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CLINICAL STATEMENTS AND GUIDELINES September 16, 2025 Circulation. 2025;152:e114–e218. DOI: 10.1161/CIR.0000000000001356 e130 technology with HBPM and the best HBPM cointer vention among pregnant individuals with chronic or gestational hypertension.17 3.1.4.1 Cuffless BP Devices Recommendation for Cuffless BP Devices COR LOE Recommendation 3: No Benefit C-LD 1 In adults, the use of cuffless BP devices is not recommended for the diagnosis or management of high BP.1–3 Synopsis Traditionally, BP measurement includes an upper arm cuff-based device for clinical, home, and 24-hour ABPM measurement. The use of cuffless devices to measure BP in clinical and ambulatory settings offers the poten tial for continuous, simple, and unobtrusive BP measure ments to aid in the evaluation and management of high BP. Cuffless technology options, often embedded in wearable, nonwearable, or smartphone devices, estimate BP through various approaches (eg, pulse wave velocity, pulse transit time, pulse wave analysis, volume clamping, and applanation tonometry).4 Many of these approaches require user calibration with periodic cuff BP measure ment or by demographic data input. Studies comparing cuffless BP measurement to oscillometric or ausculta tory cuff-based methods have revealed mixed results in regard to acceptable agreement.3,4 Limitations of current models include substantial variation in sensor technolo gies and validation approaches used for cuffless devices, comparator measures, measurement conditions, and the populations studied.1,3,4 Recommendation-Specific Supportive Text 1 The use of BP measurement devices to evaluate and manage BP in adults in clinical practice requires assess ment based on internationally accepted validation Figure 4. Home Blood Pressure Monitoring.18 See Table 7 for HBPM targets. BP indicates blood pressure; and HBPM, home blood pressure monitoring. Adapted with permission from Whelton et al.19 Copyright 2019 American College of Cardiology Foundation and American Heart Association, Inc. Created by Sceyence Studios. Table 7. Values of Systolic/Diastolic Blood Pressure for Am bulatory and Home Blood Pressure Monitoring Correspond ing to Office Systolic/Diastolic Blood Pressure Levels Office, mm Hg HBPM, mm Hg Daytime ABPM, mm Hg Nighttime ABPM, mm Hg 24-Hour ABPM, mm Hg 120/80 120/80 120/80 100/65 115/75 130/80 130/80 130/80 110/65 125/75 140/90 135/85 135/85 120/70 130/80 160/100 145/90 145/90 140/85 145/90 Modified with permission from Whelton et al.19 Copyright 2018 American Col lege of Cardiology Foundation and American Heart Association, Inc. ABPM indicates ambulatory blood pressure monitoring; BP, blood pressure; DBP, diastolic blood pressure; HBPM, home blood pressure monitoring; and SBP, systolic blood pressure. Downloaded from http://ahajournals.org by on October 7, 2026