Key result
Telemedicine interventions reduce systolic blood pressure across trials, especially when paired with active clinical management.
Why the study?
Systemic arterial hypertension requires strategies that support continuous blood pressure follow-up outside outpatient settings, motivating this analysis of the effectiveness of telemedicine for blood pressure control in adults.
Does telemedicine improve blood pressure control compared to usual care or self-monitoring without structured remote follow-up in adults with systemic arterial hypertension?
Does telemedicine improve blood pressure control compared to usual care or self-monitoring without structured remote follow-up in adults with systemic arterial hypertension?
Telemedicine effectively reduces systolic blood pressure in adults with hypertension primarily when home blood pressure monitoring and data transmission are integrated with professional supervision and timely therapeutic adjustments, rather than relying on automated technology alone.
Telemedicine may aid hypertension BP control; leaves open need for rigorous trials before practice change.
Systemic arterial hypertension remains one of the main chronic conditions associated with cardiovascular morbidity and mortality, requiring strategies that support continuous blood pressure follow-up outside outpatient settings. This integrative review analyzed the effectiveness of telemedicine for blood pressure control in adults with hypertension. The search included primary studies published between January 2024 and October 2026; selection was guided by PICO, and the review process was organized according to PRISMA 2020. Eight randomized clinical trials comprising 3,561 randomized participants were included. The studies investigated home telemonitoring, mobile applications, telephone follow-up, and digital platforms combined with professional supervision. Six of the eight trials found a significantly greater reduction in systolic blood pressure with digital or telemonitored interventions. The most favorable results occurred in strategies integrating home measurements, data transmission, professional follow-up, and the possibility of therapeutic adjustment. Predominantly automated interventions, in contrast, did not consistently outperform usual care, although they improved behaviors related to self-monitoring. Telemedicine effectiveness therefore appears to depend less on technology alone than on its integration into clinical protocols capable of converting home blood pressure data into timely therapeutic decisions.
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Carvalho et al. (2026) conducted a review in Systemic arterial hypertension (n=3,561). Telemedicine (home telemonitoring, mobile applications, telephone follow-up, and digital platforms with professional supervision) vs. Usual care, in-person follow-up, or self-monitoring without structured remote follow-up was evaluated on Reduction in systolic blood pressure (SBP) and blood pressure control. Telemedicine interventions significantly reduced systolic blood pressure in 6 of 8 trials (N=3,561), particularly when combining home monitoring with clinical supervision and therapeutic adjustment.
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