Document Detail


Blood pressure control during telemonitoring of home blood pressure. A randomized controlled trial during 6 months.
MedLine Citation:
PMID:  18568696     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To compare the effectiveness of antihypertensive treatment based on telemonitoring of home blood pressure (BP) and conventional monitoring of office BP. METHODS: Hypertensive patients (n = 236) participated in a randomized, controlled study. In the intervention group, antihypertensive treatment was based on home BP monitoring. BP readings were registered by a PDA and automatically transmitted to a server, by which the patient and doctor could communicate. In the control group, patients received usual care with office visits to adjust antihypertensive treatment as needed. Primary outcome was difference in systolic daytime ambulatory BP monitoring (ABPM) change between baseline and 6 months. RESULTS: In both groups, systolic daytime ABPM decreased significantly from baseline to follow-up. The decrease in systolic daytime ABPM was -11.9 mmHg in the intervention group and -9.6 mmHg in the control group (mean difference -2.3 [95% CI -6.1 to -1.5], p = 0.225). The likelihood of daytime ABPM normalization was similar in the two groups [32/113 (28%) vs 46/123 (37%), p = 0.139]. CONCLUSION: Antihypertensive treatment based on telemonitoring of home BP was as effective as usual monitoring of office BP with regards to reduction of BP.
Authors:
Line Bille Madsen; Peder Kirkegaard; Erling Bjerregaard Pedersen
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Blood pressure     Volume:  17     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-09-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  78-86     Citation Subset:  IM    
Affiliation:
Department of Medical Research, Holstebro Hospital and Aarhus University, Denmark. limba@ringamt.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure / drug effects
Blood Pressure Determination*
Female
Heart Rate / drug effects
Humans
Hypertension / drug therapy*,  physiopathology
Male
Middle Aged
Telemedicine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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