Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region
Aim. To study the effectiveness and benefits of blood pressure (BP) remote monitoring in outpatients with hypertension.Material and methods. The study included 100 patients with a verified diagnosis of hypertension, who didn’t achieve target BP pressure levels. The patients measured their BP twice a...
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2020-01-01
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| Series: | Рациональная фармакотерапия в кардиологии |
| Subjects: | |
| Online Access: | https://www.rpcardio.online/jour/article/view/2070 |
| _version_ | 1797232166294257664 |
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| author | N. V. Aksenova A. A. Nizov O. N. Selyavina E. I. Suchkova E. V. Filippov |
| author_facet | N. V. Aksenova A. A. Nizov O. N. Selyavina E. I. Suchkova E. V. Filippov |
| author_sort | N. V. Aksenova |
| collection | DOAJ |
| description | Aim. To study the effectiveness and benefits of blood pressure (BP) remote monitoring in outpatients with hypertension.Material and methods. The study included 100 patients with a verified diagnosis of hypertension, who didn’t achieve target BP pressure levels. The patients measured their BP twice a day over 6 months with facilities with automatic data transmission over GSM-channel to a remote monitoring center. BP parameters were being transmitted online to the remote monitoring center, where they were being processed and transferred to the personal account planner (created by the Web interface based on the software and hardware complex) of the attending physician and operator of the remote monitoring center. It is important that doctor received information only on clinically significant measurement results, based on which he determined the urgency of contact with the patient and the further tactics of his management.Results. No malfunctions in the work of communication facilities, technical failures in the software and hardware complex were registered over the entire period of the study. After 6 months of the monitoring it was possible to achieve target BP levels less than 135/85 mm Hg in 70% of patients. The proportion of patients with a high level of normal BP increased from 10% to 19%, while the proportion of patients with grade 1 and 2 of hypertension decreased significantly (from 33% to 7% and from 54% to 3%, respectively). At the beginning of telemedicine monitoring 3% of patients had stage 3 of hypertension, at the end of the study – 1%.Conclusion. The technology of telemedicine monitoring has shown itself as a simple, affordable and reliable way of management of outpatients with hypertension in conditions of real clinical practice. It was possible to achieve BP levels less than 135/85 mm Hg in 70% of patients by the method of remote outpatient monitoring. BP remote monitoring changed fundamentally the decision-making strategy of the patients management: it was not the patient who independently determined the need for consultation with a medical professional, but the attending physician made a decision on the method and urgency of contact with the patient on the basis of the data of objective monitoring indicators. |
| first_indexed | 2024-03-08T14:01:10Z |
| format | Article |
| id | doaj.art-88d9c5325cd742a18417503ba4230562 |
| institution | Directory Open Access Journal |
| issn | 1819-6446 2225-3653 |
| language | English |
| last_indexed | 2024-04-24T15:55:57Z |
| publishDate | 2020-01-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj.art-88d9c5325cd742a18417503ba42305622024-04-01T07:43:38ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532020-01-0115679580110.20996/1819-6446-2019-15-6-795-8011672Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan RegionN. V. Aksenova0A. A. Nizov1O. N. Selyavina2E. I. Suchkova3E. V. Filippov4City Clinical Hospital №11Ryazan State Medical University named after Academician I.P. PavlovCity Clinical Hospital №11; Ryazan State Medical University named after Academician I.P. PavlovCity Clinical Hospital №11; Ryazan State Medical University named after Academician I.P. PavlovRyazan State Medical University named after Academician I.P. PavlovAim. To study the effectiveness and benefits of blood pressure (BP) remote monitoring in outpatients with hypertension.Material and methods. The study included 100 patients with a verified diagnosis of hypertension, who didn’t achieve target BP pressure levels. The patients measured their BP twice a day over 6 months with facilities with automatic data transmission over GSM-channel to a remote monitoring center. BP parameters were being transmitted online to the remote monitoring center, where they were being processed and transferred to the personal account planner (created by the Web interface based on the software and hardware complex) of the attending physician and operator of the remote monitoring center. It is important that doctor received information only on clinically significant measurement results, based on which he determined the urgency of contact with the patient and the further tactics of his management.Results. No malfunctions in the work of communication facilities, technical failures in the software and hardware complex were registered over the entire period of the study. After 6 months of the monitoring it was possible to achieve target BP levels less than 135/85 mm Hg in 70% of patients. The proportion of patients with a high level of normal BP increased from 10% to 19%, while the proportion of patients with grade 1 and 2 of hypertension decreased significantly (from 33% to 7% and from 54% to 3%, respectively). At the beginning of telemedicine monitoring 3% of patients had stage 3 of hypertension, at the end of the study – 1%.Conclusion. The technology of telemedicine monitoring has shown itself as a simple, affordable and reliable way of management of outpatients with hypertension in conditions of real clinical practice. It was possible to achieve BP levels less than 135/85 mm Hg in 70% of patients by the method of remote outpatient monitoring. BP remote monitoring changed fundamentally the decision-making strategy of the patients management: it was not the patient who independently determined the need for consultation with a medical professional, but the attending physician made a decision on the method and urgency of contact with the patient on the basis of the data of objective monitoring indicators.https://www.rpcardio.online/jour/article/view/2070cardiovascular diseaseshypertensionremote monitoringblood pressuretelemedicine technologies |
| spellingShingle | N. V. Aksenova A. A. Nizov O. N. Selyavina E. I. Suchkova E. V. Filippov Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region Рациональная фармакотерапия в кардиологии cardiovascular diseases hypertension remote monitoring blood pressure telemedicine technologies |
| title | Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region |
| title_full | Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region |
| title_fullStr | Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region |
| title_full_unstemmed | Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region |
| title_short | Prospects for Blood Pressure Remote Monitoring in Hypertensive Patients in the Ryazan Region |
| title_sort | prospects for blood pressure remote monitoring in hypertensive patients in the ryazan region |
| topic | cardiovascular diseases hypertension remote monitoring blood pressure telemedicine technologies |
| url | https://www.rpcardio.online/jour/article/view/2070 |
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