Automated office blood pressure measurement: a Hypertension Australia and National Hypertension Taskforce of Australia position statement

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dc.contributor.authorSharman, J.E.
dc.contributor.authorSchutte, A.E.
dc.contributor.authorNelson, M.R.
dc.contributor.authorSamarawickrama, A.L.
dc.contributor.authorStocks, N.
dc.contributor.authorHespe, C.M.
dc.contributor.authorUsherwood, T.
dc.contributor.authorStowasser, M.
dc.contributor.authorRodgers, A.
dc.contributor.authorWard, N.C.
dc.contributor.authorHalcomb, E.
dc.contributor.authorJames, S.
dc.contributor.authorJennings, G.
dc.contributor.authorSchlaich, M.P.
dc.date.issued2025
dc.descriptionConsensus Document.
dc.description.abstractHypertension is the most common problem managed in Australian general practice, yet most adults with hypertension do not have their blood pressure (BP) treated to target. Hypertension diagnosis and management rely upon accurate BP measurements performed using a standardised protocol. However, health system barriers prevent doctors from following measurement protocols, leading to inaccurate BP assessments. A practical BP measurement protocol that can be widely implemented is urgently warranted. Automated office BP (AOBP) is the recommended measurement standard for the diagnosis and management of hypertension. AOBP involves using a validated automated upper-arm cuff BP device programmed to record multiple BP readings at set intervals starting after a rest period. It is done by a trained operator using a standardised protocol in a quiet setting with the correct patient setup, no distractions, and in the absence of a doctor. The device automatically calculates the average of the AOBP recordings and this is comparable to the 24-h ambulatory BP daytime mean. The hypertension threshold based on AOBP is 135/85 mmHg. AOBP can also be applied in other community settings (e.g. pharmacies), provided all the above criteria are met along with communication of results to the person's usual general practitioner. In Australia, nation-wide systematic implementation of evidence based AOBP measurement is strongly recommended. This standardised approach will support healthcare professionals, especially general practitioners, in obtaining high-quality BP values with increasing confidence in clinical decision-making. Policy and practice changes, to address barriers and provide enabling mechanisms for sustained implementation of AOBP, are required.
dc.description.statementofresponsibilityJames E. Sharman, Aletta E. Schutte, Mark R. Nelson, Ania L. Samarawickrama Nigel Stocks, Charlotte M. Hespe, Tim Usherwood, Michael Stowasser, Anthony Rodgers, Natalie C. Ward, Elizabeth Halcomb, Sharon James, Garry Jennings, and Markus P. Schlaich
dc.identifier.citationJournal of Hypertension, 2025; 43(9):1463-1472
dc.identifier.doi10.1097/hjh.0000000000004079
dc.identifier.issn0263-6352
dc.identifier.issn1473-5598
dc.identifier.orcidStocks, N. [0000-0002-9018-0361]
dc.identifier.urihttps://hdl.handle.net/2440/145835
dc.language.isoen
dc.publisherLippincott, Williams & Wilkins
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/2017504
dc.rights© 2025 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBYNC- ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
dc.source.urihttps://doi.org/10.1097/hjh.0000000000004079
dc.subjectblood pressure determination
dc.subjectblood pressure monitoring
dc.subjectcardiovascular diseases.
dc.subjecthypertension
dc.titleAutomated office blood pressure measurement: a Hypertension Australia and National Hypertension Taskforce of Australia position statement
dc.typeJournal article
pubs.publication-statusPublished

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