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

IF 0.4 Q4 PERIPHERAL VASCULAR DISEASE Arterial Hypertension Pub Date : 2020-06-30 DOI:10.5603/AH.A2020.0010
X. Galloo, T. Robberechts, P. Niepen
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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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远程医疗引导的家庭血压与24小时动态血压监测在慢性肾病患者和非慢性肾病患者中的有效性比较
背景。只有少数直接比较研究评估了远程医疗引导的家庭血压(远程hbpm)与24小时动态血压监测(ABPM)在评估血压(BP)和血压控制方面的有效性。材料和方法。这项前瞻性临床试验包括有动脉高血压、有慢性肾脏疾病(n = 23)和没有慢性肾脏疾病(n = 18)的患者以及正常志愿者(n = 16)。所有受试者均接受为期1个月的两次血压监测,包括办公室血压监测(2次就诊3次),连续7天进行24小时abpm和远程hbpm。结果。远程hbpm的平均血压(SD)水平分别为128/77 [19/11]mm Hg和126/75 [14/9]mm Hg,白天abpm的平均血压(SD)水平为129/78 [17/11]mm Hg和127/75 [14/9]mm Hg,办公室血压(SD)水平分别为133/77 [23/12]mm Hg和130/74 [17/11]mm Hg。两种非办公室技术的血压和血压控制是相当的。结论。两种非办公室技术(远程hbpm和24h-ABPM)对收缩压和舒张压都有很好的一致性,在评估血压和控制血压方面同样有效,特别是在白天。
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来源期刊
Arterial Hypertension
Arterial Hypertension PERIPHERAL VASCULAR DISEASE-
CiteScore
0.70
自引率
14.30%
发文量
19
审稿时长
10 weeks
期刊介绍: Arterial Hypertension hereinafter referred to as ‘AH’ or ′the Journal′, is a peer-reviewed, open access journal covering broad spectrum of topics in hypertension and aiming to advance the knowledge and science of this constantly evolving field. The Journal is the official quarterly of the Polish Society of Hypertension and publishes review articles, original clinical and experimental investigations in the field of arterial hypertension, case reports, letters and editorial comments. The Journal''s content has been published predominantly in full text English since 2015.
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