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A pilot study of hypertension management using a telemedicine treatment approach

Wijkman, Magnus ; Carlsson, Martin ; Darwiche, Gassan LU and Nystrom, Fredrik H. (2020) In Blood Pressure Monitoring 25(1). p.18-21
Abstract

We recruited 78 men and 94 women to investigate if the proportion of subjects with well-controlled home blood pressure levels could be increased when treatment was guided by smartphone-based telemonitoring. All patients were prescribed one to three antihypertensive drugs. The Accumbo smartphone telemonitoring application was downloaded to the Iphones of the participants and home blood pressure information was gathered from semi-automatic oscillometric blood pressure-recorders by Bluetooth. The study physician adjusted the medications based on home blood pressure for 3 months. home blood pressure was controlled (<135/<85 mmHg) in 55 participants at baseline and in 56 subjects after 3 months (Chi-square P = 0.91). The 117 patients... (More)

We recruited 78 men and 94 women to investigate if the proportion of subjects with well-controlled home blood pressure levels could be increased when treatment was guided by smartphone-based telemonitoring. All patients were prescribed one to three antihypertensive drugs. The Accumbo smartphone telemonitoring application was downloaded to the Iphones of the participants and home blood pressure information was gathered from semi-automatic oscillometric blood pressure-recorders by Bluetooth. The study physician adjusted the medications based on home blood pressure for 3 months. home blood pressure was controlled (<135/<85 mmHg) in 55 participants at baseline and in 56 subjects after 3 months (Chi-square P = 0.91). The 117 patients with initially uncontrolled home blood pressure had a drop in home blood pressure (from 138.0 ± 9.0/91.3 ± 6.5 mmHg to 133.4 ± 8.0/88.6 ± 6.1 mmHg, P < 0.001) and prescribed antihypertensive drugs increased from 1.71 ± 0.94/day to 2.00 ± 0.92/day, P < 0.0001. Thus, while the proportion of participants with controlled home blood pressure remained unchanged, the home blood pressure levels were lowered in participants who had uncontrolled home blood pressure at study start.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Blood Pressure Monitoring
volume
25
issue
1
pages
4 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85077222648
  • pmid:31658109
ISSN
1473-5725
DOI
10.1097/MBP.0000000000000413
language
English
LU publication?
yes
id
8e3bac43-61c5-4640-bf0c-f229a6977fb6
date added to LUP
2020-01-10 10:46:58
date last changed
2024-05-01 03:13:40
@article{8e3bac43-61c5-4640-bf0c-f229a6977fb6,
  abstract     = {{<p>We recruited 78 men and 94 women to investigate if the proportion of subjects with well-controlled home blood pressure levels could be increased when treatment was guided by smartphone-based telemonitoring. All patients were prescribed one to three antihypertensive drugs. The Accumbo smartphone telemonitoring application was downloaded to the Iphones of the participants and home blood pressure information was gathered from semi-automatic oscillometric blood pressure-recorders by Bluetooth. The study physician adjusted the medications based on home blood pressure for 3 months. home blood pressure was controlled (&lt;135/&lt;85 mmHg) in 55 participants at baseline and in 56 subjects after 3 months (Chi-square P = 0.91). The 117 patients with initially uncontrolled home blood pressure had a drop in home blood pressure (from 138.0 ± 9.0/91.3 ± 6.5 mmHg to 133.4 ± 8.0/88.6 ± 6.1 mmHg, P &lt; 0.001) and prescribed antihypertensive drugs increased from 1.71 ± 0.94/day to 2.00 ± 0.92/day, P &lt; 0.0001. Thus, while the proportion of participants with controlled home blood pressure remained unchanged, the home blood pressure levels were lowered in participants who had uncontrolled home blood pressure at study start.</p>}},
  author       = {{Wijkman, Magnus and Carlsson, Martin and Darwiche, Gassan and Nystrom, Fredrik H.}},
  issn         = {{1473-5725}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{18--21}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Blood Pressure Monitoring}},
  title        = {{A pilot study of hypertension management using a telemedicine treatment approach}},
  url          = {{http://dx.doi.org/10.1097/MBP.0000000000000413}},
  doi          = {{10.1097/MBP.0000000000000413}},
  volume       = {{25}},
  year         = {{2020}},
}