Realities and prospects of remote blood pressure monitoring in hypertensive patients.

Realities and prospects of remote blood pressure monitoring in hypertensive patients.

Ter Arkh. 2018 Jan 09;90(1):4-8

Authors: Boytsov SA

Abstract
Despite the success in increasing the effectiveness of treatment of arterial hypertension (AH), frequency of achieving target levels of blood pressure (BP) in hypertensive patients and the scope of their regular supervision in most countries of the world, including in the Russian Federation are insufficient. Modern telemedicine technology, involving remote monitoring of blood pressure, have the potential to significantly improve the situation. The analysis in the world of research on this subject showed the presence of benefits and advantages as well as the barriers and disadvantages in comparison with the common practice of monitoring of patients AG. But the overall balance is in favor of this technology. In the Russian Federation in the presence of a single domestic randomized studies of remote monitoring of blood pressure in hypertensive patients currently undergoing a pilot project in seven regions of the country. Practice shows that with proper organization of the work achieved good results in the achievement of target BP levels. To date, in our country, taking into account the accumulated international and domestic experience, the full normative and methodical base, and the availability of affordable hardware, and proven organizational technologies can and should expand the practice of remote blood pressure monitoring in hypertensive patients. This will significantly increase the proportion of hypertensive patients that are under medical supervision, and significantly improve the effectiveness of antihypertensive therapy. Immediate consequence of such practices will reduce the number of calls to urgent and emergency care reduction in the number of trumpeter, and further reducing the number of strokes and myocardial infarctions, and ultimately reducing cardiovascular mortality.

PMID: 30701750 [PubMed - in process]