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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Improving Blood Pressure Control Using Digital Communication Methods in Serbia
Nebojsa Tasic1, Danijela Tasic1, Zorana Kovacevic1
1Institute for Cardiovascular Diseases Dedinje, 5 Heroja Milana Tepica Street, 11000 Belgrade, Serbia.
Insights
Home blood pressure (BP) telemonitoring offers an effective alternative to traditional office BP monitoring for adjusting antihypertensive treatment, especially in patients with cardiovascular risk factors like diabetes.
Area of Science:
- Cardiology
- Hypertension Management
- Medical Technology
Background:
- Hypertension management requires accurate blood pressure (BP) monitoring.
- Home BP telemonitoring is an emerging technology for patient assessment.
- Comparing home and office BP monitoring is crucial for treatment adjustment.
Purpose of the Study:
- To compare the efficacy of home BP telemonitoring versus office BP monitoring in adjusting antihypertensive therapy.
- To evaluate the impact of different BP monitoring methods on treatment outcomes.
- To assess the influence of comorbidities on BP monitoring dynamics.
Main Methods:
- An open, prospective, noninterventional, multicenter clinical trial.
- 1581 participants monitored for 6 months across 34 cities.
- Patients divided into control (office BP) and experimental (home BP telemonitoring) groups.
Main Results:
- Significant differences in systolic blood pressure (SP) between groups at multiple visits.
- Both home and office BP measurements showed significant decreases over 6 months (p < 0.000).
- Diabetes mellitus and dyslipidemia significantly influenced SP monitoring dynamics.
Conclusions:
- Home BP telemonitoring is a viable alternative for BP assessment in hypertensive patients.
- Novel BP monitoring technologies are effective, particularly for patients with cardiovascular risk factors.
- Telemonitoring facilitates accurate BP assessment in patients with diabetes and dyslipidemia.
Abstract:
Background: The purpose of this study was to compare home and office BP in the adjustment of antihypertensive treatment. Methods: This study was an open, prospective, noninterventional, multicenter clinical trial that occurred between July 2019 and February 2020, in 34 cities in the territory of the Republic of Serbia, which monitored 1581 participants for 6 months. Depending on the used blood pressure monitoring method used, all patients were divided into control (office BP monitoring) and experimental (home BP telemonitoring) groups. We collected anamnestic data and data about systolic blood pressure (SP), in mmHg, diastolic blood pressure (DP), in mmHg, and heart rate (HR), in beats/minute, from all patients. Results: SP values were significantly different at baseline, and at the second, third, and fourth visits between the two tested groups. Home and office BP decreased significantly (p < 0.000) during the 6-month follow-up. We observed a statistically significant influence of the presence of diabetes mellitus and dyslipidemia on the dynamics of differences between SP monitoring values. Conclusions: Our study suggests that novel technologies in BP monitoring can be excellent alternatives for BP assessment in hypertensive patients with other cardiovascular risk factors such as diabetes and dyslipidemia.
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