[Expert consensus statement on blood pressure measurement from the French Society of Hypertension, an affiliate of the French Society of Cardiology].
Recommandations sur la mesure de la pression artérielle. Consensus d’experts de la Société française d’hypertension artérielle, filiale de la Société française de cardiologie
Thierry Denolle
(1)
,
Roland Asmar
(2)
,
Jean-Marc Boivin
(3)
,
Xavier Girerd
(4)
,
Sylvain Le Jeune
(5)
,
Bernard Vaisse
(6)
,
Yara Antakly-Hanon
(2)
,
Mathieu Artifoni
(7)
,
André Atallah
(2)
,
Christophe Bachelet
(2)
,
Nicolas Barber-Chamoux
(8)
,
Theodora Bejan-Angoulvant
(9)
,
Jacques Blacher
(10)
,
Romain Boulestreau
(11)
,
François Chantrel
(12)
,
Yves Dimitrov
(13)
,
Gérard Doll
(2)
,
Giselle Dugelay
(3)
,
Béatrice Duly-Bouhanick
(2)
,
Philippe Gosse
(14)
,
Dominique Guerrot
(15, 16)
,
Faiçal Jarraya
(17)
,
Guillaume Lamirault
(18)
,
Benoît Lequeux
(19)
,
Marilucy Lopez-Sublet
(5)
,
Alain Mercier
(2)
,
Laurène Millet
(2)
,
Claire Mounier-Vehier
(20)
,
Jean-Jacques Mourad
(21)
,
Edgar Nasr
(2)
,
Olivier Ormezzano
(22)
,
Laurence Perez
(23)
,
Alexandre Persu
(24)
,
Jean Ribstein
(25)
,
François Silhol
(6)
,
Philippe Sosner
(26)
,
Elisabeth Steyer
(2)
,
Mohamed Temmar
(2)
,
Philippe van de Borne
(27)
,
Emmanuelle Vidal-Petiot
(28, 29)
1
Service de cardiologie et maladies vasculaires [Rennes] = Cardiac, Thoracic, and Vascular Surgery [Rennes]
2 SFHTA - Société française d’hypertension artérielle
3 Département de médecine générale [Univ. Lorraine]
4 CHU Pitié-Salpêtrière [AP-HP]
5 AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP)
6 TIMONE - Hôpital de la Timone [CHU - APHM]
7 Service de médecine interne [Nantes]
8 CHU Clermont-Ferrand
9 UT - Université de Tours
10 CRESS - U1153 - Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle
11 UB - Université de Bordeaux
12 CH E.Muller Mulhouse - Centre Hospitalier Emile Muller [Mulhouse]
13 Centre hospitalier de Haguenau
14 Hôpital Saint-André
15 Service de Néphrologie [Rouen]
16 EnVI - Endothélium, valvulopathies et insuffisance cardiaque
17 Université de Sfax - University of Sfax
18 ITX - ITX - unité de recherche de l'institut du thorax
19 Service de cardiologie [CHU de Poitiers]
20 Hôpital cardiologique
21 Hôpital Avicenne [AP-HP]
22 Clinique Cardiologie et Hypertension Artérielle
23 I2MC - Institut des Maladies Métaboliques et Cardiovasculaires
24 Cliniques Universitaires Saint-Luc [Bruxelles]
25 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
26 MOVE [Poitiers] - Laboratoire Mobilité, Vieillissement, Exercice
27 ULB - Hôpital Erasme [Bruxelles]
28 PARCC - UMR-S U970 - Paris-Centre de Recherche Cardiovasculaire
29 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
2 SFHTA - Société française d’hypertension artérielle
3 Département de médecine générale [Univ. Lorraine]
4 CHU Pitié-Salpêtrière [AP-HP]
5 AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP)
6 TIMONE - Hôpital de la Timone [CHU - APHM]
7 Service de médecine interne [Nantes]
8 CHU Clermont-Ferrand
9 UT - Université de Tours
10 CRESS - U1153 - Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle
11 UB - Université de Bordeaux
12 CH E.Muller Mulhouse - Centre Hospitalier Emile Muller [Mulhouse]
13 Centre hospitalier de Haguenau
14 Hôpital Saint-André
15 Service de Néphrologie [Rouen]
16 EnVI - Endothélium, valvulopathies et insuffisance cardiaque
17 Université de Sfax - University of Sfax
18 ITX - ITX - unité de recherche de l'institut du thorax
19 Service de cardiologie [CHU de Poitiers]
20 Hôpital cardiologique
21 Hôpital Avicenne [AP-HP]
22 Clinique Cardiologie et Hypertension Artérielle
23 I2MC - Institut des Maladies Métaboliques et Cardiovasculaires
