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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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The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
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Blood Pressure01:30

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Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
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Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
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Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
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Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
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Patient Engagement With Home Blood Pressure Monitoring.

Ozan Unlu1,2,3,4, David Zelle1, Christopher P Cannon1,2,4

  • 1Accelerator for Clinical Transformation, Brigham and Women's Hospital, Boston, Massachusetts.

JAMA Cardiology
|January 21, 2026
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Summary
This summary is machine-generated.

Patient engagement with home blood pressure monitoring (HBPM) was suboptimal in a remote hypertension program. Innovative, less burdensome monitoring methods are needed to improve hypertension management.

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Area of Science:

  • Cardiovascular Medicine
  • Health Informatics
  • Patient Engagement

Background:

  • Home blood pressure monitoring (HBPM) is crucial for hypertension management.
  • Real-world patient engagement patterns with HBPM are not well understood.

Purpose of the Study:

  • To evaluate patient engagement with HBPM within a remote hypertension management program.
  • To identify engagement levels in a large patient cohort receiving support.

Main Methods:

  • Retrospective cohort study of prospectively collected data from a remote hypertension management program.
  • Analysis of 3390 adult patients with uncontrolled hypertension from September 2018 to June 2022.
  • Categorization of weekly HBPM frequency into no, low, intermediate, and high engagement levels.

Main Results:

  • A total of 3390 patients were enrolled, with a median age of 61 years and 57.8% female.
  • Baseline engagement levels showed 32.7% no engagement, 14.3% low, 18.2% intermediate, and 34.8% high engagement.
  • Suboptimal patient engagement was observed despite provision of free devices, education, and navigator support.

Conclusions:

  • Patient engagement with HBPM in a remote program was suboptimal.
  • Current support methods may not be sufficient to ensure consistent HBPM.
  • Innovative and more convenient BP monitoring methods are needed to enhance patient engagement and improve hypertension outcomes.