Clinical efficiency of remote blood pressure monitoring in real-world practice

Abstract

Aim. To evaluate the efficiency of remote blood pressure (BP) monitoring systems with automatic data transmission in real-world practice.Material and methods. The study included 12566 patients with both uncontrolled hypertension and those who had achieved target BP levels. Patients underwent remote BP monitoring with an automatic system with data transmission via GSM channel. The analysis included the levels of mean 7-day BP after 4 and 8 weeks of follow-up.Results. In the total sample of patients, a significant decrease in systolic (SBP) and diastolic BP (DBP) was found after 4 and 8 weeks of monitoring. SBP over 8-week follow-up decreased by -2,5 [-10,0; 4,0] mm Hg, while DBP — by -1,0 [-5,0; 3,0] mm Hg. The number of patients who achieved and/or maintained the target BP level after 8-week follow-up was 8306 (66,1%). Treatment efficacy escape was observed in 1633 (13,3%) patients. Baseline BP levels were not at target in 4692 (38,2%) patients. In this group, a decrease in SBP and DBP was observed over 8 weeks by -9,0 [-17,5; -0,5] and -3,0 [-7,5; 1,0] mm Hg, respectively. Among patients with initially uncontrolled hypertension, 1462 (31,2%) achieved target BP values within 4-week follow-up, while 127 (2,7%) within the next 4 weeks. A significant effect of age on the success of achieving and maintaining target BP levels was revealed. A stable inverse relationship was noted between overweight and obesity and the studied parameter.Conclusion. Remote BP monitoring using systems with automatic data transmission can significantly increase the proportion of patients achieving and maintaining target BP levels, as well as reduce the risk of cardiovascular events and all-cause death.

Keywords

• hypertension
• blood pressure
• remote monitoring
• telemonitoring
• telemedicine technologies
• digital technologies
• personal health assistants