{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T21:28:12Z","timestamp":1788038892709,"version":"build-2784847793"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>According to the European Hypertension Guidelines regarding office blood pressure measurements (OBPMs), the mean between second\/third or third\/fourth OBPM should be taken if the first two readings differ by \u226410 or &gt;10\u00a0mmHg, respectively. Our aim was to explore the value of the fourth OBPM and determine whether a simplified OBPM procedure is feasible without loss of quality. In this cross\u2010sectional study, four standard OBPMs were taken. The mean of the second\/third OBPM (S2S3\/D2D3) and third\/fourth OBPM (S3S4\/D3D4) for systolic\/diastolic values was calculated. Correlation, agreement, and differences regarding BP classification were explored for the entire cohort and subsets with a difference between the first\/second OBPM (S1S2\/D1D2) \u226410 and &gt;10\u00a0mmHg. Overall (<jats:italic>n<\/jats:italic>\u00a0=\u00a0802) and for the subsets with an S1S2 (<jats:italic>n<\/jats:italic>\u00a0=\u00a0596) and D1D2 (<jats:italic>n<\/jats:italic>\u00a0=\u00a0742) difference \u226410\u00a0mmHg, S3S4\/D3D4 was in median 0.5\u00a0mmHg lower than S2S3\/D2D3, respectively (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0005 for all). In participants with an S1S2 (<jats:italic>n<\/jats:italic>\u00a0=\u00a0206) and D1D2 (<jats:italic>n<\/jats:italic>\u00a0=\u00a060) difference &gt;10\u00a0mmHg, S3S4\/D3D4 differed numerically from S2S3\/D2D3, respectively (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a0.1 for all). Overall and for all subsets with an S1S2\/D1D2 difference \u226410\/&gt;10\u00a0mmHg, less subjects were numerically classified as hypertensive with S3S4\/D3D4 than with S2S3\/D2D3 (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a0.04), but BP reclassification occurred in both directions in 1.0%\u201010.0%, depending on the cohort. In conclusion, the third\/fourth OBPM results in lower BP values than the second\/third measurement, regardless of the difference between first\/second OBPM, whereby BP reclassifications occurred in both directions. Therefore, the cutoff of &gt;10 versus \u226410mmHg difference between first\/second OBPM to implement a fourth BPM harbors the risk of distorted results. We therefore recommend using the second\/third BPM for standardized OBPM.<\/jats:p><jats:p>Trial registration: Registered on clinicaltrials.gov (NCT02552030).<\/jats:p>","DOI":"10.1111\/jch.14130","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T17:59:06Z","timestamp":1608055146000},"page":"35-43","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["How should we measure blood pressure? Implications of the fourth blood pressure measurement in office blood pressure"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5188-1723","authenticated-orcid":false,"given":"Annina S.","family":"Vischer","sequence":"first","affiliation":[{"name":"Medical Outpatient Department and Hypertension Clinic ESH Hypertension Centre of Excellence University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9619-5460","authenticated-orcid":false,"given":"Thenral","family":"Socrates","sequence":"additional","affiliation":[{"name":"Medical Outpatient Department and Hypertension Clinic ESH Hypertension Centre of Excellence University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4169-0194","authenticated-orcid":false,"given":"Clemens","family":"Winterhalder","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1693-9851","authenticated-orcid":false,"given":"Jens","family":"Eckstein","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1962-8186","authenticated-orcid":false,"given":"Michael","family":"Mayr","sequence":"additional","affiliation":[{"name":"Medical Outpatient Department and Hypertension Clinic ESH Hypertension Centre of Excellence University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6373-9820","authenticated-orcid":false,"given":"Thilo","family":"Burkard","sequence":"additional","affiliation":[{"name":"Medical Outpatient Department and Hypertension Clinic ESH Hypertension Centre of Excellence University Hospital Basel  Basel Switzerland"},{"name":"Department of Cardiology University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-200401000-00003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy339"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000066"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpy159"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-019-01426-w"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312523"},{"key":"e_1_2_8_8_1","unstructured":"TakahashiH YokoiT YoshikaM.Validation of the OMRON HBP\u20101300 upper arm blood pressure monitor in oscillometry mode for clinic use in a general population according to the European Society of Hypertension International Protocol revision 2010.http:\/\/wwwdableducationalorg\/dableducationalorg\/Publications\/2014\/ESH-IP%202010%20Validation%20of%20Omron%20HBP-1300pdf. Accessed August 29 2018."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3283577b05"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03460240051027"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(15)00257-3"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008951"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.21.2719"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0910975"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(91)90069-X"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(18)30259-6"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz300"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/hypertensionaha.120.15026"}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.14130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jch.14130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.14130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T14:28:44Z","timestamp":1725978524000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.14130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,14]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/jch.14130"],"URL":"https:\/\/doi.org\/10.1111\/jch.14130","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"value":"1524-6175","type":"print"},{"value":"1751-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,14]]},"assertion":[{"value":"2020-09-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}