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Home blood pressure measurements associated with better blood pressure control: the J-HOME study

T Obara1, T Ohkubo, K Asayama

  • 1Department of Clinical Pharmacology and Therapeutics, Tohoku University Graduate School of Pharmaceutical Sciences and Medicine, Sendai, Japan.

Journal of Human Hypertension
|January 4, 2008
PubMed

Insights

Home blood pressure (BP) monitoring improves hypertension management. Patients using home BP measurements showed better control of both home and office BP levels, suggesting its importance for physicians to recommend.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Preventive Medicine

Background:

  • Home blood pressure (BP) measurements are increasingly recommended by national guidelines for better hypertension control.
  • Self-monitoring of BP at home is a valuable tool for patients with hypertension.

Purpose of the Study:

  • To investigate the association between home BP measurements and hypertension treatment outcomes.
  • To clarify the impact of home BP monitoring on achieving better hypertension control in patients on antihypertensive drugs.

Main Methods:

  • A study involving 2363 patients with essential hypertension taking antihypertensive medications.
  • Comparison of patient characteristics and BP control between those who did and did not perform home BP measurements.

Main Results:

  • Patients performing home BP measurements were older, more likely male, had a family history of hypertension, and took more antihypertensive drugs.
  • Home BP measurements were significantly associated with better control of morning home BP (OR 1.46), evening home BP (OR 1.35), and office BP (OR 1.23).

Conclusions:

  • Home BP measurements are linked to improved hypertensive management and better BP control.
  • Physicians should encourage patients to adopt home BP monitoring for effective hypertension management.

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