Telemedicine and out-of-office blood pressure monitoring: up-to-date view of ESC/ESH
https://doi.org/10.18705/1607-419X-2018-24-6-631-636
Abstract
The 2018 Joint Guidelines of the European Society of Cardiology and the European Society of Hypertension Specialists present a successful attempt to revise the approach to one of the most prevalent health problems worldwide. For more than two years, a Task Force of experts from the two Societies have assessed and have investigated the most recent scientific advances in the field of hypertension (HTN) in order to provide doctors with the adequate diagnostic tools, evaluation of cardiovascular risk and the optimal drug treatment. Undoubtedly, among a number of crucial changes of target blood pressure (BP) range along with the new sections dedicated to HTN in different circumstances, one can notice equally valuable, albeit subtle remarks about out-of-office BP and closely related telehealth. Extensive use of ambulatory and self-BP monitoring forced to match it to office BP. Booming information and communication technologies applied successfully in various therapeutic areas and have taken place in the Guidelines. From now digital health becomes a piece of the follow-up and adherence control. This brief report highlights the current position of European experts on telemedicine and outpatient methods of monitoring blood pressure.
About the Authors
M. V. Ionov
Almazov National Medical Research Centre; ITMO University.
Mikhail V. Ionov, MD, PhD Student, Junior Researcher, Research Laboratory of Pathogenesis and Treatment of Hypertension, Department of Hypertension, Almazov National Medical Research Center; Junior Researcher, Translational Medicine Institute, ITMO University.
2 Akkuratov street, St Petersburg, 197341.
N. E. Zvartau
Almazov National Medical Research Centre; ITMO University.
Nadezhda E. Zvartau, MD, PhD, Head, Organizational-methodological Department on Cardiology and Angiology; Head, Organizational-methodological Department on Cardiology and Angiology, Almazov National Medical Research Center; Senior Researcher, Translational Medicine Institute, ITMO University. St Petersburg.
Nadezhda E. Zvartau, MD, PhD, Head, Organizational-methodological Department on Cardiology and Angiology; Head, Organizational-methodological Department on Cardiology and Angiology, Almazov National Medical Research Center; Senior Researcher, Translational Medicine Institute, ITMO University. St Petersburg.
A. O. Konradi
Almazov National Medical Research Centre; ITMO University.
Aleksandra O. Konradi, MD, PhD, DSc, Professor, Corresponding Member of RAS; the Deputy Director General of Science; Almazov National Medical Research Centre; Translational Medicine Institute, Head; ITMO University. St Petersburg.
Aleksandra O. Konradi, MD, PhD, DSc, Professor, Corresponding Member of RAS; the Deputy Director General of Science; Almazov National Medical Research Centre; Translational Medicine Institute, Head; ITMO University. St Petersburg.
References
1. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants. Lancet Lond Engl 2017;389:37–55. doi:10.1016/S0140-6736(16)31919-5.
2. Chow CK, Teo KK, Rangarajan S, Islam S, Gupta R, Avezum A, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA 2013;310:959–68. doi:10.1001/jama.2013.184182.
3. Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: A systematic review and meta-analysis. Medicine (Baltimore) 2017;96:e5641. doi:10.1097/MD.0000000000005641.
4. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Eur Heart J. 2018 Sep 1;39(33):3021-3104. doi: 10.1093/eurheartj/ehy339.
5. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 2016;37:2315–81. doi:10.1093/eurheartj/ehw106.
6. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J 2013;34:2159–219. doi:10.1093/eurheartj/eht151.
7. Kallioinen N, Hill A, Horswill MS, Ward HE, Watson MO. Sources of inaccuracy in the measurement of adult patients’ resting blood pressure in clinical settings: a systematic review. J Hypertens 2017;35:421–41. doi:10.1097/HJH.0000000000001197.
8. Pickering TG, White WB, on behalf of the American Society of Hypertension Writing Group. ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring. When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring. J Clin Hypertens 2008;10:850–5. doi:10.1111/j.1751-7176.2008.00043.x.
9. Stergiou G, Argyraki K, Moyssakis I, Mastorantonakis S, Achimastos A, Karamanos V, et al. Home Blood Pressure Is as Reliable as Ambulatory Blood Pressure in Predicting Target-Organ Damage in Hypertension. Am J Hypertens 2007;20:616–21. doi:10.1016/j.amjhyper.2006.12.013.
10. Hodgkinson J, Mant J, Martin U, Guo B, Hobbs FDR, Deeks JJ, et al. Relative effectiveness of clinic and home blood pressure monitoring compared with ambulatory blood pressure monitoring in diagnosis of hypertension: systematic review. BMJ 2011;342:d3621. doi:10.1136/bmj.d3621.
11. Nasothimiou EG, Karpettas N, Dafni MG, Stergiou GS. Patients’ preference for ambulatory versus home blood pressure monitoring. J Hum Hypertens 2014;28:224–9. doi:10.1038/jhh.2013.104.
12. Banegas JR, Ruilope LM, de la Sierra A, Vinyoles E, Gorostidi M, de la Cruz JJ, et al. Relationship between Clinic and Ambulatory Blood-Pressure Measurements and Mortality. N Engl J Med 2018;378:1509–20. doi:10.1056/NEJMoa1712231.
13. Tucker KL, Sheppard JP, Stevens R, Bosworth HB, Bove A, Bray EP, et al. Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis. PLoS Med 2017;14:e1002389. doi:10.1371/journal.pmed.1002389.
14. Глобальная обсерватория ВОЗ по электронному здравоохранению, Том 2 - Телемедицина: возможности и положение дел в государствах-членах. n.d.
15. Cowie MR, Bax J, Bruining N, Cleland JGF, Koehler F, Malik M, et al. e-Health: a position statement of the European Society of Cardiology. Eur Heart J 2016;37:63–6. doi:10.1093/eurheartj/ehv416.
16. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertens Dallas Tex 1979 2018;71:1269–324. doi:10.1161/HYP.0000000000000066.
17. Omboni S, Caserini M, Coronetti C. Telemedicine and M-Health in Hypertension Management: Technologies, Applications and Clinical Evidence. High Blood Press Cardiovasc Prev Off J Ital Soc Hypertens 2016;23:187–96. doi:10.1007/s40292-016-0143-6.
18. Ионов М.В., Юдина Ю.С., Авдонина Н.Г., Емельянов И.В., Курапеев Д.И., Звартау Н.Э., Конради А.О. Пациент-ориентированный подход к оценке эффективности телемониторирования артериального давления и дистанционного консультирования при артериальной гипертензии: пилотный проект. Артериальная гипертензия. 2018;24(1):15-28. https://doi.org/10.18705/1607-419X-2018-24-1-15-28
19. Kaambwa B, Bryan S, Jowett S, Mant J, Bray EP, Hobbs FDR, et al. Telemonitoring and self-management in the control of hypertension (TASMINH2): a cost-effectiveness analysis. Eur J Prev Cardiol 2014;21:1517–30. doi:10.1177/2047487313501886.
20. Parati G, Dolan E, McManus RJ, Omboni S. Home blood pressure telemonitoring in the 21st century. J Clin Hypertens Greenwich Conn 2018;20:1128–32. doi:10.1111/jch.13305.
Review
For citations:
Ionov M.V., Zvartau N.E., Konradi A.O. Telemedicine and out-of-office blood pressure monitoring: up-to-date view of ESC/ESH. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2018;24(6):631-636. (In Russ.) https://doi.org/10.18705/1607-419X-2018-24-6-631-636
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