American 

College of Physicians 
Internal Medicine Meeting 2021: Virtual Experience

Blood Pressure Monitoring in and out of the Office

Faculty and Disclosure Information
Professor:
D. Edmund  Anstey, MD, MPH
Nothing to Disclose.

Clinical questions to be addressed:
1. How does one establish the diagnosis of hypertension (including white coat, masked 
hypertension)?
2. What is the correlation between out‐of‐clinic blood pressure monitoring (ambulatory and home 
blood pressure monitoring) with clinic blood pressure?
3. What is the prognostic value of out‐of‐clinic blood pressure monitoring?
4. When is out‐of‐clinic blood pressure monitoring appropriate?
5. What strategies may improve utilization of out‐of‐clinic blood pressure monitoring?

Posted Date:  April 22, 2021

©2021 American College of Physicians. All rights reserved. Reproduction of Internal Medicine Meeting 2021: Virtual Experience presentations, or 
print or electronic material associated with presentations, is prohibited without written permission from the ACP.

Any use of program content, the name of a speaker and/or program title, or the name of ACP without the written consent of ACP is prohibited. For 
purposes of the preceding sentence, “program content” includes, but is not limited to, oral presentations, audiovisual materials used by speakers, 
program handouts, and/or summaries of the same. This rule applies before, after, and during the meeting.

 
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U.S. adults with

hypertension Annual cost

$45% $131-198b
(108 million)

U.S. Department of Health and Human Services. The Surgeon General’s Call to Action to Control Hypertension.
Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General; 2020.

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Hypertension:
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Muntner, et al. JAMA. 2020

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Total
Study, Year (Reference) Participants, n HR (95% CI)

Verdecchia et al, 1994 (23) 1392 1.17 (0.25–5.33)

Fagard et al, 2005 (24) 359 1.00 (0.35–2.90)
Pierdomenico et al, 2008 (25) 2037 0.97 (0.38–2.46)
Mancia et al, 2013 (26) 1589 1.45 (0.28–7.51)
Sung et al, 2013 (27) 1257 5.59 (1.22–25.55)
Asayama et al, 2014 (28) 8237 1.20 (0.93–1.54)
Stergiou et al, 2014 (29) 6458 1.42 (1.06–1.91)
Banegas et al, 2018 (30) 63 910 1.96 (1.22–3.15)

 
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Study (Year) HR (95% Cl) HR (95% Cl)

Verdecchia et al (1994) 1.17 (0.25–5.33) 4.12 (1.65–10.40)
Fagard et al (2005) 1.00 (0.35–2.90) 2.71 (1.28–5.81)
Pierdomenico et al (2008) 0.97 (0.38–2.46) 3.23 (1.49–6.98)
Mancia et al (2013) 1.45 (0.28–7.51) 2.27 (0.78–6.61)
Sung et al (2013) 5.59 (1.22–25.55) 8.54 (2.03–36.03)
Asayama et al (2014) 1.20 (0.93–1.54) 2.31 (1.91–2.80)
Stergiou et al (2014) 
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Beneficiaries in the 5% Medicare sample with and without an ambulatory blood pressure monitoring (ABPM) claim, by year
ABPM Claim Status Year
2007 2008 2009 2010
No ABPM claim, n (%) 508,885 (99.90%) 534,471 (99.89%) 537,231 (99.90%) 544,337 (99.91%)
Has ABPM claim, n (%) 498 (0.10%) 562 (0.11%) 532 (0.10%) 506 (0.09%)

 


 


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