# Home blood pressure monitoring Intervention · id `core:home-bp-monitoring` · Cardiovascular Atlas · release `2b2017b84496b985` (public) > General information from published sources, not medical advice, and not reviewed by clinicians. Check the cited source before relying on anything here. The atlas's own text and curation may be reused under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0, https://creativecommons.org/licenses/by-nc/4.0/): credit the atlas, and do not use it commercially. See the atlas About page. Text quoted from a source stays under that source's own terms, given as the source's reuse\_basis. The atlas's reuse terms do not cover it. The downloads list each quotation with its source in third\_party\_quotations. Also called: Self-measured blood pressure monitoring; SMBP; HBPM Browse, organ or system: Blood vessels Browse, condition area: High blood pressure ## In plain language Measuring your own blood pressure with a device, at home or somewhere else outside the clinic. ## Technical summary Also called self-measured blood pressure (SMBP) monitoring. The CDC describes the patient measuring blood pressure regularly outside the clinic, at home or elsewhere, with a home device and at different times. The JACC panel says self-monitored blood pressure is frequently measured in the home and also in public places, so the home is one setting of it. MeSH has a concept named Blood Pressure Monitoring, Home (M0456886), filed under the descriptor Blood Pressure Monitoring, Ambulatory (D018660). That concept's label and scope note name only the home, so it is not an exact match and no MeSH id is recorded. Recommendations, accuracy and effects belong in cited claims. ## Claims, with the population each applies to ## Context: Adults with suspected hypertension, clinic blood pressure 140/90 to 180/120 mmHg (NICE NG136 1.2) Recipient: Adult; Population: Adults aged 18 and over who are assessed for hypertension, with or without type 2 diabetes. Recommendations 1.2.3 and 1.2.4 concern a clinic blood pressure between 140/90 mmHg and 180/120 mmHg. Recommendation 1.2.8 concerns a clinic reading of 140/90 mmHg or higher followed by ambulatory or home monitoring.; Care setting: Clinic measurement first, then ambulatory or home blood pressure monitoring (NICE recommendations 1.2.3, 1.2.4 and 1.2.8); Geography: England, from clause 6 of the NICE terms and conditions, which presents the information as support for people in England who make decisions about funding care. Clause 8 adds that NICE does not write its content as a basis for decisions outside the United Kingdom. The NG136 page itself states no jurisdiction.; Life stage: Adult (aged 18 and over); Follow-up: Not applicable (recommendation context) ### NICE guideline NG136 recommends offering home blood pressure monitoring (HBPM) to confirm a diagnosis of hypertension in adults when ABPM is not suitable or not tolerated. - Category: Recommendation - Evidence stage: Guidance - Certainty: Certainty not assessed - Applies to: Recipient: Adult; Population: Adults aged 18 and over who are assessed for hypertension, with or without type 2 diabetes. Recommendations 1.2.3 and 1.2.4 concern a clinic blood pressure between 140/90 mmHg and 180/120 mmHg. Recommendation 1.2.8 concerns a clinic reading of 140/90 mmHg or higher followed by ambulatory or home monitoring.; Care setting: Clinic measurement first, then ambulatory or home blood pressure monitoring (NICE recommendations 1.2.3, 1.2.4 and 1.2.8); Geography: England, from clause 6 of the NICE terms and conditions, which presents the information as support for people in England who make decisions about funding care. Clause 8 adds that NICE does not write its content as a basis for decisions outside the United Kingdom. The NG136 page itself states no jurisdiction.; Life stage: Adult (aged 18 and over); Follow-up: Not applicable (recommendation