Out-of-Office Blood Pressure Monitoring: Not Either-Or, But When and for Whom

For the last 2 decades, hypertension guidelines have progressively moved beyond office blood pressure (BP) thresholds as the sole basis for diagnosis.1-3 Out-of-office BP assessment is now central to hypertension diagnosis, including detection of different hypertension phenotypes, and risk stratification. Yet a practical question has remained insufficiently resolved: if both ambulatory BP monitoring (ABPM) and home BP monitoring (HBPM) are recommended, are they truly interchangeable, or do they serve different purposes across the clinical course of hypertension?