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It is recognized, however, that the automated (oscillometric) <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> monitors may have different accuracy or uses in some special populations compared with adults in the general population. Thus, an automated <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> monitor with proven accuracy in a general population of adults may not be accurate in a special population, and therefore separate validation is needed. Recognized special populations deserving separate validation are those for which there is theoretical, and also clinical evidence, that the accuracy of <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> monitors in these groups differs from that in the general population. Young children, pregnant women (including those with preeclampsia), individuals with arm circumference &gt;42\u00a0cm, and patients with atrial fibrillation are regarded as special populations. Adolescents, individuals older than 80\u00a0years, and patients with end\u2010stage renal disease or diabetes mellitus have also been considered as possible special groups, but there is still inadequate evidence of altered accuracy of <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> monitors in these subjects. Validation studies should be performed in special populations and evaluated separately after the <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\u2010measuring device has successfully undergone a validation study in a general population (unless the test device is intended only for a special population). This article discusses issues relating to the measurement of <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> and the diagnosis of hypertension in selected special populations, as well as in low\u2010resource settings, where a simplified yet efficient evaluation strategy is necessary.<\/jats:p>","DOI":"10.1111\/jch.13296","type":"journal-article","created":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T11:01:04Z","timestamp":1531479664000},"page":"1122-1127","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Blood pressure measurement in special populations and circumstances"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6132-0038","authenticated-orcid":false,"given":"George S.","family":"Stergiou","sequence":"first","affiliation":[{"name":"Hypertension Center STRIDE\u20107 School of Medicine Third Department of Medicine Sotiria Hospital National and Kapodistrian University of Athens  Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eamon","family":"Dolan","sequence":"additional","affiliation":[{"name":"Stroke and Hypertension Unit Connolly Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2098-1665","authenticated-orcid":false,"given":"Anastasios","family":"Kollias","sequence":"additional","affiliation":[{"name":"Hypertension Center STRIDE\u20107 School of Medicine Third Department of Medicine Sotiria Hospital National and Kapodistrian University of Athens  Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil R.","family":"Poulter","sequence":"additional","affiliation":[{"name":"Faculty of Medicine National Heart &amp; Lung Institute Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Shennan","sequence":"additional","affiliation":[{"name":"King's College London St. Thomas\u2019 Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan A.","family":"Staessen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology University of Leuven  Leuven Belgium"},{"name":"Cardiovascular Research Institute Maastricht (CARIM) Maastricht University  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen\u2010Yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology University of Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Weber","sequence":"additional","affiliation":[{"name":"Downstate College of Medicine State University of New York  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,13]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","first-page":"S43","article-title":"The British Hypertension Society protocol for the evaluation of blood pressure measuring devices","volume":"11","author":"O'Brien E","year":"1993","journal-title":"J Hypertens"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MBP.0b013e3283360e98"},{"key":"e_1_2_8_4_1","unstructured":"Non\u2010invasive sphygmomanometers \u2010 Part 2: Clinical investigation of automated measurement type.American National Standards Institute. 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