Office blood pressure measurement recommendations – a comparison between different international guidelines on hypertension_
| GUIDELINE | Number of measurements | Time between measurements | Averaged measurements | Comments |
|---|---|---|---|---|
| ESC 2024[1] | 3 (BP1, BP2, BP3) | 1-2 min | BP2 and BP3 | Further measurements should be obtained if the readings differ by > 10 mmHg |
| ESH 2023 [2] | 3 (BP1, BP2, BP3) | 1 min | BP2 and BP3 | HTN diagnosis made during ≥ 2 separate office visits (within four weeks) unless |
| ACC/AHA 2025 [3] | ≥ 2 (BP1, BP2, ‥, BPx) | 1 min | Average all BPs available | • Average of ≥ 2 BP measurements obtained on ≥ 2 separate occasions |
| ISH 2020 [4] | 3 (BP1, BP2, BP3) | 1 min | BP 2 and BP 3 | If BP1 < 130/85 mm Hg, no other measurement is required. |
| Canada Primary Care 2025 [5] | 3 (BP1, BP2, BP3) | 1 min | BP1, BP2, BP3 | All values are recorded and averaged. |
| Japanese Society of Hypertension 2019 [6] | ≥ 2 (BP1, BP2, ‥, BPx) | 1-2 min | Average of 2 measurements | The mean value of two measurements that provides stable values (difference between values: <5 mmHg) should be used |
| Korean Hypertension Society [7] | ≥ 2 (BP1, BP2, ‥, BPx) | Not stated | Average all measurements | At least two measurements of BP are taken and the average of those readings is used. |
| Clinical practice guideline for the management of hypertension in China [8] | 3 (BP1, BP2, BP3) | Not stated | BP2 and BP3 | For practical implementation in a clinical setting, the guideline suggests using the average of the last two measurement readings as the BP level. |