Oscillometric devices are good in routine practice

Myers and colleagues show that blood pressure recording is better with an automated than a conventional device when multiple recordings are taken in an isolated room.1 However, as Mant and McManus point out, “The six readings taken two minutes apart as used in the study will be practically difficult to implement in many primary care settings.”2 Space is also a concern in primary care. Our earlier cluster randomised controlled trial comparing oscillometric and manual sphygmomanometry for blood pressure management in Australian primary care (24 practices and 824 unselected visits with blood pressure recording) found better recording and management in the oscillometric practices.3 Oscillometric devices can be recommended in primary care even without the additional recommended changes to eliminate white coat effects.