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Vol 24, No 2 (2020)
Original paper
Published online: 2020-06-16
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Effectiveness of telemedicine-guided home blood pressure compared to 24 h-ambulatory blood pressure monitoring in patients with and without chronic kidney disease.

Xavier Galloo1, Tom Robberechts1, Patricia Van Der Niepen1
DOI: 10.5603/AH.a2020.0010
·
Arterial Hypertension 2020;24(2):83-92.
Affiliations
  1. Department of Nephrology and Hypertension, Universitair Ziekenhuis Brussel, VUB, Brussels, Belgium

open access

Vol 24, No 2 (2020)
ORIGINAL PAPERS
Published online: 2020-06-16

Abstract

Background. Only few direct comparative studies evaluated the effectiveness of telemedicine-guided home blood pressure (tele-HBPM) compared to 24 h ambulatory blood pressure monitoring (ABPM) in assessing blood pressure (BP) and BP control. Material and methods. This prospective clinical trial included patients with arterial hypertension, with (n = 23) and without (n = 18) chronic kidney disease and normal volunteers (n = 16). All subjects underwent with a 1-month interval twice one-week of BP monitoring with office BP (3 measurements at 2 visits), 24 h-ABPM and tele-HBPM during 7 consecutive days. Results. Mean (SD) BP levels were 128/77 [19/11] mm Hg and 126/75 [14/9] mm Hg for tele-HBPM, 129/78 [17/11] mm Hg and 127/75 [14/9] mm Hg for daytime-ABPM, and 133/77 [23/12] mm Hg and 130/74 [17/11] mm Hg for office BP, all respectively at the first and the second measurement periods. Blood pressure and BP control were comparable between the two out-of-office techniques. Conclusion. Both out-of-office techniques (tele-HBPM and 24h-ABPM) show good agreement for systolic as well as diastolic BP, and are equally effective in assessing BP and BP control, explicitly during daytime.

Abstract

Background. Only few direct comparative studies evaluated the effectiveness of telemedicine-guided home blood pressure (tele-HBPM) compared to 24 h ambulatory blood pressure monitoring (ABPM) in assessing blood pressure (BP) and BP control. Material and methods. This prospective clinical trial included patients with arterial hypertension, with (n = 23) and without (n = 18) chronic kidney disease and normal volunteers (n = 16). All subjects underwent with a 1-month interval twice one-week of BP monitoring with office BP (3 measurements at 2 visits), 24 h-ABPM and tele-HBPM during 7 consecutive days. Results. Mean (SD) BP levels were 128/77 [19/11] mm Hg and 126/75 [14/9] mm Hg for tele-HBPM, 129/78 [17/11] mm Hg and 127/75 [14/9] mm Hg for daytime-ABPM, and 133/77 [23/12] mm Hg and 130/74 [17/11] mm Hg for office BP, all respectively at the first and the second measurement periods. Blood pressure and BP control were comparable between the two out-of-office techniques. Conclusion. Both out-of-office techniques (tele-HBPM and 24h-ABPM) show good agreement for systolic as well as diastolic BP, and are equally effective in assessing BP and BP control, explicitly during daytime.

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Keywords

arterial hypertension; office blood pressure; ambulatory blood pressure; home blood pressure; blood pressure telemonitoring; chronic kidney disease

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Title

Effectiveness of telemedicine-guided home blood pressure compared to 24 h-ambulatory blood pressure monitoring in patients with and without chronic kidney disease.

Journal

Arterial Hypertension

Issue

Vol 24, No 2 (2020)

Article type

Original paper

Pages

83-92

Published online

2020-06-16

Page views

706

Article views/downloads

727

DOI

10.5603/AH.a2020.0010

Bibliographic record

Arterial Hypertension 2020;24(2):83-92.

Keywords

arterial hypertension
office blood pressure
ambulatory blood pressure
home blood pressure
blood pressure telemonitoring
chronic kidney disease

Authors

Xavier Galloo
Tom Robberechts
Patricia Van Der Niepen

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