24 Cliniques Universitaires Saint-Luc [Bruxelles]
25 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
26 MOVE [Poitiers] - Laboratoire Mobilité, Vieillissement, Exercice
27 ULB - Hôpital Erasme [Bruxelles]
28 PARCC - UMR-S U970 - Paris-Centre de Recherche Cardiovasculaire
29 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Jean-Marc Boivin
- Fonction : Auteur
- PersonId : 781347
- IdRef : 113470762
Theodora Bejan-Angoulvant
- Fonction : Auteur
- PersonId : 171429
- IdHAL : theodora-bejan-angoulvant
- ORCID : 0000-0002-0018-9996
- IdRef : 073756008
Jacques Blacher
- Fonction : Auteur
- PersonId : 850045
Dominique Guerrot
- Fonction : Auteur
- PersonId : 181624
- IdHAL : dominique-guerrot
- ORCID : 0000-0002-5953-5785
- IdRef : 126598312
Guillaume Lamirault
- Fonction : Auteur
- PersonId : 762132
- ORCID : 0000-0001-6490-1279
- IdRef : 068951523
Olivier Ormezzano
- Fonction : Auteur
- PersonId : 759210
- IdRef : 09520329X
Alexandre Persu
- Fonction : Auteur
- PersonId : 793012
- ORCID : 0000-0002-4007-9695
- IdRef : 20418231X
Emmanuelle Vidal-Petiot
- Fonction : Auteur
- PersonId : 768809
- ORCID : 0000-0001-9356-7302
- IdRef : 131406728
Résumé
Since 2016, the French Society of Hypertension has warned about the decline in the management of high blood pressure in France: stagnation, or even decreased number of people who know their blood pressure level, take a treatment and are controlled. These results are lower than those observed in many other countries. Blood pressure is measured with an old method in the doctor's office. Accepted, simple and cost-effective, this method is currently unavoidable for reasons of feasibility and social habit. It has been used in observational and intervention studies that are the basis of the medical reasoning for screening, treatment and drug control of hypertension. In practice, it is too often poorly applied and unpredictable. It is now necessary to measure blood pressure in mmHg using a validated oscillometric automatic device coupled to a specific upper arm cuff adapted to the arm circumferences for the diagnosis and monitoring of high blood pressure in the doctor's office and at home. The auscultatoric measurement is only recommended if any doubt about the reliability of the electronic measurement. Blood pressure measurement is basically performed on both arms to detect asymmetry and then on the arm with the highest blood pressure. It is performed in sitting or lying position after a few minutes of rest without speaking and without having smoked and then in standing position to diagnose orthostatic hypotension, especially in elderly, diabetic and multi-medicated subjects. The blood pressure measurement during the consultation must be repeated and include at least 3 consecutive measurements at one minute intervals. The average of the last 2 measurements determines the blood pressure level. It is recommended to perform BP measurements outside the medical environment for the diagnosis and monitoring of hypertension; Home BP measurement is preferred to ambulatory blood pressure measurement for practical reasons unless otherwise specified. The home blood pressure measurement should include three measurements in the morning at breakfast and three measurements in the evening before bedtime at one minute intervals for at least three days. Prior training must be provided. In treated hypertensive patients, a masked hypertension should be considered as an uncontrolled hypertension and antihypertensive therapy adapted accordingly. The measurement of central BP pressure (aorta) should be limited to clinical research.