, 12 readings) may be sufficient, ideally in the period immediately before the next appointment with provider Monitoring conducted over consecutive days is ideal; however, readings taken on nonconsecutive days may also provide valid data Analyzing readings For each monitoring period, the average of all readings should be obtained Some guidelines and scientific statements recommend excluding the first day of readings; if the first day of readings is excluded, the minimum and preferred periods of HBPM should be four and eight days, respectively For a video developed for patients by the VA and DoD with instructions on measuring blood pressure at home, please visit https://www.healthquality.va.gov/guidelines/CD/htn/ and click on the Home Blood Pressure Monitoring video. Appendix I: Participant List Angela A. Allerman, PharmD, BPCS Formulary Management Branch, Pharmacy Operations Division, Defense Health Agency San Antonio, TX Jennifer Ballard-Hernandez, DNP, NP, CCRN VA Central Office Washington, DC Dan Berlowitz, MD, MPH Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA William C. Cushman, MD Co-Chair, VA Hypertension-Lipid Field Advisory Committee Chief, Preventive Medicine Section VA Medical Center Memphis, TN Elaine Furmaga, PharmD National Clinical Pharmacy Program Manager VA Pharmacy Benefits Management Services Hines, IL Peter Glassman, MBBs, MSc, FACP Chair, Medical Advisory Panel, Pharmacy Benefit Management Services, Department of Veterans Affairs Washington, DC Elvira O. Gosmanova, MD, FASN Albany Stratton VA Medical Center Albany, NY CDR Travis E. Harrell, MD, FACC, FACP Naval Medical Center San Diego, Department of Cardiology San Diego, CA Asha Jain, MA, RD, CDE Outpatient Nutrition Services Clinical Dietitian Walter Reed National Military Medical Center Bethesda, MD Lillian Pinault, MS, RD, CSG, CDE Baltimore VA Medical Center Baltimore, MD Pedro Roldan, MD, FAAFP VA Greater Los Angeles Healthcare System Los Angeles, CA Lt Col Joseph C Sky, MD, FACP, FACC Travis Air Force Base Travis, CA Addison Taylor, MD, PhD Michael E. DeBakey VA Medical Center Houston, TX LTC Tommy L. Thompson, DNP, FNP-C Assistant Clinical Professor Family Nurse Practitioner and Women s Health Nurse Practitioner Program Madigan Army Medical Center Tacoma, WA CDR Mark P. Tschanz, DO, MACM, FACP Naval Medical Center San Diego San Diego, CA Lt Col Jesse Wickham, DO, FACP Brooke Army Medical Center San Antonio, TX Appendix J: Literature Review Search Terms and Strategy A. EMBASE and Medline Embase.com Syntax Question Set # Concept Strategy Questions and Diagnosis and Management #1 Blood pressure blood pressure /exp OR blood pressure monitoring /exp OR diastolic blood pressure /exp OR systolic blood pressure /exp OR systole /de OR diastole /de #2 'blood pressure':ti,ab OR 'systolic pressure*':ti,ab OR 'diastolic pressure*':ti,ab OR 'arterial pressure*':ti,ab OR bp:ti,ab #3 (systol*:ti,ab OR diastol*:ti,ab OR arterial:ti,ab OR sbp:ti,ab OR dbp:ti,ab) AND (pressure*:ti,ab OR mmhg:ti,ab OR 'mm hg':ti,ab) #5 BP measurement, screening, or monitoring #4 AND (monitor* OR measure* OR record* OR screen* OR test* OR evaluat* OR track*):ti,ab OR monitoring /exp OR measurement /exp OR screening/exp) #6 ('blood pressure'/exp AND 'hypertension'/exp/dm_dm,dm_pc,dm_th) OR 'blood pressure monitoring'/exp OR blood pressure monitor /exp OR blood pressure measurement /exp) #8 Interventions/BP methods #4 AND ('ambulatory blood pressure'/exp OR 'ambulatory blood pressure measurement'/exp OR ambulatory monitoring /exp OR home monitoring /exp OR self care /exp OR self monitoring /exp OR general practice /de OR health center /de) #9 #4 AND (routine OR office* OR clinic OR clinics OR general practice OR kiosk OR primary care OR auscultatory OR center OR centers OR traditional OR standard OR attended OR unattended):ti #10 #4 AND ((office NEAR/3 blood pressure ) OR (office NEAR/3 BP )) #11 #4 AND (automated OR wake OR self-measure* OR self-record* OR self NEAR/2 monitor* OR self NEAR/2 manag* OR home OR out-of- office OR out of office OR day* OR night* OR evening OR bedtime OR bed time OR morning* OR 24-hour OR 24-hour OR home blood pressure monitoring OR HBPM OR home BP OR ambulatory OR ABPM OR (ambulatory NEAR/3 blood pressure ) OR (ambulatory NEAR/3 BP) OR tele-monitoring OR telemonitoring) #12 #4 AND (sphygmomanomet* OR oscillomet* OR manometer /exp OR sphymomanometer /exp) #15 Test characteristics predictive validity /de OR predictive value /de OR prognosis /de OR sensitivity and specificity /de OR diagnostic accuracy OR diagnostic test accuracy study /exp OR diagnostic value /exp OR hypertension /mj/dm_di #16 Predict*:ti,ab OR Prognos*:ti,ab OR Sensitivity:ti,ab OR Specificity:ti,ab OR accuracy:ti,ab OR accurate:ti,ab #17 (sensitiv* OR accura* OR specific* OR reliab* OR predict* OR prognostic):ti,ab Question Set # Concept Strategy Questions and Diagnosis and Management (cont.) 