A week of home readings as one sheet with its mean

Blood pressure, weight, whatever the plan asked for. The patient enters it where she is, Mosaic keeps the schedule and the safety question, and you open one sheet with the mean, the morning-evening pattern and the target from her plan.

Step 1

AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl

Ask her for a week of home readings before the visit.

Finished thinking

The method sits in the sheet, at the moment of measuring

Questionnaire

Home readings, seven days before the visit

Anna Keller, 47 · 9 September 2026 · Shared with the patient, 9 September 2026, opened

What she enters, twice a day

Systolic, first reading142 mmHg

Diastolic, first reading88 mmHg

Systolic, second reading139 mmHg

Diastolic, second reading86 mmHg

Weight this morningOptional84 kg

Once a week is enough, before breakfast.

Did anything unusual happen before the reading?Optional

NothingCoffee within the hourExercise within the hourStress or a bad night

Sit for five minutes first, feet on the floor, back supported, cuff on bare skin at heart height. Two readings a minute apart, both entered.

Sources

Plan 16.09.2026ESC 2023 hypertension guideline

Sent when the physician asked for a week of home readings. The method sits inside the sheet, so it is read at the moment of measuring rather than once at the desk.

Open the questionnaire See the full response

Step 2

AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl

Show me her home readings before the visit.

Finished thinking

Fourteen readings, one week, one mean

Measured at home

Blood pressure at home, seven days

Anna Keller, 47 · 15 September 2026 · Signed, in the chart

Morning readings

1449 Sep

14810 Sep

14111 Sep

13912 Sep

14513 Sep

14214 Sep

14015 Sep

mmHg systolic · target below 130

What the week shows

Morning mean 143/91, evening mean 129/81A morning-dominant pattern under ramipril taken in the morning.
Highest single reading 148/92 on 10 SeptemberNo symptoms reported alongside it.
No reading came with chest pain, breathlessness or neurological symptomsMosaic asks that with every entry and escalates immediately if the answer changes.

What Mosaic did not do

It did not change anythingThe readings sit in the chart for the visit of 16 November. A dose is a decision, not a measurement.

Entered by the patient twice a day for seven days, on the schedule her plan asked for. Nothing was inferred; the mean is the arithmetic mean of the fourteen readings.

Open the measured at home See the full response

Step 3

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

What does the current guideline recommend as her blood pressure target?

Answered on 16 September 2026

Finished thinking

Practice guidelineEuropean Society of Cardiology

The 2024 ESC guideline recommends a systolic target of 120 to 129 mmHg for most adults on treatment, provided it is tolerated, and home blood pressure monitoring to guide treatment; home readings run about 5 mmHg below office values. Eur Heart J

European Society of Cardiology

2024 ESC Guidelines for the management of elevated blood pressure and hypertension.

McEvoy JW, McCarthy CP, Bruno RM, et al. European Heart Journal. 2024;45:3912-4018. doi:10.1093/eurheartj/ehae178.

For her: home mean 136/86 mmHg and office 142/90 are above target on ramipril 5 mg. BP log 15.09.2026 Visit 16.09.2026 The guideline's first step is to optimise the existing drug or move to a combination; with eGFR 92 and normal potassium, ramipril 10 mg is the straightforward step, with a combination (ramipril plus amlodipine) if the home mean stays above 135/85 after four weeks. Lab 08.05.2026 Eur Heart J

Home measurement: seated after five minutes of rest, two readings in the morning and two in the evening for seven days, discarding the first day. Her log follows that scheme. BP log 15.09.2026 Eur Heart J

See the full response