Emergency Department Home Blood Pressure Monitoring and BpTRU Study

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