Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper

Stefano Omboni^{1

2}, Richard J McManus³, Hayden B Bosworth^{4

5

6

7}, Lucy C Chappell⁸, Beverly B Green⁹, Kazuomi Kario¹⁰, Alexander G Logan¹¹, David J Magid¹², Brian Mckinstry¹³, Karen L Margolis¹⁴, Gianfranco Parati^{15

16}, Bonnie J Wakefield¹⁷

Affiliations

¹ From the Clinical Research Unit, Italian Institute of Telemedicine, Varese (S.O.).
² Scientific Research Department of Cardiology, Science and Technology Park for Biomedicine, Sechenov First Moscow State Medical University, Russian Federation (S.O.).
³ Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom (R.J.M.).
⁴ Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, NC (H.B.B.).
⁵ Department of Psychiatry and Behavioral Sciences (H.B.B.), Duke University, Durham, NC.
⁶ Division of General Internal Medicine (H.B.B.), Duke University, Durham, NC.
⁷ Department of Population Health Sciences (H.B.B.), Duke University, Durham, NC.
⁸ Women's Health Academic Centre, King's College London, United Kingdom (L.C.C.).
⁹ Kaiser Permanente Washington Health Research Institute, Seattle (B.B.G.).
¹⁰ Department of Cardiology, Jichi Medical University School of Medicine, Tochigi, Japan (K.K.).
¹¹ Department of Medicine, Mount Sinai Hospital, University Health Network and University of Toronto, ON, Canada (A.G.L.).
¹² Colorado Permanente Medical Group, Denver and School of Public Health, University of Colorado, Aurora (D.J.M.).
¹³ Emeritus Professor of Primary Care eHealth, Usher Institute, The University of Edinburgh, United Kingdom (B.M.).
¹⁴ HealthPartners Institute, Minneapolis, MN (K.L.M.).
¹⁵ Department of Medicine and Surgery, University of Milano-Bicocca, Italy (G.P.).
¹⁶ Istituto Auxologico Italiano, IRCCS San Luca, Milano, Italy (G.P.).
¹⁷ Sinclair School of Nursing, University of Missouri, Columbia (B.J.W.).

PMID: 32921195
DOI: 10.1161/HYPERTENSIONAHA.120.15873

Review

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper

Stefano Omboni et al. Hypertension. 2020 Nov.

. 2020 Nov;76(5):1368-1383.

doi: 10.1161/HYPERTENSIONAHA.120.15873. Epub 2020 Sep 14.

Authors

Affiliations

¹ From the Clinical Research Unit, Italian Institute of Telemedicine, Varese (S.O.).
² Scientific Research Department of Cardiology, Science and Technology Park for Biomedicine, Sechenov First Moscow State Medical University, Russian Federation (S.O.).
³ Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom (R.J.M.).
⁴ Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, NC (H.B.B.).
⁵ Department of Psychiatry and Behavioral Sciences (H.B.B.), Duke University, Durham, NC.
⁶ Division of General Internal Medicine (H.B.B.), Duke University, Durham, NC.
⁷ Department of Population Health Sciences (H.B.B.), Duke University, Durham, NC.
⁸ Women's Health Academic Centre, King's College London, United Kingdom (L.C.C.).
⁹ Kaiser Permanente Washington Health Research Institute, Seattle (B.B.G.).
¹⁰ Department of Cardiology, Jichi Medical University School of Medicine, Tochigi, Japan (K.K.).
¹¹ Department of Medicine, Mount Sinai Hospital, University Health Network and University of Toronto, ON, Canada (A.G.L.).
¹² Colorado Permanente Medical Group, Denver and School of Public Health, University of Colorado, Aurora (D.J.M.).
¹³ Emeritus Professor of Primary Care eHealth, Usher Institute, The University of Edinburgh, United Kingdom (B.M.).
¹⁴ HealthPartners Institute, Minneapolis, MN (K.L.M.).
¹⁵ Department of Medicine and Surgery, University of Milano-Bicocca, Italy (G.P.).
¹⁶ Istituto Auxologico Italiano, IRCCS San Luca, Milano, Italy (G.P.).
¹⁷ Sinclair School of Nursing, University of Missouri, Columbia (B.J.W.).

PMID: 32921195
DOI: 10.1161/HYPERTENSIONAHA.120.15873

Abstract

Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients' access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.

Keywords: health personnel; hypertension; pandemics; telehealth; telemedicine.

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Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper

Affiliations

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper

Authors

Affiliations

Abstract

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LinkOut - more resources

Full Text Sources

Medical