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Posted by on May 12, 2018 in Hypertension | 0 comments

In a nutshell

This study investigated the impact of telemonitoring and self-monitoring in the treatment and management of hypertension. They determined that self-monitoring with or without telemonitoring resulted in lower blood pressure compared to office monitoring.

Some background

Self-monitoring can be very useful to manage high blood pressure (BP). Patients wear a monitor that regularly records BP. Doctors can then use these readings to make decisions about treatment. Additionally, patients can use telemonitoring to manage BP. This involves using a technology-based system of recording and reporting BP readings using SMS text message (for example).  Some studies suggest office BP measurements are equally or more useful to measure BP.

It is unclear if self-monitoring and/or telemonitoring is the best strategy for optimal BP management.

Methods & findings

This study investigated the use of self-monitoring (with or without telemonitoring) to titrate (find the optimal dose) anti-hypertensive medication in patients with hypertension.

This study included 1182 patients with uncontrolled hypertension. Participants were assigned to one of three groups: self-monitoring alone, self-monitoring with telemonitoring, or standard care (clinic visit). Patients underwent follow-up assessments at 6 and 12 months to determine blood pressure control.

At 6 months, patients in the telemonitoring group had a greater reduction in systolic BP (pressure when the heart is contracting) compared to standard care patients. At 12 months, average systolic BP was lower in both the self-monitoring and telemonitoring groups compared to the standard clinic visit group.

At 12 months, patients in the self-monitoring and telemonitoring groups were on a greater number of anti-hypertensive drugs compared to standard care patients. The number of adverse events or side effects were similar between the groups.

The bottom line

The authors concluded that using self-monitoring with or without telemonitoring resulted in lower blood pressure compared to office monitoring.

The fine print

This study included patients that were predominantly white (more than 95%). These results may not extend to other ethnicities.

What’s next?

Please consult with your physician if you have any concerns regarding BP management.

Published By :

Lancet (London, England)

Date :

Feb 27, 2018

Original Title :

Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial.

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