• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Guided patient self-management of blood pressure medications effective

byKathleen YipandPriyanka Vedak
August 27, 2014
in Cardiology, Chronic Disease
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Self-monitoring followed by self-titration of anti-hypertensive medications using an individualized algorithm significantly lowered blood pressure in patients at high-risk of adverse cardiovascular events.

2. There was no difference in the incidence of adverse effects from anti-hypertensive medications in the two groups. 

Evidence Rating Level: 1 (Excellent)  

Study Rundown: Adequate blood pressure control is crucial to decreasing the risk of adverse cardiovascular outcomes. The Telemonitoring and Self-Management in Hypertension 2 (TASMINH 2) trial previously found that self-monitoring and self-titration of blood pressure medications led to a significantly lowered systolic blood pressure after 12 months compared to usual care. However, the trial included very few individuals with conditions such as diabetes or chronic kidney disease. Therefore this current study specifically examined the effects of self-management of blood pressure in patients at a higher risk of cardiovascular events. Patients were randomized to either usual care or self-monitoring of blood pressure and self-titration of anti-hypertensive medications using an individualized algorithm. The primary outcome was difference in systolic blood pressure after 12 months.

This study demonstrated that patients high-risk for adverse cardiovascular events were able to achieve statistically and clinically significant decreases in blood pressure by self-monitoring and self-titrating anti-hypertensive medications using an algorithm developed with their family physicians. Patients experienced a gradual but sustained decrease in blood pressure. Strengths included the recruitment of patients from an array of family practices in the UK. However, patients were largely white and well-educated, bringing into question the generalizability of this study. Overall, this study suggests that individuals at high-risk of cardiovascular disease with uncontrolled hypertension may benefit from self-management of blood pressure.

Click to read the study, published today in JAMA

RELATED REPORTS

Becton Dickinson Unveils Artificial Intelligence Powered Monitor for Surgery

Blood pressure readings remain consistent in noisy and public settings

Triplet therapy of telmisartan, amlodipine, and indapamide shows superior blood pressure control in hypertension management

Click to read the accompanying editorial, published today in JAMA

Relevant Reading: 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults(JNC 8)

In-Depth [randomized controlled trial]: Of the 450 people included in the primary analysis, 220 were randomized to intervention and 230 to usual care. In the control group, the mean baseline blood pressure was 143.6/79.5 mmHg while in the intervention group, it was 143.1/80.5 mmHg. After 12 months, the intervention group mean blood pressure was 137.8/76.3 mmHg while the control group mean blood pressure was 128.2/73.8 mmHg. This represents a difference of 9.2 mmHg (95% CI, 5.7-12.7) and 3.4 mmHg (95% CI, 1.8-5.0) in systolic and diastolic blood pressures, respectively. Although prescription of anti-hypertensive drugs increased in both groups over the 12 months in the study, a greater increase was noted in the intervention group. However, there were no significant differences between the two groups with regards to the percentage of patients who experienced adverse effects of anti-hypertensive medications were noted (p>0.10 in the ten most frequently reported adverse effects).

More from this author: Stroke within past 9 months linked with adverse surgical outcomes, Home initiation of HIV care increases anti-retroviral therapy use in Malawi, Immune-modulating enteral nutrition does not reduce infections in the ICU,Flexible sigmoidoscopy decreases colorectal cancer incidence and mortality 

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL 

Tags: blood pressure
Previous Post

Comorbidities of head and neck cancer may drive malnutrition

Next Post

Erythropoietin linked with reduced risk of brain injury in preterm infants

RelatedReports

Downward trend in mortality rate for antineutrophil cytoplasmic autoantibody-associated vasculitis
AI Roundup

Becton Dickinson Unveils Artificial Intelligence Powered Monitor for Surgery

May 28, 2025
UTI associated with increased risk of preeclampsia
Public Health

Blood pressure readings remain consistent in noisy and public settings

February 3, 2025
Out-of-hospital medication error rate unchanged in young children
Cardiology

Triplet therapy of telmisartan, amlodipine, and indapamide shows superior blood pressure control in hypertension management

October 31, 2024
#VisualAbstract: Home Blood Pressure Telemonitoring and Nurse Case Management Reduces Blood Pressure in Patients Post-Stroke
StudyGraphics

#VisualAbstract: Home Blood Pressure Telemonitoring and Nurse Case Management Reduces Blood Pressure in Patients Post-Stroke

July 15, 2024
Next Post
Erythropoietin linked with reduced risk of brain injury in preterm infants

Erythropoietin linked with reduced risk of brain injury in preterm infants

High mortality rates reported in ill patients with MERS-CoV

Low transmission in household contacts of patients with MERS-CoV

Successful regional implementation of pediatric chest pain algorithm

Higher cardiovascular mortality in low- and middle-income countries [PURE study]

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Fecal microbiota transplantation may be more effective than vancomycin in treating primary C. difficile infection
  • Frailty scores alone may be poor predictors of intensive care admission or hospital stay duration
  • Anal cancer screening cost-effective for men who have sex with men with human immunodeficiency virus aged above 35 years
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.