Effects of systematic errors in blood pressure measurements on the diagnosis of hypertension

Martin J. Turner*, A. Barry Baker, Peter C. Kam

*Corresponding author for this work

Research output: Contribution to journalArticle

39 Citations (Scopus)


Objective: To estimate the effects of systematic errors in measurements of blood pressure on the diagnosis of hypertension. Methods: We fitted regression curves to distributions of diastolic and systolic BP from recent Canadian and UK surveys and calculated the effect of systematic measurement errors on changes in the numbers of patients who would be classified hypertensive at thresholds of 85, 90 and 35 mmHg diastolic and 140 and 160 mmHg systolic pressure respectively. Results: Overestimation of diastolic BP by 5 mmHg increases the number of patients whose diastolic BP exceeds 85, 90 and 95 mmHg by 102, 132 and 166% respectively. Equivalent underestimation causes 57, 62 and 67% respectively of hypertensive patients to be missed. If systematic error in diastolic pressure is limited to ±1 mmHg the diagnosis errors are between -15 and +23%. Overestimation of systolic BP by 3 and 5 mmHg increases the number classified as hypertensive by 24 and 43% respectively. Equivalent underestimation causes 19 and 30% of patients with systolic hypertension to be missed. Conclusions: Small systematic errors in BP measurements may cause large variations in the proportion of patients diagnosed as hypertensive. To limit over- or under-diagnosis of diastolic hypertension to approximately 20%, systematic errors in diastolic BP measurements should be limited to 1 mmHg. An uncertainty of 3 mmHg may be adequate for detecting systolic hypertension.

Original languageEnglish
Pages (from-to)249-253
Number of pages5
JournalBlood Pressure Monitoring
Issue number5
Publication statusPublished - Oct 2004
Externally publishedYes


  • Blood pressure measurement
  • Error sensitivity
  • Hypertension
  • Measurement error
  • Sphygmomanometers
  • Systematic error

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