Home blood pressure monitoring in blood pressure control

What is it about?

Home blood pressure monitoring is useful in preventing complications and achieving therapy compliance, and is essential in diagnosis and treatment planning of hypertension. We compared the office blood pressure control rates of patients who had measured their blood pressure at home and who had not. The factors that affected blood pressure control in hypertensive patients were also investigated. With this purpose, the records of 1006 patients with hypertension were examined retrospectively. Patients who did home blood pressure monitoring had a lower mean systolic and diastolic blood pressure value. The number of cardiovascular events, hypertension duration, and the rate of being employed was higher in this group (p<0.0001, p<0.0001 and p=0.0001, respectively), while heart rate and grade 3-4 retinopathy was lower (p<0.0001 for both) . Occupational status, geographical origin, BMI and the use of angiotensin converting enzyme (ACE) inhibitors were found to be the determinants of office BP control (p<0.05, p<0.05, p=0.001 and p<0.05, respectively), and BMI and grade 3-4 retinopathy findings were found to be the determinants of home BP control (p <0.05 for both).

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Photo by Marcelo Leal on Unsplash

Photo by Marcelo Leal on Unsplash

Why is it important?

The prevalence of hypertension is increasing gradually. It is one of the most common non-communicable disease with dreadful outcomes if blood pressure control is not achieved. Long-term complications of the disease cause morbidity and mortality ad increase healthcare expenses.

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