Accuracy of home blood pressure measurement: the ACCURAPRESS study – a proposal of Young Investigator Group of the Italian Hypertension Society (Società Italiana dell’Ipertensione Arteriosa)

Mancusi, Costantino; Bisogni, Valeria; Maloberti, Alessandro; Manzi, Maria Virginia; Visco, Valeria; Biolcati, Marco; Giani, Valentina; Spannella, Francesco; Monticone, Silvia; Saladini, Francesca; Rivasi, Giulia; Turrin, Giada; Pucci, Giacomo; Pengo, Martino; Bertacchini, Fabio; Ferri, Claudio; Muiesan, María Lorenza; Fucile, Ilaria; Sorvillo, Gianmarco; Grieco, Fabrizia; Jacobitti, Giulia; Costanzo, Anita Di; Govetosa, Maria Vittoria; D’Avino, Giuseppina; D’Agosto, Domenico; Schiavi, Paola; Biondini, Simone; Ristori, Letizia

doi:10.1080/08037051.2022.2137461

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…Similar to our study, inconsistencies in HBP measurement and recording pose a barrier to using these records to manage patients with hypertension (24,25). In a survey among 643 hypertensive patients, more than two-thirds (71%) reported incorrect home BP measuring techniques (18).…”

Section: Discussionsupporting

confidence: 72%

“…In addition, Al-rousan et al ( 27 ) reported patients’ willingness to monitor HBP but had concerns about their ability to do so. While patient education by clinicians and nurses can improve HBP technique ( 25 , 28 ), the time needed to instruct patients on HBP measuring protocols may not be feasible or available in busy clinical settings ( 18 ). Remote patient education through videos and online platforms could help improve HBP practices and techniques while working within the existing time constraints ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

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Exploring primary care physicians’ challenges in using home blood pressure monitoring to manage hypertension in Singapore: a qualitative study

Moosa,

Oka,

2024

Front. Med.

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ObjectiveHypertension guidelines recommend using home blood pressure (HBP) to diagnose, treat and monitor hypertension. This study aimed to explore the challenges primary care physicians (PCPs) face in using HBP to manage patients with hypertension.MethodA qualitative study was conducted in 2022 at five primary care clinics in Singapore. An experienced qualitative researcher conducted individual in-depth interviews with 17 PCPs using a semi-structured interview guide. PCPs were purposively recruited based on their clinical roles and seniority until data saturation. The interviews were audio-recorded, transcribed verbatim and managed using NVivo qualitative data management software. Analysis was performed using thematic analysis.ResultsPCPs identified variations in patients’ HBP monitoring practices and inconsistencies in recording them. Access to HBP records relied on patients bringing their records to the clinic visit. A lack of seamless transfer of HBP records to the EMR resulted in an inconsistency in documentation and additional workload for PCPs. PCPs struggled to interpret the HBP readings, especially when there were BP fluctuations; this made treatment decisions difficult.ConclusionDespite strong recommendations to use HBP to inform hypertension management, PCPs still faced challenges accessing and interpreting HBP readings; this makes clinical decision-making difficult. Future research should explore effective ways to enhance patient self-efficacy in HBP monitoring and support healthcare providers in documenting and interpreting HBP.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Exploring primary care physicians’ challenges in using home blood pressure monitoring to manage hypertension in Singapore: a qualitative study

Moosa,

Oka,

2024

Front. Med.

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“…Our study also had some limitations. First, accurate measurement of home BP is critical for the proper management of hypertension and may prevent progression of cardiovascular disease ( 26 ). As per proper home BP measurements, we did not consider whether the home BP was measured according to the guidelines (i.e., in a quiet room with a comfortable temperature; proper posture during measurement; no caffeine, smoking, or exercise 30 min before measurement; two or more measurements in the morning and evening; 1–2 min interval between consecutive measurements; and use of validated devices) in the study ( 6 , 7 , 14 ).…”

Section: Discussionmentioning

confidence: 99%

Home blood pressure measurement for hypertension management in the real world: Do not just measure, but share with your physician

Rhee

Munakata

Nah

et al. 2023

Front. Cardiovasc. Med.

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IntroductionStudies of the effectiveness of home blood pressure (BP) measurement on the treatment of hypertension in the real world are sparse, and the results are controversial. There is an efficacy-effectiveness gap in the treatment of hypertension using home BP measurements. We aimed to investigate the effect of reporting home BP to physicians on ambulatory BP control as a factor contributing to the efficacy-effectiveness gap in treating patients with hypertension.MethodsWe recruited patients ≥20 years of age taking antihypertensive drugs. Office and 24-h ambulatory BP were measured. A questionnaire to the measurement of home BP was conducted. Participants were divided into an HBPM(−) group, home BP was not measured (n = 467); HBPM(+)-R(−) group, home BP was measured but not reported (n = 81); and HBPM(+)-R(+) group, home BP was measured and reported (n = 125).ResultsThe HBPM(+)-R(+) group had significantly lower office systolic BP (SBP, p = 0.035), 24-h SBP (p = 0.009), and daytime SBP (p = 0.016) than the HBPM(−) group, and lower nighttime SBP (p = 0.005) and diastolic BP (DBP, p = 0.008) than the HBPM(+)-R(−) group. In the multivariate analysis, the differences in 24-h SBP, daytime SBP, and nighttime DBP remained significant. There was a significant difference between groups in the target achievement rate of 24-h SBP (p = 0.046), nighttime SBP (p = 0.021), and nighttime DBP (p = 0.023). The nighttime SBP and DBP target achievement rates in the HBPM(+)-R(+) group were higher than those in the HBPM(+)-R(−) group (p = 0.006 and 0.010, respectively). Among patients measuring home BP, the adjusted odds ratio for 24-h and nighttime BP target achievement in the HBPM(+)-R(+) group were 2.233 and 3.658, respectively.ConclusionHome BP measurements should be reported to the treating physician to effectively manage hypertension.Clinical trial registrationhttps://clinicaltrials.gov, identifier NCT03868384.

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“…This tool using artificial intelligence may potentially facilitate the clinical diagnosis and decision-making in managing hypertension 13 . Successful treatment of hypertension is sometimes not achieved, leading to incident cardiovascular morbidity and mortality 14 . A different aspect may impact the achievement of blood pressure control 15–18 .…”

Section: Artificial Intelligence In Cardiovascular Preventionmentioning

confidence: 99%

“…13 Successful treatment of hypertension is sometimes not achieved, leading to incident cardiovascular morbidity and mortality. 14 A different aspect may impact the achievement of blood pressure control. [15][16][17][18] Recently an analysis of big data using the machine learning approach with artificial intelligence identified possible factors associated with uncontrolled hypertension using electronic charts of more than 2 million Israelis.…”

Section: Management Of Cardiovascular Risk Factors (Arterial Hyperten...mentioning

confidence: 99%

Artificial intelligence in cardiovascular prevention: new ways will open new doors

Ciccarelli

Giallauria

Carrizzo

et al. 2023

Journal of Cardiovascular Medicine

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Prevention and effective treatment of cardiovascular disease are progressive issues that grow in tandem with the average age of the world population. Over recent decades, the potential role of artificial intelligence in cardiovascular medicine has been increasingly recognized because of the incredible amount of real-world data (RWD) regarding patient health status and healthcare delivery that can be collated from a variety of sources wherein patient information is routinely collected, including patient registries, clinical case reports, reimbursement claims and billing reports, medical devices, and electronic health records. Like any other (health) data, RWD can be analysed in accordance with high-quality research methods, and its analysis can deliver valuable patient-centric insights complementing the information obtained from conventional clinical trials. Artificial intelligence application on RWD has the potential to detect a patient's health trajectory leading to personalized medicine and tailored treatment. This article reviews the benefits of artificial intelligence in cardiovascular prevention and management, focusing on diagnostic and therapeutic improvements without neglecting the limitations of this new scientific approach.

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Accuracy of home blood pressure measurement: the ACCURAPRESS study – a proposal of Young Investigator Group of the Italian Hypertension Society (Società Italiana dell’Ipertensione Arteriosa)

Cited by 5 publications

References 22 publications

Exploring primary care physicians’ challenges in using home blood pressure monitoring to manage hypertension in Singapore: a qualitative study

Exploring primary care physicians’ challenges in using home blood pressure monitoring to manage hypertension in Singapore: a qualitative study

Home blood pressure measurement for hypertension management in the real world: Do not just measure, but share with your physician

Artificial intelligence in cardiovascular prevention: new ways will open new doors

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