Blood Pressure Down With Self-Monitoring of BP, Self-Titration of Medications
By Elana Gotkine HealthDay Reporter
FRIDAY, May 10, 2024 -- Blood pressure (BP) self-monitoring, together with self-titration of antihypertensive medications, is associated with a reduction in BP, according to a study published online May 10 in JAMA Network Open.
Patricia Martínez-Ibáñez, Ph.D., from the Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana in Spain, and colleagues examined the longer-term effectiveness of BP self-monitoring plus self-titration of antihypertensive medications versus usual care among patients with poorly controlled hypertension. Participants were aged 40 years or older, with systolic BP over 145 mm Hg and/or diastolic BP over 90 mm Hg, and were randomly assigned to usual care versus an individualized, prearranged plan based on self-monitoring of BP plus self-titration of medications.
Data on BP measurements at 24 months were available for 219 patients: 111 and 108 in the intervention and control groups, respectively. The researchers found that at the end of follow-up (median, 23.8 months), the adjusted mean difference in systolic and diastolic BP was −3.4 and −2.5 mm Hg, respectively. Consistent results for the main outcome were seen in subgroup analyses. The robustness of the main findings were confirmed in sensitivity analyses. In terms of behaviors, quality of life, use of health services, or adverse events, there were no differences noted between the groups.
"These results suggest that simple, inexpensive, and easy-to-implement self-management interventions have the potential to improve the long-term control of hypertension in routine clinical practice," the authors write.
Two authors disclosed ties to the pharmaceutical industry.
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2024 HealthDay. All rights reserved.
Posted May 2024
Read this next
Social Determinants of Health Explain Disparities in Treatment-Resistant Hypertension
TUESDAY, May 21, 2024 -- Part of the association between race and incident apparent treatment‐resistant hypertension (aTRH) risk is mediated by social determinants of health, a...
Infertility Treatment Linked to Heart Disease Hospitalization
TUESDAY, May 21, 2024 -- Infertility treatment is associated with an increased risk for hospitalization due to heart disease, according to a study published in the May issue of...
Prehospital Reduction in BP Does Not Improve Stroke Outcomes
MONDAY, May 20, 2024 -- For patients with acute stroke, prehospital reduction in blood pressure does not affect functional outcomes, according to a study published online May 16...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.