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Related Concept Videos

Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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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...
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Hypertension V: Nursing Management01:23

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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.
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Holter Monitor: 24-Hour Monitoring01:23

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

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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...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Related Experiment Video

Updated: Jan 15, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Development and Pilot Testing of Hypertension Management Support With EHR-Integrated Telemonitoring and Proactive

Stephen D Persell1,2, Yaw Peprah1, Ji Young Lee1

  • 1Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

American Journal of Hypertension
|October 15, 2025
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Summary
This summary is machine-generated.

Automated patient messages using remote patient monitoring (RPM) improved hypertension control. Patients with uncontrolled blood pressure (BP) saw significant declines after receiving automated feedback via their electronic health record portal.

Keywords:
blood pressurehome blood pressure monitoringhypertensionremote patient monitoring

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Area of Science:

  • Cardiovascular Medicine
  • Digital Health
  • Health Informatics

Background:

  • Hypertension treatment often faces inertia from both clinicians and patients.
  • Automated patient messaging systems show potential to improve medication adherence and blood pressure (BP) management.
  • Remote patient monitoring (RPM) integrated with patient portals can facilitate timely BP feedback.

Purpose of the Study:

  • To pilot an automated messaging system for hypertension management using remote patient monitoring (RPM) data.
  • To assess the feasibility and impact of automated BP feedback delivered via an electronic health record (EHR) portal.
  • To evaluate changes in home systolic blood pressure (SBP) and antihypertensive medication use.

Main Methods:

  • A pilot study was conducted using an automated messaging system linked to an EHR portal.
  • The system delivered personalized messages based on home BP readings, including reminders, guidance, and positive reinforcement.
  • Eligibility criteria included patients with recent elevated office BP (≥140/90 mmHg). Outcomes were assessed over 9 months.

Main Results:

  • 70 out of 285 eligible patients (25%) enrolled in the 9-month study.
  • Participants received an average of 13 automated messages, viewing 85% of them.
  • Patients with uncontrolled baseline home BP showed a significant mean SBP reduction of -12.5 mmHg, with 51% having their medication increased.

Conclusions:

  • Automated feedback delivery via RPM and EHR portals is feasible for hypertension management.
  • The system demonstrated effectiveness in reducing blood pressure, particularly in patients with uncontrolled hypertension.
  • This approach offers a scalable solution to address treatment inertia in hypertension care.