Show me her home readings before the visit.

AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl · 14 documents, read 16 September 2026

Answered on 16 September 2026

Fourteen readings over seven days, all seven days completed. Mean 136/86 mmHg, which is above the 130/80 in her plan. BP log 15.09.2026

The pattern matters more than the mean: the mornings run higher than the evenings, between 139 and 148 systolic, while the evenings stay between 128 and 136. A morning-dominant pattern under a single evening dose is the situation where the timing of the dose is worth discussing before the dose itself. Eur Heart J

Nothing here is an emergency and nothing changed by itself. The sheet is what you open at the visit.

Measured at homeBuilt from the chart, in the record

Blood pressure at home, seven days

Fourteen readings, seven of seven days completed
Mean 136/86, mornings higher than evenings
Against the target written in her plan

Every line carries the document it was read from

From the patient record1 of 14 documents

Home blood pressure log, 9 to 15 September, 15 September 2026Patient data

1.2024 ESC Guidelines for the management of elevated blood pressure and hypertension.European Heart Journal. 2024;45:3912-4018. McEvoy JW, McCarthy CP, Bruno RM, et al.Guideline
SummaryIntroduces the category “elevated blood pressure” (120 to 139/70 to 89 mmHg) and recommends a treated systolic target of 120 to 129 mmHg for most adults if tolerated. Home blood pressure monitoring is recommended to confirm the diagnosis and guide treatment: seated after five minutes of rest, two readings morning and evening for at least three, ideally seven days. Combination therapy is preferred when one drug is insufficient.
Source
Issuing body: European Society of Cardiology
Published: August 2024
Grading system: ESC classes of recommendation I–III, levels of evidence A–C
Scope
Target population: Adults with elevated blood pressure or hypertension
Scope: Diagnosis, targets, lifestyle, drug therapy, monitoring

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1Set up weight tracking for her, once a week for twelve weeks 2What does the current guideline recommend as her blood pressure target?3How has her weight gone since September?

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Anna Keller, 47Mosaic