Blood Pressure Monitoring in Cardiovascular Disease

AIMS Medical Science

article

Carlos Menéndez Villalva¹  Xose Luis Muiño López-Alvarez¹  Martín Menéndez Rodríguez²  María José Modroño Freire¹  Olalla Quintairos Veloso¹  Lea Conde Guede¹  Sandra Vilchez Dosantos¹  Manuel Blanco Ramos¹ 

[1] Mariñamansa-A Cuña Health Center, Galician Health Service;University of Valencia Clinical Teaching Hospital;Nutricia

关键词: ambulatory blood pressure;    cardiovascular medicine;    cardiovascular diseases;    hypertension;    telemedicine;    combined modality therapy;    telecommunications networks;    ;   

DOI  :  10.3934/medsci.2017.2.164

来源: American Institute of Mathematical Sciences

【 摘 要 】

While the practice of taking blood pressure readings at the physician’s office continues to be valid, home blood pressure monitoring is being increasingly used to enhance diagnostic accuracy and ensure a more personalized follow-up of patients. In the case of white coat hypertension and resistant arterial hypertension, ambulatory blood pressure monitoring is indispensable. Recent studies attach great importance to nocturnal blood pressure patterns, with a reduction in these becoming a treatment goal, a strategy known as chronotherapy. Home blood pressure monitoring is useful for both diagnosis and follow-up of arterial hypertension. Its use, particularly if combined with other patient-support interventions, serves to improve blood pressure control. Telemonitoring is associated with a decrease in blood pressure values and an increase in patient satisfaction. All studies highlight the importance of patients being supported by a multidisciplinary health care team, since blood pressure telemonitoring with a support team is more effective than simple data telemonitoring. Further studies are called for, especially on the illiterate population, with difficulties posed by technological accessibility and transcriptions into different languages. More cost-effectiveness studies and long-term results are needed to ascertain the true benefit of blood pressure telemonitoring.

【 授权许可】

CC BY