Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Sources of Error in Office Blood Pressure Measurement

Roy N. Morcos, Kimbroe J. Carter, Frank Castro, Sumira Koirala, Deepti Sharma and Haroon Syed
The Journal of the American Board of Family Medicine September 2019, 32 (5) 732-738; DOI: https://doi.org/10.3122/jabfm.2019.05.190085
Roy N. Morcos
From the Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH (RNM, SK); Department of Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (RNM); Medical Decision Making Society of Youngstown Ohio, c/o Jeghers Medical Index, St. Elizabeth Youngstown Hospital, Youngstown, OH (FC, KJC); Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (SK, DS); Department of Pathology, Northeast Ohio Medical University, Rootstown, OH (KJC).
MD, FAAFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kimbroe J. Carter
From the Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH (RNM, SK); Department of Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (RNM); Medical Decision Making Society of Youngstown Ohio, c/o Jeghers Medical Index, St. Elizabeth Youngstown Hospital, Youngstown, OH (FC, KJC); Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (SK, DS); Department of Pathology, Northeast Ohio Medical University, Rootstown, OH (KJC).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Frank Castro
From the Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH (RNM, SK); Department of Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (RNM); Medical Decision Making Society of Youngstown Ohio, c/o Jeghers Medical Index, St. Elizabeth Youngstown Hospital, Youngstown, OH (FC, KJC); Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (SK, DS); Department of Pathology, Northeast Ohio Medical University, Rootstown, OH (KJC).
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sumira Koirala
From the Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH (RNM, SK); Department of Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (RNM); Medical Decision Making Society of Youngstown Ohio, c/o Jeghers Medical Index, St. Elizabeth Youngstown Hospital, Youngstown, OH (FC, KJC); Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (SK, DS); Department of Pathology, Northeast Ohio Medical University, Rootstown, OH (KJC).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Deepti Sharma
From the Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH (RNM, SK); Department of Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (RNM); Medical Decision Making Society of Youngstown Ohio, c/o Jeghers Medical Index, St. Elizabeth Youngstown Hospital, Youngstown, OH (FC, KJC); Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (SK, DS); Department of Pathology, Northeast Ohio Medical University, Rootstown, OH (KJC).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Haroon Syed
From the Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH (RNM, SK); Department of Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (RNM); Medical Decision Making Society of Youngstown Ohio, c/o Jeghers Medical Index, St. Elizabeth Youngstown Hospital, Youngstown, OH (FC, KJC); Family Medicine Residency Program, St. Elizabeth Boardman, Mercy Health (SK, DS); Department of Pathology, Northeast Ohio Medical University, Rootstown, OH (KJC).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Kearney PM,
    2. Whelton M,
    3. Reynolds K,
    4. Muntner P,
    5. Whelton PK,
    6. He J
    . Global burden of hypertension: analysis of worldwide data. Lancet 2005;365:217–23.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Murray CJ,
    2. Lopez AD
    . Measuring the global burden of disease. N Engl J Med 2013;369:448–57.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    1. Lim SS,
    2. Vos T,
    3. Flaxman AD,
    4. et al
    . A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2224–60.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Chobanian AV,
    2. Bakris GL,
    3. Black HR,
    4. et al
    . The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560–72.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Ettehad D,
    2. Emdin CA,
    3. Kiran A,
    4. et al
    . Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet 2016;387:957–67.
    OpenUrlCrossRefPubMed
  6. 6.↵
    1. Greiver M,
    2. Kalia S,
    3. Voruganti T,
    4. et al
    . Trends in end digit preference for blood pressure and associations with cardiovascular outcomes in Canadian and UK primary care: a retrospective observational study. BMJ Open 2019;9:e024970.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Bailey RH,
    2. Bauer JH
    . A review of common errors in the indirect measurement of blood pressure. Sphygmomanometry. Arch Intern Med 1993;153:2741–8.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Nietert PJ,
    2. Wessell AM,
    3. Feifer C,
    4. Ornstein SM
    . Effect of terminal digit preference on blood pressure measurement and treatment in primary care. Am J Hypertens 2006;19:147–52.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Morcos RN,
    2. Carter KJ,
    3. Castro F,
    4. et al
    . Getting the hypertension Dx right: patient positioning matters. J Fam Pract 2018;67:199;201:206–7.
    OpenUrl
  10. 10.↵
    1. Drawz P
    . Clinical implications of different blood pressure measurement techniques. Curr Hypertens Rep 2017;19:54.
    OpenUrlCrossRefPubMed
  11. 11.↵
    1. Myers MG,
    2. Campbell NR
    . Unfounded concerns about the use of automated office blood pressure measurement in SPRINT. J Am Soc Hypertens 2016;10:903–5.
    OpenUrl
  12. 12.↵
    1. Myers MG,
    2. Godwin M,
    3. Dawes M,
    4. Kiss A,
    5. Tobe SW,
    6. Kaczorowski J
    . Measurement of blood pressure in the office: recognizing the problem and proposing the solution. Hypertension 2010;55:195–200.
    OpenUrlCrossRef
  13. 13.↵
    1. Wright JT Jr.,
    2. Williamson JD,
    3. et al
    SPRINT Research Group, Wright JT Jr., Williamson JD, et al. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med 2015;373:2103–16.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Staessen JA,
