If a patient has significantly lower blood pressure readings at home compared to your office, what should be the next step in your assessment?

The choice to question the accuracy of the patient's measurements at home is a critical step in assessing the discrepancy in blood pressure readings. This approach acknowledges the possibility that the home measurements may not be reliable due to factors such as improper technique, device malfunction, or other variables that may influence the readings. Ensuring the accuracy of these measurements is essential because they significantly influence the management and understanding of the patient's cardiovascular health.

In practice, it's vital to confirm whether the patient is using a validated device, employing the correct technique, and measuring blood pressure in the appropriate conditions. If inaccuracies are found in the patient's home readings, it can alter the perception of their blood pressure control and influence subsequent treatment decisions.

Accurately evaluating both the home and office measurements allows for a comprehensive understanding of the patient's blood pressure status. This method also emphasizes the importance of patient education regarding proper blood pressure monitoring, thus enabling more effective management of their condition.