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Hypertension & Stroke

From the Current Issue

New Research:
Home Monitoring Improves Blood Pressure Control

People with hypertension who monitor their own blood pressure at home may be more likely to keep it under control than those who have their blood pressures checked at outpatient clinics or doctors’ offices, according to a new report.

The researchers performed a meta-analysis of 18 studies including a total of 1,359 people with hypertension who monitored their blood pressure at home and 1,355 others who received standard monitoring in the health care system. Patients were followed for 2 to 36 months.

Compared with people who had standard blood pressure monitoring, those who monitored their blood pressure at home had lower diastolic and systolic blood pressures and were 10% less likely to see their blood pressure climb above recommended targets.

Although the differences in blood pressure seen between the two groups were relatively small—around 2 mm Hg for both systolic and diastolic readings—they would be sufficient to significantly reduce the likelihood of hypertension complications such as stroke and heart attack in the general population, the researchers conclude. What’s more, they note, home monitoring may benefit patients by helping them become more involved in managing their own blood pressure.

Volume 329, page 145
July 17, 2004


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Hypertension & Stroke

The Hypertension and Stroke White Paper from the Johns Hopkins White Papers series is an annual, in-depth report written by Johns Hopkins physicians.



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