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Practical Way To Monitor Hypertension at Home According to Experts

According to experts, there is a practical way to monitor treatment-hypertension at home with home blood pressure monitoring. A home blood pressure monitoring (HBPM) may be a useful means of monitoring for treatment-resistant hypertension (TRH) and subsequent risk stratification.

Practical Way To Monitor Hypertension at Home According to Experts
Image: Home Blood Pressure Monitoring | InStyleHealth

Furthermore, TRH and uncontrolled TRH as detected by HBPM are linked to an increased risk of cardiovascular disease (CVD), regardless of end-organ damage.

The study comprised 4,261 outpatients (mean age 64.9 years, 46.8% men), 91.5 percent of whom were hypertensive, whose data were acquired from the countrywide Japan Morning-Surge Home BP study. For 14 days, all individuals had morning and evening HBPM and were monitored for an average of 6.2 years.

There were 270 CVDs in total, including 229 atherosclerotic CVDs. Even after correcting for potential confounding factors, TRH, defined as a home blood pressure of 135/85 mm Hg, significantly increased the risk of total CVD events compared to non-TRH (adjusted hazard ratio [HR], 1.72, 95 percent confidence interval [CI], 1.27–2.35).

When the definition of TRH was revised to home BP 130/80 mm Hg (adjusted HR, 1.69, 95 percent CI, 1.30–2.26) and home BP 125/75 mm Hg (adjusted HR, 1.65, 95 percent CI, 1.24–2.20), a comparable effect was observed.

"Home blood pressure monitoring has been suggested as a tool for risk classification in TRH patients. However, more research is needed to see if managing home blood pressure control in people with TRH will help avoid CVD events, according to the researchers.

"Intervention studies will be required to assess this concern in clinical practice." Furthermore, novel strategies for the management of uncontrolled TRH should be devised, such as new medicines, diet and exercise treatment, or denervation therapy," experts noted.

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