Home blood pressure tele-monitoring for hypertension management: advantages and prospects_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Diya ¹ , XU Fangfang ¹ , LI Yao ¹ ,  ZHANG Yi ²

1. Medical College of Tongji University, Shanghai, 200092, P.R.China;
2. Department of Cardiovascular, Shanghai No. 10 People's Hospital, Tongji University, Shanghai, 200070, P.R.China;

Corresponding author：

ZHANG Yi, Email: yizshcn@gmail.com

Keywords：

Hypertension; Blood pressure control; Remote monitoring; Home blood pressure tele-monitoring; Remote dynamic monitoring

DOI：

10.7507/1672-2531.201906084

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Abstract Full text Figures/Tables Video References Cited by

In recent years, the prevalence of hypertension in China has gradually increased. Although the awareness rate, treatment rate and control rate of hypertensive patients in China have been significantly raised, the overall level is still lower than that of western developed countries. In order to improve the rate of family blood pressure control, real-time warning of patients’ overall blood pressure level to doctors and the implementation of doctor-side medical intervention to patients are becoming a necessary condition. At present, the maturing home blood pressure tele-monitoring (HBPT) enhances the feasibility of increasing the interaction between doctors and patients. Randomized controlled trial evidence proves that remote monitoring can improve patient compliance and improve target blood pressure control rate. This paper introduces the relevant research results of HBPT in recent years, aiming to explore the advantages of HBPT for hypertension management and the prospect of further promotion and application.

Citation： LIU Diya, XU Fangfang, LI Yao, ZHANG Yi. Home blood pressure tele-monitoring for hypertension management: advantages and prospects. Chinese Journal of Evidence-Based Medicine, 2019, 19(11): 1349-1352. doi: 10.7507/1672-2531.201906084 Copy

1.	《中国高血压防治指南》修订委员会. 中国高血压防治指南(2018年修订版). 中国心血管杂志, 2019, 24(1): 24-56.
2.	Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Kardiol Pol, 2019, 77(2): 71-159.
3.	Lee CJ, Park S. The role of home blood pressure telemonitoring for blood pressure control. Pulse (Basel), 2016, 4(2-3): 78-84.
4.	Sood S, Mbarika V, Jugoo S, et al. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health, 2007, 13(5): 573-590.
5.	Muntner P, Shimbo D, Carey RM, et al. Measurement of blood pressure in humans: a scientific statement from the American heart association. Hypertension, 2019, 73(5): e35-e66.
6.	Omboni S, Guarda A. Impact of home blood pressure telemonitoring and blood pressure control: a meta-analysis of randomized controlled studies. Am J Hypertens, 2011, 24(9): 989-998.
7.	Omboni S, Gazzola T, Carabelli G, et al. Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: meta-analysis of randomized controlled studies. J Hypertens, 2013, 31(3): 455-467.
8.	Duan Y, Xie Z, Dong F, et al. Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies. J Hum Hypertens, 2017, 31(7): 427-437.
9.	Shea K, Chamoff B. Patient reactions to vital sign measures: comparing home monitoring technology to face-to-face delivery. Home Health Care Manag Pract, 2011, 23(6): 454-460.
10.	Purcell R, McInnes S, Halcomb EJ. Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews. BMC Fam Pract, 2014, 15: 43.
11.	Omboni S, Ferrari R. The role of telemedicine in hypertension management: focus on blood pressure telemonitoring. Curr Hypertens Rep, 2015, 17(4): 535.
12.	Bosworth HB, Powers BJ, Olsen MK, et al. Home blood pressure management and improved blood pressure control: results from a randomized controlled trial. Arch Intern Med, 2011, 171(13): 1173-1180.
13.	Kotooka N, Kitakaze M, Nagashima K, et al. The first multicenter, randomized, controlled trial of home telemonitoring for Japanese patients with heart failure: home telemonitoring study for patients with heart failure (HOMES-HF). Heart Vessels, 2018, 33(8): 866-876.
14.	Stoddart A, Hanley J, Wild S, et al. Telemonitoring-based service redesign for the management of uncontrolled hypertension (HITS): cost and cost-effectiveness analysis of a randomised controlled trial. BMJ Open, 2013, 3(5): e002681.
15.	Hays H, Carroll M, Ferguson S, et al. The success of telehealth care in the Indian health service. Virtual Mentor, 2014, 16(12): 986-996.
16.	McKinstry B, Hanley J, Wild S, et al. Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial. BMJ, 2013, 346: f3030.
17.	Tientcheu D, Ayers C, Das SR, et al. Target organ complications and cardiovascular events associated with masked hypertension and white-coat hypertension: analysis from the Dallas heart study. J Am Coll Cardiol, 2015, 66(20): 2159-2169.

