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Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management

The development of mobile telephones has made it possible to design blood pressure (BP) monitors with data transmission via cellular lines, contributing to the emergence of “e-health”. Today, the direct-to-consumer marketing of devices create a new context allowing an algorithmic processing of infor...

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Autores principales: Postel-Vinay, Nicolas, Bobrie, Guillaume, Asmar, Roland, Stephan, Dominique, Amar, Laurence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10119440/
https://www.ncbi.nlm.nih.gov/pubmed/37089266
http://dx.doi.org/10.21037/mhealth-22-51
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author Postel-Vinay, Nicolas
Bobrie, Guillaume
Asmar, Roland
Stephan, Dominique
Amar, Laurence
author_facet Postel-Vinay, Nicolas
Bobrie, Guillaume
Asmar, Roland
Stephan, Dominique
Amar, Laurence
author_sort Postel-Vinay, Nicolas
collection PubMed
description The development of mobile telephones has made it possible to design blood pressure (BP) monitors with data transmission via cellular lines, contributing to the emergence of “e-health”. Today, the direct-to-consumer marketing of devices create a new context allowing an algorithmic processing of information for remote decision-making either by the patient or by a healthcare professional. The home BP telemonitoring (HBPT) is the remote transmission of BP values, measured at home and transmitted to the doctor’s office or hospital, by means of telehealth strategies. In this context, randomized controlled trials (RCTs) studies have demonstrated HBPT ability in improving patients’ compliance and adherence to treatment and in accomplishing better hypertension control rates. The level of evidence for the drop in BP is “moderate” and the place of HBPT is not clearly established in current practice. Digital interventions have the potential to support patient in self-management. This approach presupposes the prior acquisition of skills, the level of which must be adapted to the level of health literacy of each patient. Few of medical applications (mobile apps or web-apps) for hypertension can be regarded as accurate and safe for clinical use and to date, we do not have high quality evidence to determine the overall effect of the use smartphone apps on BP control.
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spelling pubmed-101194402023-04-22 Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management Postel-Vinay, Nicolas Bobrie, Guillaume Asmar, Roland Stephan, Dominique Amar, Laurence Mhealth Review Article The development of mobile telephones has made it possible to design blood pressure (BP) monitors with data transmission via cellular lines, contributing to the emergence of “e-health”. Today, the direct-to-consumer marketing of devices create a new context allowing an algorithmic processing of information for remote decision-making either by the patient or by a healthcare professional. The home BP telemonitoring (HBPT) is the remote transmission of BP values, measured at home and transmitted to the doctor’s office or hospital, by means of telehealth strategies. In this context, randomized controlled trials (RCTs) studies have demonstrated HBPT ability in improving patients’ compliance and adherence to treatment and in accomplishing better hypertension control rates. The level of evidence for the drop in BP is “moderate” and the place of HBPT is not clearly established in current practice. Digital interventions have the potential to support patient in self-management. This approach presupposes the prior acquisition of skills, the level of which must be adapted to the level of health literacy of each patient. Few of medical applications (mobile apps or web-apps) for hypertension can be regarded as accurate and safe for clinical use and to date, we do not have high quality evidence to determine the overall effect of the use smartphone apps on BP control. AME Publishing Company 2023-04-04 /pmc/articles/PMC10119440/ /pubmed/37089266 http://dx.doi.org/10.21037/mhealth-22-51 Text en 2023 mHealth. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Review Article
Postel-Vinay, Nicolas
Bobrie, Guillaume
Asmar, Roland
Stephan, Dominique
Amar, Laurence
Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
title Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
title_full Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
title_fullStr Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
title_full_unstemmed Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
title_short Management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
title_sort management of arterial hypertension: home blood pressure measurement is a cornerstone for telemonitoring and self-management
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10119440/
https://www.ncbi.nlm.nih.gov/pubmed/37089266
http://dx.doi.org/10.21037/mhealth-22-51
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