5
Table 4. Checklist for Accurate Measurement of BP (cont'd)
Key Steps for Proper
BP Measurements Specific Instructions
Step 4: Properly
document accurate BP
readings
• Record SBP and DBP. If using the auscultatory technique,
record SBP and DBP as onset of the first Korotkoff sound
and disappearance of all Korotkoff sounds, respectively,
using the nearest even number.
• Note the time of most recent BP medication taken before
measurements.
Step 5: Average the
readings
• Use an average of ≥2 readings obtained on ≥2 occasions to
estimate the individual's level of BP.
Step 6: Provide BP
readings to patient
• Provide patients the SBP/DBP readings both verbally and
in writing.
a
See Section "Out-of-Office and Self-Monitoring of BP" for additional guidance.
Table 5. Selection Criteria for BP Cuff Size for Measurement
of BP in Adults
Arm Circumference Usual Cuff Size
22–26 cm Small adult
27–34 cm Adult
35–44 cm Large adult
45–52 cm Adult thigh
Out-of-Office and Self-Monitoring of BP
COR LOE
Recommendation
I A
SR
Out-of-office BP measurements are recommended to confirm
the diagnosis of hypertension (Table 7) and for titration of BP-
lowering medication, in conjunction with telehealth counseling
or clinical interventions.
SR, systematic review