context) - Limitations: NICE gives no strength label for this recommendation. Its verb is offer. NICE says it uses that verb where the evidence of benefit is strong and leaves little doubt. How NICE applied that convention here was not verified. The NG136 page states no jurisdiction. NICE's terms present the information as support for people in England who make decisions about funding care, and say the content is not written as a basis for decisions outside the United Kingdom. The recommendation carries the year tag 2019, the year of NICE's evidence review. No NICE evidence review was read. NICE places this recommendation second, after ABPM. This claim records what NICE recommends. It does not say how well home monitoring performs, and it covers no pregnancy use. - Last checked: 2026-10-11 - Sources: 1. Supports: Hypertension in adults: diagnosis and management (NICE guideline NG136), Recommendations chapter (Guideline, edition The Recommendations chapter as shown on 2026-10-09 and fetched again on 2026-10-11 with identical bytes. The page header gives 26 February 2026 as the last update. This atlas cites six recommendations from it, each with the version tag the page shows: 1.1.3 is tagged \[2004\]; 1.2.3, 1.2.4 and 1.2.8 are tagged \[2019\]; 1.4.5 is tagged \[2004, amended 2019\]; 1.4.20 is tagged \[2019, amended 2022\]. Which edition of each recommendation these tags point to was not checked.) Locator: Recommendation 1.2.4. Retrieved 2026-10-09T15:59:21Z. Source state: Current. Snapshot hash: 68ce72f3487ffa4715f92ddfa8aaf6e093f5aecd3598cd59a0ab58f74ce86f28. How it applies: NICE NG136 as shown on 2026-10-11, last updated 2026-02-26. Offer HBPM when ABPM is unsuitable or not tolerated. 2. Background: Hypertension in adults: diagnosis and management (NICE guideline NG136), Recommendations chapter (Guideline, edition The Recommendations chapter as shown on 2026-10-09 and fetched again on 2026-10-11 with identical bytes. The page header gives 26 February 2026 as the last update. This atlas cites six recommendations from it, each with the version tag the page shows: 1.1.3 is tagged \[2004\]; 1.2.3, 1.2.4 and 1.2.8 are tagged \[2019\]; 1.4.5 is tagged \[2004, amended 2019\]; 1.4.20 is tagged \[2019, amended 2022\]. Which edition of each recommendation these tags point to was not checked.) Locator: Recommendation 1.2.4, version tag at the end. Retrieved 2026-10-09T15:59:21Z. Source state: Current. Snapshot hash: 68ce72f3487ffa4715f92ddfa8aaf6e093f5aecd3598cd59a0ab58f74ce86f28. How it applies: Dates the wording of the recommendation. 3. Background: Hypertension in adults: diagnosis and management (NICE guideline NG136), Recommendations chapter (Guideline, edition The Recommendations chapter as shown on 2026-10-09 and fetched again on 2026-10-11 with identical bytes. The page header gives 26 February 2026 as the last update. This atlas cites six recommendations from it, each with the version tag the page shows: 1.1.3 is tagged \[2004\]; 1.2.3, 1.2.4 and 1.2.8 are tagged \[2019\]; 1.4.5 is tagged \[2004, amended 2019\]; 1.4.20 is tagged \[2019, amended 2022\]. Which edition of each recommendation these tags point to was not checked.) Locator: Recommendations, introductory text, paragraph 3. Retrieved 2026-10-09T15:59:21Z. Source state: Current. Snapshot hash: 68ce72f3487ffa4715f92ddfa8aaf6e093f5aecd3598cd59a0ab58f74ce86f28. How it applies: Says the measuring and diagnosing recommendations apply to all adults. 4. Background: Making decisions using NICE guidelines (Webpage) Locator: Using recommendations, paragraph 2. Retrieved 2026-10-09T15:59:49Z. Source state: Current. Snapshot hash: b7838d1bdb692f2b6dfc71480aa95803d68c64aa0dde406375953c9479aaae7c. How it applies: Explains the NICE convention for the word offer. It does not say how the convention applies to this recommendation. 