Emergency Department Home Blood Pressure Monitoring and BpTRU Study

Congruence of Emergency Department Attendings' Predictions of Hypertension With Results of Home Blood Pressure Monitoring

The purpose of this study is to evaluate the Congruence of Emergency Department (ED) Attendings' Predictions of Hypertension with Results of Home Blood Pressure Monitoring.

Evaluate the Congruence of Emergency Department (ED) Attendings' Predictions of Hypertension with Results of Home Blood Pressure Monitoring & evaluate reliability of ED measured elevated blood pressure compared to the BpTRU

Inclusion Criteria:

• One elevated blood pressure greater than 120 systolic and/or 80 diastolic
• BpTRU device blood pressure greater than 120 systolic and/or 80 diastolic while in ED

Exclusion Criteria:

• Prior history of hypertension
• Currently on antihypertensives or receiving prescription on discharge
• Pregnancy
• History of atrial fibrillation
• Dialysis patient
• Nursing home or rehabilitation center resident
• Admitted
• Moving out of the area in next 30 days
• Substance abuse
• Prisoner
• Presenting for psychiatric complaint requiring constant observation
• Inability to give informed consent (intoxicated, altered, non-English speaking)
• Presenting with symptoms of hypertensive emergency
• Inability to demonstrate adequate use of the home blood pressure device in the ED
• Arm circumference less than 9 inches or greater than 17 inches