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Hypertension management in the digital era

Richard V Milani1, Robert M Bober, Alexander R Milani

  • 1aDepartment of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, Brisbane, Queensland, Australia bCenter for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana, USA.

Current Opinion in Cardiology
|March 18, 2017
PubMed

Insights

Hypertension control can be significantly improved with new technologies. Home blood pressure monitoring and data analysis enable personalized interventions, transforming patient outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Health Informatics
  • Public Health

Background:

  • Hypertension (HTN) affects a large portion of the US population, with suboptimal blood pressure (BP) control rates around 50% in standard care.
  • Therapeutic inertia and low patient engagement are key factors contributing to poor BP control, leading to preventable morbidity and mortality.

Purpose of the Study:

  • To review the rationale for a reengineered care delivery model for hypertension management.
  • To explore how new technologies can enhance hypertension control in patient populations.

Main Methods:

  • Leveraging new technologies for accurate home-based BP monitoring.
  • Integrating patient-generated BP data directly into electronic medical records.
  • Utilizing computerized algorithms for tailored interventions based on frequent BP measurements and social determinants of health.

Main Results:

  • New technologies facilitate the collection of large volumes of home-based BP data.
  • Computerized algorithms can analyze this data to provide personalized interventions and communications.
  • This approach has the potential to transform hypertension control.

Conclusions:

  • Healthcare providers can now utilize enhanced capabilities for remote BP monitoring.
  • Near real-time interventions based on home BP data can dramatically improve hypertension control.
  • A reengineered care model incorporating these technologies is crucial for better population-level BP management.
Abstract

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