Key result
Blood pressure telemonitoring is linked to ~33% fewer hospitalizations or deaths for ACS, stroke, or HF.
Why the study?
Although BP telemonitoring improves BP control in trials, little data exist regarding its impact on cardiovascular events when used routinely for long-term monitoring.
Does blood pressure telemonitoring reduce emergency hospital admission or mortality for ACS, stroke, or uncontrolled HF in adults with hypertension?
Cohort (n=454,180)
Does blood pressure telemonitoring reduce emergency hospital admission or mortality for ACS, stroke, or uncontrolled HF in adults with hypertension?
Routine long-term blood pressure telemonitoring in adults with hypertension is associated with a significant reduction in cardiovascular events and mortality.
Answers are grounded in this paper and cite their sources.
Should not yet change hypertension practice; leaves open whether RCTs confirm telemonitoring's cardiovascular benefit.
Aims It is well established from trials that blood pressure (BP) telemonitoring leads to improved BP control. However, there is little data available on the impact of BP telemonitoring on the incidence of cardiovascular events when it is used as the routine mode of long-term BP monitoring. The objective of this study was to assess the impact of BP telemonitoring on cardiovascular outcomes. Methods and results Records were analysed for 454 180 adults with hypertension who had a prescription for a first-line anti-hypertensive drug at any time from 1 March 2019 to 28 February 2021. Follow-up was until 1st March 2022. Women pregnant during that time were excluded. The primary outcome was emergency hospital admission or mortality for Acute Coronary Syndrome (ACS), Stroke, or uncontrolled Heart Failure (HF) within 12 months. Outcomes were compared between people who had used BP telemonitoring for at least 1 year and a group who had never used it, matched for age, sex, ethnicity, social deprivation, number of anti-hypertensive drugs, diabetes, and having a BP assessment in the same year. Ninety percent of the cohort had been diagnosed with hypertension before March 2019. The onset of the COVID-19 pandemic in March 2020 was associated with a rapid increase in the uptake of BP telemonitoring but a reduction in the number of new diagnoses of hypertension. Those who used telemonitoring were significantly younger, less likely to have diabetes, and took less antihypertensive medication. For those who used telemonitoring for over 1 year, a mean reduction in systolic BP was seen by 3 months which was maintained for at least the remainder of the year. Conclusion In the matched cohort analysis, people who used telemonitoring were less likely to be admitted to hospital with or die from ACS, stroke, or uncontrolled HF telemonitoring [adjusted OR 0.665 (0.501 to 0.884), P = 0.0049] than those who were not using telemonitoring.
No takes yet. Share an insight, caveat, or question.
Hanley et al. (2026) conducted a cohort in Hypertension (n=454,180). Blood pressure telemonitoring vs. No blood pressure telemonitoring was evaluated on Emergency hospital admission or mortality for Acute Coronary Syndrome (ACS), Stroke, or uncontrolled Heart Failure (HF) within 12 months (adjusted OR 0.665, 95% CI 0.501 to 0.884, p=0.0049). Blood pressure telemonitoring was associated with a lower risk of emergency admission or mortality for ACS, stroke, or uncontrolled heart failure (adjusted OR 0.665; 95% CI 0.501-0.884; P=0.0049).
Synapse has enriched 10 related papers. Consider them for comparative context: