COLLECTING DATA
Have patients return the completed 7 Day Recording Log (PDF) to your office—or, simply have them call your office with their readings for your review. Alternatively, patients can use a secure EHR patient portal, secure e-mail or a secure telehealth site to safely transmit the SMBP data if this available.
Review Blood Pressure Results
If a patient assessed for a suspected diagnosis of hypertension has an SMBP average of greater than or equal to 130/80, then the patients meets criteria for having a diagnosis of hypertension.
If a patient with office blood pressure in the elevated BP range (SBP 120-129 and DBP <80) has an SMBP average of less than 120/80, they should be considered to have normal blood pressure in most situations.
If a patient with a known diagnosis of hypertension has an SMBP average of greater than or equal to 130/80, then their blood pressure is above goal.
Easily calculate the SMBP average with our Blood Pressure Average Calculator (XLS).
Interpret Results and Manage Patients
Use this chart to reconcile in-office BP and SMBP measurements to classify and manage patients.
| In-office BP | SMBP | Classification | Management |
|---|---|---|---|
| Less than 120/80 | Less than 120/80 | Normal blood pressure | Recheck BP in office in one year |
| 120-129/ less than 80 |
120-129/ less than 80 |
Elevated BP | Healthy lifestyle changes and recheck SMBP every 3-6 months |
| Less than 130/80 | Greater than or equal to 130/80 |
Masked hypertension | Manage as sustained hypertension due to increased CV risk or consider 24-hour ABPM |
| Greater than or equal to 130/80 |
Less than 130/80 | White coat hypertension | Recheck SMBP every six months |
| Greater than or equal to 130/80 |
120-129/ less than 80 |
White coat hypertension + elevated BP | Healthy lifestyle changes and recheck SMBP every 3-6 months |
| Greater than or equal to 130/80 |
Greater than or equal to 130/80 |
Sustained hypertension | Manage per current hypertension guideline recommendations |
“Every adult with high blood pressure should have a clear, detailed and current evidence-based plan of care that ensures the achievement of treatment and self-management goals; effective management of comorbid conditions; timely follow-up with the healthcare team; and adherence to the prescribed medication regimen.”