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. 2023 Jan 18:10:1103216.
doi: 10.3389/fcvm.2023.1103216. eCollection 2023.

Home blood pressure measurement for hypertension management in the real world: Do not just measure, but share with your physician

Moo-Yong Rhee  1   2 , Masanori Munakata  3 , Deuk-Young Nah  2   4 , Je Sang Kim  1   2 , Hae-Young Kim  5
Affiliations

Home blood pressure measurement for hypertension management in the real world: Do not just measure, but share with your physician

Moo-Yong Rhee et al. Front Cardiovasc Med. .

Abstract

Introduction: Studies of the effectiveness of home blood pressure (BP) measurement on the treatment of hypertension in the real world are sparse, and the results are controversial. There is an efficacy-effectiveness gap in the treatment of hypertension using home BP measurements. We aimed to investigate the effect of reporting home BP to physicians on ambulatory BP control as a factor contributing to the efficacy-effectiveness gap in treating patients with hypertension.

Methods: We recruited patients ≥20 years of age taking antihypertensive drugs. Office and 24-h ambulatory BP were measured. A questionnaire to the measurement of home BP was conducted. Participants were divided into an HBPM(-) group, home BP was not measured (n = 467); HBPM(+)-R(-) group, home BP was measured but not reported (n = 81); and HBPM(+)-R(+) group, home BP was measured and reported (n = 125).

Results: The HBPM(+)-R(+) group had significantly lower office systolic BP (SBP, p = 0.035), 24-h SBP (p = 0.009), and daytime SBP (p = 0.016) than the HBPM(-) group, and lower nighttime SBP (p = 0.005) and diastolic BP (DBP, p = 0.008) than the HBPM(+)-R(-) group. In the multivariate analysis, the differences in 24-h SBP, daytime SBP, and nighttime DBP remained significant. There was a significant difference between groups in the target achievement rate of 24-h SBP (p = 0.046), nighttime SBP (p = 0.021), and nighttime DBP (p = 0.023). The nighttime SBP and DBP target achievement rates in the HBPM(+)-R(+) group were higher than those in the HBPM(+)-R(-) group (p = 0.006 and 0.010, respectively). Among patients measuring home BP, the adjusted odds ratio for 24-h and nighttime BP target achievement in the HBPM(+)-R(+) group were 2.233 and 3.658, respectively.

Conclusion: Home BP measurements should be reported to the treating physician to effectively manage hypertension.

Clinical trial registration: https://clinicaltrials.gov, identifier NCT03868384.

Keywords: ambulatory; blood pressure; home; hypertension; treatment.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Ambulatory blood pressure difference between groups. P-values were obtained by multivariate analysis.
FIGURE 2
FIGURE 2
Histogram and Kernel density of (A) office and (B) daytime systolic blood pressure distribution in each group.
See this image and copyright information in PMC

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