Key result
Home blood pressure monitoring alone reduces 24-hour ambulatory SBP by ~5 mmHg vs. usual care.
Why the study?
Rates of hypertension control remain unsatisfactory worldwide and simple methods to encourage patient adherence are necessary.
Does a protocol of home blood pressure monitoring without medication titration improve blood pressure assessed by ABPM in patients with treated but uncontrolled hypertension?
Population
136 patients with hypertension under drug treatment and uncontrolled BP at office and 24-h ABPM
Comparison
Protocol of home blood pressure monitoring without medication titration vs usual care
Design
Randomized controlled trial
Follow-up
60 days
Authors
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Supports routine home BP monitoring without titration in hypertension care; extends evidence beyond titration-dependent strategies.
RCT (n=136)
randomly assigned
Does a protocol of home blood pressure monitoring without medication titration improve blood pressure assessed by ABPM in patients with treated but uncontrolled hypertension?
Mean Difference: 5.4 (95% CI 0.9–9.8)
p-value: p=0.018
Home blood pressure monitoring alone, without medication titration, significantly improves blood pressure control in patients with treated but uncontrolled hypertension.
Fuchs et al. (2011) conducted an RCT in hypertension (n=136). Home blood pressure monitoring (HBPM) without medication titration vs. Usual care was evaluated on Variation in 24-h ambulatory SBP from baseline to 60 days (MD 5.4 mmHg, 95% CI 0.9-9.8, p=0.018). Home blood pressure monitoring without medication titration significantly reduced 24-h ambulatory SBP compared to usual care (between-group difference 5.4 mmHg; 95% CI 0.9-9.8; P=0.018).
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