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.

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