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Home Blood Pressure Monitoring in Primary Care: An Essential Approach to Hypertension Management
Eduardo D Martins1, Alexandrina Martins1, Catarina Rodrigues1
1Family Medicine, USF Corgo, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Cureus
|October 27, 2025
Summary
Home blood pressure monitoring (HBPM) is vital for diagnosing and managing arterial hypertension (AH). This study shows HBPM significantly improves patient adherence to treatment and lifestyle changes.
Area of Science:
- Cardiology
- Hypertension Management
- Preventive Medicine
Background:
- Home blood pressure monitoring (HBPM) is increasingly recognized for diagnosing and managing arterial hypertension (AH).
- Its role as a complementary diagnostic tool requires further assessment.
- Understanding HBPM's impact on patient behavior is crucial for effective hypertension control.
Purpose of the Study:
- To evaluate the utility of HBPM as an adjunct in diagnosing arterial hypertension.
- To assess the influence of HBPM on patient adherence, self-monitoring, and lifestyle modifications.
Main Methods:
- A retrospective analysis of 158 patients who underwent HBPM was conducted.
- A follow-up questionnaire assessed health literacy, adherence, monitoring frequency, and lifestyle changes in 82 participants.
- Statistical analysis identified significant impacts of HBPM on key patient behaviors.
Main Results:
- HBPM identified various hypertension statuses, including uncontrolled AH (41.8%), white coat hypertension (20.3%), and newly diagnosed AH (10.8%).
- HBPM significantly improved therapeutic adherence (p=0.007), exercise habits (p=0.008), and BP monitoring frequency (p<0.001).
Conclusions:
- HBPM is effective in detecting white coat hypertension and uncontrolled arterial hypertension.
- HBPM significantly enhances therapeutic adherence, self-blood pressure monitoring, and promotes healthier lifestyle choices.
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