Comparison of the use of blood pressure telemonitoring versus standard medical care in the achievement of short-term therapeutic goals in blood pressure in patients with uncontrolled hypertension: An open-label clinical trial.
JRSM Cardiovasc Dis
; 12: 20480040231178585, 2023.
Article
in En
| MEDLINE
| ID: mdl-37346383
ABSTRACT
Background:
In Mexico less than half of the treated hypertensive patients reach blood pressure (BP) targets. Most hypertensive individuals rely on the standard medical care (SMC) to achieve the BP control goals; however, the efficacy of BP telemonitoring (BPT) to achieve BP targets has been poorly studied.Aim:
To compare the efficacy of BPT versus SMC to achieve BP goals in patients with uncontrolled hypertension.Methods:
A two-arm, open-label clinical trial was conducted in patients ≥18 years with uncontrolled hypertension. The participants were randomized to 2 arms (BPT vs SMC) and followed for 12 weeks. For the statistical analysis, the chi-squared test and covariance were used.Results:
One hundred and seventy-eight participants were included, BPT (n = 94) and SMC (n = 84), after 12 weeks of follow up, we observed a baseline-adjusted reduction in systolic BP with both BPT (-13.5 [1.3]â mmHg) and the SMC (-5.9 [1.4]â mmHg; p < 0.001) but a greater decrease with BPT (p < 0.001). Likewise, we found a baseline-adjusted reduction of diastolic BP with BPT (-6.9 [0.9]â mmHg) and SMC (-2.7 [0.9]â mmHg) (p = 0.007) with a more significant percentage change from baseline with BPT (-6.8% [1.0] vs 2.5% [1.1]; p = 0.007). In the BPT arm, a larger proportion of patients achieved the BP target versus SMC (30.5% vs 12.8%; p = 0.005).Conclusion:
BPT showed a greater proportion of patients achieving office BP control goals (<140/90â mmHg), compared to standard medical care.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Clinical_trials
Language:
En
Journal:
JRSM Cardiovasc Dis
Year:
2023
Document type:
Article
Affiliation country:
Mexico