    2. Li Y,
    3. Hara A,
    4. Asayama K,
    5. Dolan E,
    6. O'Brien E
    . Blood pressure measurement Anno 2016. Am J Hypertens 2017;30:453–63.
    OpenUrl
  15. 15.↵
    1. Pickering TG,
    2. Hall JE,
    3. Appel LJ,
    4. Falkner BE,
    5. et al
    . Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension 2005;45:142–61.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Saposnik G,
    2. Redelmeier D,
    3. Ruff CC,
    4. Tobler PN
    . Cognitive biases associated with medical decision: a systematic review. BMC Med Inform Decis Mak 2016;16:138.
    OpenUrlCrossRefPubMed
  17. 17.↵
    1. Lacruz ME,
    2. Kluttig A,
    3. Kuss O,
    4. et al
    . Short-term blood pressure variability-variation between arm side, body position and successive measurements: a population-based cohort study. BMC Cardiovasc Disord 2017;17:31.
    OpenUrl
  18. 18.↵
    1. Banegas JR,
    2. Ruilope LM,
    3. de la Sierra A,
    4. et al
    . Relationship between clinic and ambulatory blood-pressure measurements and mortality. N Engl J Med 2018;378:1509–20.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Myers MG
    . Replacing manual sphygmomanometers with automated blood pressure measurement in routine clinical practice. Clin Exp Pharmacol Physiol 2014;41:46–53.
    OpenUrl
  20. 20.
    1. Thavarajah S,
    2. White WB,
    3. Mansoor GA
    . Terminal digit bias in a specialty hypertension faculty practice. J Hum Hypertens 2003;17:819–22.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Harrison WN,
    2. Lancashire RJ,
    3. Marshall TP
    . Variation in recorded blood pressure terminal digit bias in general practice. J Hum Hypertens 2008;22:163–7.
    OpenUrlCrossRefPubMedWeb of Science
  22. 22.↵
    1. Alsanjari ON,
    2. de Lusignan S,
    3. van Vlymen J,
    4. et al
    . Trends and transient change in end-digit preference in blood pressure recording: studies of sequential and longitudinal collected primary care data. Int J Clin Pract 2012;66:37–43.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Ayodele OE,
    2. Akinyemi SO,
    3. Adeniji AO,
    4. et al
    . Prevalence of end-digit preference in recorded blood pressure by nurses: a comparison of measurements taken by mercury and electronic blood pressure-measuring devices. S Afr Fam Pract 2013;55:73–7.
    OpenUrl
  24. 24.↵
    1. Boonyasai R,
    2. Carson KA,
    3. Marsteller JA,
    4. et al
    . A bundled quality improvement program to standardize clinical blood pressure measurement in primary care. J Clin Hypertens 2018;20:324–33.
    OpenUrl
  25. 25.↵
    1. Cloutier L,
    2. Schiffrin EL
    . Hypertension prevalence and control: impact of method of blood pressure measurement. Curr Cardiovasc Risk Rep 2012;6:267–73.
    OpenUrl
  26. 26.↵
    1. McManus RJ,
    2. Mant J,
    3. Hull MR,
    4. et al
    . Does changing from mercury to electronic blood pressure measurement influence recorded blood pressure? An observational study. Br J Gen Pract 2003;53:953–6.
    OpenUrlAbstract/FREE Full Text
  27. 27.↵
    1. Nargesi AA,
    2. Ghazizadeh Z,
    3. Larry M,
    4. et al
    . Manual or automated sphygmomanometer? A historical cohort to quantify measurement bias in blood pressure recording. J Clin Hypertens 2014;16:716–721.
    OpenUrl
  28. 28.↵
    1. Parker RA,
    2. Paterson M,
    3. Padfield P,
    4. et al
    . Are self-reported telemonitored blood pressure readings affected by end-digit preference: a prospective cohort study in Scotland. BMJ Open 2018;8:e019431.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Rinfret F,
    2. Cloutier L,
    3. Wistaff R,
    4. et al
    . Comparison of different automated office blood pressure measurement devices: evidence of nonequivalence and clinical implications. Can J Cardiol 2017;33:1639–44.
    OpenUrl
  30. 30.↵
    1. Mengden T,
    2. Asmar R,
    3. Kandra A,
    4. et al
    . Use of automated blood pressure measurements in clinical trials and registration studies: data from the VALTOP Study. Blood Press Monit 2010;15:188–94.
    OpenUrlCrossRefPubMed
  31. 31.↵
    1. Campbell N,
    2. Conradson HE,
    3. Kang J,
    4. et al
    . Automated assessment of blood pressure using BpTRU compared with assessments by a trained technician and a clinic nurse. Blood Press Monit 2005;10:257–62.
    OpenUrlCrossRefPubMed
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 32 (5)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 5
September-October 2019
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Sources of Error in Office Blood Pressure Measurement
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
7 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Sources of Error in Office Blood Pressure Measurement
Roy N. Morcos, Kimbroe J. Carter, Frank Castro, Sumira Koirala, Deepti Sharma, Haroon Syed
The Journal of the American Board of Family Medicine Sep 2019, 32 (5) 732-738; DOI: 10.3122/jabfm.2019.05.190085

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Sources of Error in Office Blood Pressure Measurement
Roy N. Morcos, Kimbroe J. Carter, Frank Castro, Sumira Koirala, Deepti Sharma, Haroon Syed
The Journal of the American Board of Family Medicine Sep 2019, 32 (5) 732-738; DOI: 10.3122/jabfm.2019.05.190085
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • The Most Frequently Read Articles of 2019
  • Practice-Based Research Today: A Changing Primary Care Landscape Requires Changes in Practice-Based Research Network (PBRN) Research
  • Google Scholar

More in this TOC Section

  • Evaluating Pragmatism of Lung Cancer Screening Randomized Trials with the PRECIS-2 Tool
  • Perceptions and Preferences for Defining Biosimilar Products in Prescription Drug Promotion
  • Successful Implementation of Integrated Behavioral Health
Show more Original Research

Similar Articles

Keywords

  • Blood Pressure
  • Hypertension
  • Patient Positioning
  • Prehypertension

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire