Standardized protocol for home BP measurement (Grade D)
BP, blood pressure; SBP, systolic blood pressure.
  • Measurements should be taken using a validated electronic device.
  • Choose a cuff with an appropriate bladder size matched to the size of the
    arm. Bladder width should be close to 40% of arm circumference and bladder length should cover 80%-100% of arm circumference. Select the cuff size as recommended by its manufacturer.
  • Cuff should be applied to the nondominant arm unless the SBP difference between arms is > 10 mm Hg, in which case the arm with the highest value obtained should be used.
  • The patient should be resting comfortably for 5 minutes in the seated position with back support.
  • The arm should be bare and supported with the BP cuff at heart level.
  • Measurement should be performed before breakfast and 2 hours after
    dinner, before taking medication.
  • No caffeine or tobacco in the hour and no exercise 30 minutes preceding
    the measurement.
  • Duplicate measurement should be done in the morning and in the evening
    for seven days (ie, 28 measurements in total).
  • Average the results excluding the first day’s readings.