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[Home control of high blood pressure]

D Palade1, Mihaela Cotârleţ, G I Pandele

  • 1Doctorand al Universităţii de Medicină şi Farmacie Gr.T. Popa laşi, Spitalul de Boli cronice Moineşti.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|January 20, 2011
PubMed

Insights

Blood pressure control in elderly patients improved significantly with home monitoring and minor treatment adjustments. This study shows that effective hypertension management is achievable with regular self-measurement and tailored medication for better health outcomes.

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Clinical Pharmacy

Context:

  • Hypertension management remains a significant global health challenge.
  • Blood pressure control rates are notably low, particularly in elderly populations.
  • The SEPHAR study indicated suboptimal blood pressure control in Romania.

Purpose:

  • To assess the efficacy of home blood pressure monitoring in elderly hypertensive patients.
  • To evaluate blood pressure control rates following hospital discharge and treatment normalization.
  • To determine the impact of self-monitoring on therapeutic outcomes in older adults.

Summary:

  • Sixty-four hypertensive patients (mean age 76.3 years) were monitored at home twice weekly for three months after hospital discharge.
  • Initial systolic pressure averaged 158 mmHg post-discharge, reduced to 136.76 mmHg after treatment adjustment.
  • A high blood pressure control rate of 81.25% was achieved by the study's end.

Impact:

  • Home blood pressure monitoring facilitates improved therapeutic control in elderly hypertensive patients.
  • Minor adjustments in medication dosage are effective in optimizing blood pressure management.
  • This approach can enhance patient adherence and long-term cardiovascular health.
Abstract

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