5. Background: NICE terms and conditions, including the Notice of Rights (Webpage, edition The page as fetched on 2026-10-11. It shows no version date; its footer carries the year 2026.) Locator: Clause 6, sentence 1. Retrieved 2026-10-11T19:11:33Z. Source state: Current. Snapshot hash: 663d4a4be632810ae88513ec6386193a7b373159e5e2ecd4ec61419e2e4c408a. How it applies: Source of the England audience read for this claim. 6. Background: NICE terms and conditions, including the Notice of Rights (Webpage, edition The page as fetched on 2026-10-11. It shows no version date; its footer carries the year 2026.) Locator: Clause 8. Retrieved 2026-10-11T19:11:33Z. Source state: Current. Snapshot hash: 663d4a4be632810ae88513ec6386193a7b373159e5e2ecd4ec61419e2e4c408a. How it applies: Source of the United Kingdom reliance limit read for this claim. ## Guidance, authorization and access ### Recommendation `cardio:rec-nice-ng136-1-2-4` - Intervention: Home blood pressure monitoring (`core:home-bp-monitoring`) - Direction: Recommended - Issued by: National Institute for Health and Care Excellence (`cardio:nice`) - Guideline: Hypertension in adults: diagnosis and management (NICE guideline NG136), Recommendations chapter, edition The Recommendations chapter as shown on 2026-10-09 and fetched again on 2026-10-11 with identical bytes. The page header gives 26 February 2026 as the last update. This atlas cites six recommendations from it, each with the version tag the page shows: 1.1.3 is tagged \[2004\]; 1.2.3, 1.2.4 and 1.2.8 are tagged \[2019\]; 1.4.5 is tagged \[2004, amended 2019\]; 1.4.20 is tagged \[2019, amended 2022\]. Which edition of each recommendation these tags point to was not checked.; snapshot `cardio:nice-ng136-recs-2026-10-09` - Jurisdiction: England, from clause 6 of the NICE terms and conditions, which presents the information as support for people in England who make decisions about funding care. Clause 8 adds that NICE does not write its content as a basis for decisions outside the United Kingdom. The NG136 page itself states no jurisdiction. - Strength: Not labeled on the fetched page. The recommendation uses the verb offer. (NICE wording convention. NICE says it uses the verb offer where the evidence of benefit is strong and leaves little doubt, and the verb consider where the benefit is less certain. How NICE applied this to the recommendation was not verified.) - Effective: 2019-08-28 (The date NG136 was first published. The recommendation is tagged with 2019, and the page shows a last update of 26 February 2026.) - Applies to: Recipient: Adult; Population: Adults aged 18 and over who are assessed for hypertension, with or without type 2 diabetes. Recommendations 1.2.3 and 1.2.4 concern a clinic blood pressure between 140/90 mmHg and 180/120 mmHg. Recommendation 1.2.8 concerns a clinic reading of 140/90 mmHg or higher followed by ambulatory or home monitoring.; Care setting: Clinic measurement first, then ambulatory or home blood pressure monitoring (NICE recommendations 1.2.3, 1.2.4 and 1.2.8); Geography: England, from clause 6 of the NICE terms and conditions, which presents the information as support for people in England who make decisions about funding care. Clause 8 adds that NICE does not write its content as a basis for decisions outside the United Kingdom. The NG136 page itself states no jurisdiction.; Life stage: Adult (aged 18 and over); Follow-up: Not applicable (recommendation context) - Basis: claim `cardio:claim-nice-ng136-1-2-4` ## Connected pages - NICE NG136 1.2.4: if ABPM is unsuitable or not tolerated: Hypertension (high blood pressure) (`core:hypertension`) [a claim, not a settled fact; see claim `cardio:claim-nice-ng136-1-2-4` and its context] - Measures blood pressure at home: Blood pressure (`core:blood-pressure`) ## Provenance Content hash: 6ef310cdbe55ebb6b2354fbfcc31c62445aca7e70e7517837d45d84f86b1c0ae Last substantive edit: 2026-10-11 Evidence last checked: 2026-10-11