta, examined dozens of home blood pressure monitors and found that most were unacceptable inaccurate. Credit: Melissa Fabrizio

Seventy per cent of readings from home blood pressure monitors are unacceptably inaccurate, which could cause serious implications for people who rely on them to make informed health decisions, new UAlberta research reveals.

"High is the number one cause of death and disability in the world," said medical researcher Jennifer Ringrose, who led the research study. "Monitoring for and treating hypertension can decrease the consequences of this disease. We need to make sure that home readings are accurate."

Ringrose and her team tested dozens of home monitors and found they weren't accurate within five mmHg about 70 per cent of the time. The devices were off the mark by 10 mmHg about 30 per cent of the time.

The findings are extremely relevant given millions of patients are asked to monitor their blood pressure through a device at home and report the results back to their doctor.

The researchers say steps can be taken to minimize inaccurate readings.

"Compare the blood pressure machine measurement with a in clinic before exclusively relying upon home ," advised Ringrose. "What's really important is to do several blood pressure measurements and base treatment decisions on multiple readings. Taking home readings empowers patients and is helpful for clinicians to have a bigger picture rather than just one snapshot in time."

Study co-author Raj Padwal, a UAlberta professor of medicine, added that no one should have drugs started or changed based on one or two measurements taken at a single point in time unless the measurements are clearly elevated.

In 2015 Canadian guidelines were updated to endorse greater use of home blood pressure monitoring. The guidelines recommend 28 measurements over one week for home devices.

The study examined the results of 85 patients. The researchers compared the results of the volunteers' home monitors with the gold standard—two observers taking several blood pressure measurements simultaneously, blinded to one another, with a third person ensuring agreement between both observers' readings.

While the average difference between the home monitors and the gold standard measurements was acceptable, the majority of individual devices demonstrated clinically-relevant inaccuracy. The team also found that readings were more inaccurate in men than in women. They believe there are many factors that could account for their findings.

"Arm shape, arm size, the stiffness and age of blood vessels, and the type of blood pressure cuff are not always taken into account when a blood pressure machine is designed and validated," said Padwal. "Individual differences, such as the size, age and medical background of the person using the are also contributing factors."

The researchers say it's difficult to determine precisely why the inaccuracies are occuring in home monitors because they don't have access to the various formulas the devices use to determine blood pressure—information which is considered proprietary and kept secret by the manufacturer. They believe a greater effort needs to be made among industry and academia to develop more highly accurate devices in the future.

The study was published in the American Journal of Hypertension.

Explore further: Many home blood pressure monitors may be inaccurate

More information: Jennifer S. Ringrose et al, An Assessment of the Accuracy of Home Blood Pressure Monitors When Used in Device Owners, American Journal of Hypertension (2017). DOI: 10.1093/ajh/hpx041

Related Stories

Many home blood pressure monitors may be inaccurate

October 28, 2014

Home blood pressure monitors may be inaccurate in up to 15% of patients, according to a study that will be presented at ASN Kidney Week 2014 November 11¬–16 at the Pennsylvania Convention Center in Philadelphia, PA.

Blood pressure: know your numbers

April 18, 2017

(HealthDay)—Having high blood pressure makes you more likely to have heart disease or a stroke. But because high blood pressure doesn't usually cause warning symptoms, you could be at risk without even knowing it.

New tool to improve blood pressure measurement

March 21, 2016

Scientists at Oxford University have developed a new way of estimating our true underlying blood pressure that overcomes common problems in a clinical setting which can lead to misleading results. Their work is published ...

Blood pressure monitoring: Room for improvement

December 12, 2011

Because some clinicians fail to stick to official recommendations for blood pressure monitoring, a number of patients are misclassified, which could have an impact on decisions about their treatment. According to Gretchen ...

Recommended for you

Patching up a broken heart

June 19, 2017

It is almost impossible for an injured heart to fully mend itself. Within minutes of being deprived of oxygen – as happens during a heart attack when arteries to the heart are blocked – the heart's muscle cells start ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.