Of the 34 patients referred for hypertension diagnosis confirmation, 23 (68%) had home BP readings averaging less than 135/85 mmHg resulting in no formal diagnosis of hypertension and no medication prescribed. For medication management referred patients, roughly half (n=20) had some clinical action taken and roughly half (n=21) had no action taken. Results / Main findings: Over the first year of the program, 75 patients were referred for either medication management evaluation (n=41) or hypertension diagnosis confirmation (n=34). Purpose of study: Evaluate the impact of hypertension diagnosis and medication management for patients referred to a home BP monitoring program integrated with clinic based hypertension management. National and international hypertension guidelines recommend using home BP monitoring in conjunction with office readings for hypertension diagnostic and/or treatment evaluation. Background: White coat syndrome, masked hypertension, and poor technique may produce inaccurate office-based blood pressure (BP) readings and lead to over diagnosis and over treatment with antihypertensive agents.
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