Related Experiment Video
Updated: Mar 15, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
12.8K
Improving Hypertension Control and Patient Engagement Using Digital Tools.
Richard V Milani1, Carl J Lavie1, Robert M Bober1
1Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, New Orleans, La.
The American Journal of Medicine
|September 4, 2016
Summary
A digital medicine program significantly improved hypertension control in patients. This home-based approach using connected devices led to better blood pressure readings and lifestyle changes compared to usual care.
Area of Science:
- Cardiology
- Digital Health
- Public Health
Background:
- Hypertension affects 30% of US adults, contributing significantly to cardiovascular disease.
- Current office-based blood pressure management shows suboptimal control rates (50%) and low patient engagement.
- Home-based digital health technology offers accurate data transmission to electronic medical records.
Purpose of the Study:
- To evaluate blood pressure control in patients with uncontrolled hypertension using a home-based digital-medicine program.
- To compare the effectiveness of a digital-medicine approach versus usual care in managing hypertension.
- To assess changes in lifestyle factors and patient activation within the digital-medicine group.
Main Methods:
- A 90-day study comparing 156 digital-medicine patients with 400 matched usual-care patients.
- Digital-medicine patients submitted weekly blood pressure readings via connected devices and received remote guidance.
- Usual-care patients received standard treatment without the digital intervention.
Main Results:
- 71% of digital-medicine patients achieved target blood pressure control versus 31% in usual care (P < .001).
- Digital-medicine patients experienced a mean systolic/diastolic blood pressure reduction of 14/5 mm Hg, compared to 4/2 mm Hg in usual care.
- Significant reductions in excess sodium consumption (32% to 8%, P = .004) and increased patient activation were observed in the digital-medicine group.
Conclusions:
- A digital hypertension program is feasible and effectively improves blood pressure control rates.
- Home-based virtual health interventions using connected devices enhance patient activation and lifestyle modification.
- This digital approach demonstrates a well-accepted and effective strategy for managing hypertension.
Related Concept Videos
01:23Hypertension V: Nursing Management
598
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
598
01:25Errors occurring during blood pressure monitoring
1.7K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.7K
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
809
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
809
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
701
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
701
01:30Heart Failure V: Medical Management
465
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
465
01:18Hypertension and Regulation of Blood Pressure
4.7K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
4.7K