In August 2017, Prof. Eoin O’Brien and Prof. George Stergio, two of the world’s most eminent experts and leaders in blood pressure and in blood pressure monitor validation published a critical editorial on the quest, over 35 years, for the recognition of the importance of blood pressure monitor validation and for the importance of institutions and individuals only to use a blood pressure monitor that has been validated according to a recognised protocol.¹ The salient use of “A 35-year travail”, in the title, indicates how frustratingly difficult this has been. The free-access document is available from Wiley Click Here
The article contains a scathing indictment of how “devices appearing on the market must fulfil stringent safety requirements but are not required to have undergone accuracy testing according to one of the [ESH-IP 2010² and ISO-81060-2:2013³] protocols”. WHICH? consumer magazine is criticised for its lack of transparency in its tests for accuracy and it cites a “Don’t Buy” recommendation for a device proven to be accurate by a proper scientific study⁴. The article acknowledges that both consumer and scientific bodies have a common goal and calls for closer collaboration between consumer and scientific bodies to eliminate differences in their processes.
As of May 2018, they present reviews of 20 blood pressure monitors. The table below compares the WHICH? reviews both to actual validations, as shown on Medaval, and to recommendations by the ESH⁶. Under the Medaval Listing, four of the devices are marked as Unverified derivative, indicating a British and Irish Hypertension Society (BIHS) status, based only on manufacturer declarations⁷ while the Unpublished validation marks a device shown as validated by the Deutsche Hochdruckliga but the results for which are not published⁸.
|Blood Pressure Monitor||WHICH? Recommendation||Medaval Listing||ESH Recommended|
|iHealth Feel BP5||Between Best & Don’t Buy||★★★★||Yes|
|iHealth Sense BP7 (KD-972)||Don’t Buy||★★★★||(Wrist device)|
|Omron M7 (HEM-780-E)||Best Buy||★★★||Yes|
|Withings BP-800||Between Best & Don’t Buy||★★||Yes|
|Braun ExactFit 5 (BP-6200)||Between Best & Don’t Buy||★||Yes|
|Braun Vitalscan 5 (BPW-4300)||Between Best & Don’t Buy||★||(Wrist device)|
|Homedics BPA-2000-EU||Best Buy||Unverified derivative||Yes|
|Omron M2 Basic (HEM-7120-E)||Best Buy||Unverified derivative||Yes|
|Omron Pro Logic PL100 (HEM-7101-PR)||Between Best & Don’t Buy||Unverified derivative||Yes|
|Omron RS2 (HEM-6121-E)||Best Buy||Unverified derivative||(Wrist device)|
|Beurer BM-40||Don’t Buy||Unpublished validation||No|
|Boots – Upper Arm||Best Buy||Not validated||No|
|IBP HL868ZA||Best Buy||Not validated||No|
|Omron Evolv BP-7000 (HEM-7600T-Z)||Best Buy||Not validated||No|
|Kinetik BPx1||Don’t Buy||Not validated||No|
|Boots – Wrist||Between Best & Don’t Buy||Not validated||(Wrist device)|
|Philips DL8765-37||Between Best & Don’t Buy||Not validated||(Wrist device)|
|Beurer BC-31||Don’t Buy||Not validated||(Wrist device)|
|IBP HL168ZA||Don’t Buy||Not validated||(Wrist device)|
|Kinetik BPM3C||Don’t Buy||Not validated||(Wrist device)|
Medaval cautions all consumers, whether they be professional healthcare or individuals, on the importance of only buying Blood Pressure Monitors and Blood Glucose Monitors that have been PROVENto be ACCURATE.
- O’Brien E, Stergiou GS. The pursuit of accurate blood pressure measurement: A 35-year travail. J Clin Hypertens (Greenwich). 2017 Aug;19(8):746-752. doi: 10.1111/jch.13005. Epub 2017 Apr 21. PMID: 28429879.
- O’Brien E, Atkins N, Stergiou G, Karpettas N, Parati G, Asmar R, Imai Y, Wang J, Mengden T, Shennan A; Working Group on Blood Pressure Monitoring of the European Society of Hypertension European Society of Hypertension. International Protocol revision 2010 for the validation of blood pressure measuring devices in adults. Blood Press Monit. 2010;15:23-38. doi: 10.1097/MBP.0b013e3283360e98. PMID: 20110786. Erratum in Blood Press Monit. 2010;15(3):171-2.
- Association for the Advancement of Medical Instrumentation, American National Standards Institute, International Organization for Standardization. AAMI/ANSI/ISO 81060-2:2013, Non-invasive Sphygmomanometers – Part 2: Clinical Investigation of Automated Measurement Type. Arlington, VA, USA: AAMI; 2013.
- Wang Q, Zhao H, Chen W, Li N, Wan Y. Validation of the iHealth BP7 wrist blood pressure monitor, for self-measurement, according to the European Society of Hypertension International Protocol revision 2010. Blood Press Monit.2014 Feb;19(1):54-7. doi: 10.1097/MBP.0000000000000017. PMID: 24361919.
- Which? 20 blood pressure monitor reviews. [Internet] London, UK: Which?; 2018. http://www.which.co.uk/reviews/blood-pressure-monitors. Accessed 2018 May 21. [Registration required for full details.]
- Stergiou GS, Asmar R, Myers M, Palatini P, Parati G, Shennan A, Wang J, O’Brien E; European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. Improving the accuracy of blood pressure measurement: the influence of the European Society of Hypertension International Protocol (ESH-IP) for the validation of blood pressure measuring devices and future perspectives. J Hypertens.2018 Mar;36(3):479-87. doi: 10.1097/HJH.0000000000001635. PMID: 29384984.
- British and Irish Hypertension Society. Validated BP Monitors for Home Use. [Internet] Leicester, UK: BIHS; 2017/2018. https://bihsoc.org/bp-monitors/for-home-use/. Accessed 2018 May 21.
- Deutsche Hochdruckliga eV DHL. Geprüfte Messgeräte 2001-2017. [Internet] Heidelberg, Deutschland: DHL; 2018 Apr 28. https://www.hochdruckliga.de/messgeraete-mit-pruefsiegel.htmlAccessed 2018 May 21.