1. 《中国高血压防治指南》修订委员会. 中国高血压防治指南(2018年修订版). 中国心血管杂志, 2019, 24(1): 24-56.
2. Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Kardiol Pol, 2019, 77(2): 71-159.
3. Lee CJ, Park S. The role of home blood pressure telemonitoring for blood pressure control. Pulse (Basel), 2016, 4(2-3): 78-84.
4. Sood S, Mbarika V, Jugoo S, et al. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health, 2007, 13(5): 573-590.
5. Muntner P, Shimbo D, Carey RM, et al. Measurement of blood pressure in humans: a scientific statement from the American heart association. Hypertension, 2019, 73(5): e35-e66.
6. Omboni S, Guarda A. Impact of home blood pressure telemonitoring and blood pressure control: a meta-analysis of randomized controlled studies. Am J Hypertens, 2011, 24(9): 989-998.
7. Omboni S, Gazzola T, Carabelli G, et al. Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: meta-analysis of randomized controlled studies. J Hypertens, 2013, 31(3): 455-467.
8. Duan Y, Xie Z, Dong F, et al. Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies. J Hum Hypertens, 2017, 31(7): 427-437.
9. Shea K, Chamoff B. Patient reactions to vital sign measures: comparing home monitoring technology to face-to-face delivery. Home Health Care Manag Pract, 2011, 23(6): 454-460.
10. Purcell R, McInnes S, Halcomb EJ. Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews. BMC Fam Pract, 2014, 15: 43.
11. Omboni S, Ferrari R. The role of telemedicine in hypertension management: focus on blood pressure telemonitoring. Curr Hypertens Rep, 2015, 17(4): 535.
12. Bosworth HB, Powers BJ, Olsen MK, et al. Home blood pressure management and improved blood pressure control: results from a randomized controlled trial. Arch Intern Med, 2011, 171(13): 1173-1180.
13. Kotooka N, Kitakaze M, Nagashima K, et al. The first multicenter, randomized, controlled trial of home telemonitoring for Japanese patients with heart failure: home telemonitoring study for patients with heart failure (HOMES-HF). Heart Vessels, 2018, 33(8): 866-876.
14. Stoddart A, Hanley J, Wild S, et al. Telemonitoring-based service redesign for the management of uncontrolled hypertension (HITS): cost and cost-effectiveness analysis of a randomised controlled trial. BMJ Open, 2013, 3(5): e002681.
15. Hays H, Carroll M, Ferguson S, et al. The success of telehealth care in the Indian health service. Virtual Mentor, 2014, 16(12): 986-996.
16. McKinstry B, Hanley J, Wild S, et al. Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial. BMJ, 2013, 346: f3030.
17. Tientcheu D, Ayers C, Das SR, et al. Target organ complications and cardiovascular events associated with masked hypertension and white-coat hypertension: analysis from the Dallas heart study. J Am Coll Cardiol, 2015, 66(20): 2159-2169.

Chinese Journal of Evidence-Based Medicine

Home blood pressure tele-monitoring for hypertension management: advantages and prospects

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