Optimizing observer performance of clinic blood Pressure measurement: a position statement from the Lancet Commission on Hypertension Group
High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-tomiddle-income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging.