Blood pressure telemonitoring and telemedicine, a Latin America perspective

Piskorz, Daniel; Alcocer, Luis; López Santi, Ricardo; Puente Barragán, Adriana; Múnera, Ana; Molina, Dora Inés; Galván Oseguera, Héctor; Barroso, Weimar Sebba; Palomo, Silvia; Díaz-Díaz, Enrique; Cardona-Muñoz, Ernesto; Wyss, Fernando; Ponte Negretti, Carlos; Rosas Peralta, Martín; Chávez Mendoza, Adolfo; Alvarez López, Hunberto; Patiño, Ernesto Peñaherrera; Guerra López, Arturo; Escudero, Xavier; Enciso, José Manuel; ,

doi:10.1080/08037051.2023.2251586

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…Telehealth offers a number of modalities to help improve BP control, including in Latin America [ 57 ]. Patients who forget to take the medication may benefit from reminders and cues, including via cell phone apps [ 55 ].…”

Section: Issues In Hypertension Managementmentioning

confidence: 99%

“…Telehealth can be used to reach patients who may not be able to access face-to-face health consultations, such as those in rural areas. Additionally, patients who measure their BP at home can transmit this information to their healthcare provider electronically [ 57 ]. While telehealth offers many benefits, middle-income countries like Colombia do not have equitable access to telecommunications across the whole population, and not all of the population has the digital literacy to use these technologies [ 57 ].…”

Section: Issues In Hypertension Managementmentioning

confidence: 99%

“…Additionally, patients who measure their BP at home can transmit this information to their healthcare provider electronically [ 57 ]. While telehealth offers many benefits, middle-income countries like Colombia do not have equitable access to telecommunications across the whole population, and not all of the population has the digital literacy to use these technologies [ 57 ]. In addition, many practitioners need more education about how to implement and use telehealth modalities to improve hypertension management in clinical practice [ 57 ].…”

Section: Issues In Hypertension Managementmentioning

confidence: 99%

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The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

Molina de Salazar,

Coca,

Alcocer

et al. 2024

Am J Cardiovasc Drugs

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Hypertension is a major risk factor for cardiovascular disease and the leading cause of death in Colombia. While the rate of hypertension awareness in Colombia is generally high, rates of treatment initiation, adherence, and blood pressure (BP) control are suboptimal. Major international hypertension guidelines recommend starting treatment with a combination of antihypertensive agents, and the use of a single-pill combination (SPC) to maximize adherence. In contrast, Colombian hypertension guidelines recommend starting treatment with diuretic monotherapy in most patients, and only initiating combination therapy in those with BP > 160/100 mmHg. Therefore, the aim of the current narrative review is to examine the rationale for using SPCs to treat hypertension in Colombia, in the context of the major issues for BP control there. There is evidence of widespread therapeutic inertia in hypertension management, particularly in primary care, in Colombia. Moreover, combination therapy, angiotensin-converting enzyme inhibitors, and long-acting calcium channel blockers, which are internationally recommended as first-line drug therapies, are underutilized there. Adherence to antihypertensive therapy is low in Colombia and may be enhanced by use of SPCs as well as better patient education and follow-up. While there are promising national initiatives to improve BP management, more needs to be done by individual physicians. Antihypertensive SPCs are available on the national essential medicines list and may help to overcome some of the problems with suboptimal adherence, therapeutic inertia, and low rates of BP control that contribute to the high cardiovascular death rate in Colombia.

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Section: Issues In Hypertension Managementmentioning

confidence: 99%

Section: Issues In Hypertension Managementmentioning

confidence: 99%

Section: Issues In Hypertension Managementmentioning

confidence: 99%

See 1 more Smart Citation

The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

Molina de Salazar,

Coca,

Alcocer

et al. 2024

Am J Cardiovasc Drugs

Self Cite

View full text Add to dashboard Cite

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The effect of telehealth on clinical outcomes in patients with hypertension and diabetes: A meta-analysis of 106,261 patients

Kelly,

Moraes,

Lôbo

et al. 2024

J Telemed Telecare

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Introduction Telemedicine, propelled by recent technological advancements, has transformed healthcare delivery, notably benefiting patients with chronic non-communicable diseases (NCDs) such as systemic arterial hypertension and diabetes mellitus. This meta-analysis of randomized clinical trials aimed to assess the efficacy of telehealth-based interventions on disease control rates and clinical parameters among NCD patients, including systolic and diastolic blood pressure (SBP and DBP), fasting blood glucose (FBG), and glycated hemoglobin (HbA1c) levels. Methods We conducted searches in PubMed, Scopus, Web of Science, and the Cochrane Database for interventional studies that compared tele-monitoring with usual care in patients with hypertension and type 2 diabetes mellitus. Odds ratios with 95% confidence intervals (CIs) were computed. Results Our meta-analysis included 75 studies, encompassing a total of 106,261 patients, with 50,074 (47.12%) receiving usual care and 56,187 (52.88%) receiving tele-monitoring care. The telemedicine group was associated with a statistically significant reduction in SBP (mean difference (MD) −4.927 mmHg; 95% CI −6.193 to −3.660; p < 0.001; I² = 90%), DBP (MD −2.019 mmHg; 95% CI −2.679 to −1.359; p < 0.001; I² = 54%), FBG (MD −0.405 mmol/L; 95% CI −0.597 to −0.213; p < 0.001; I² = 32%), and HbA1c (MD −0.418%; 95% CI −0.525 to −0.312; p < 0.001; I² = 76%). Conclusions Our meta-analysis shows that telehealth technologies notably enhance blood pressure and blood glucose control. This supports integrating telemedicine into clinical protocols as a valuable complementary tool for managing hypertension and diabetes mellitus comprehensively.

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Blood pressure telemonitoring and telemedicine, a Latin America perspective

Cited by 2 publications

References 36 publications

The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

The effect of telehealth on clinical outcomes in patients with hypertension and diabetes: A meta-analysis of 106,261 patients

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