DO WE USE THE RESULTS OF AMBULATORY AND HOME BLOOD PRESSURE TELEMONITORING PROPERLY?

Objective: The comparability of both methods (ABPM or HBPM) was presented on ESH Meeting in Athens. Aim of the study was to show how their results are used in practice by the medical professionals. Design and method: BP monitor Fora P30Plus was used both for office BP and 3 months home BP telemonitoring (HBPTM) study in triplets on each occasion. Frequency of ABPM (SEIVA TonoTrack) measurement was 15 min during day and 30 min during night. 144 treated essential hypertensives aged 24-85 years, 60% males, were referred by their physicians as well controlled. Their therapy was not changed during this study. BP and HR values were accessible to patients and their physicians on a secured server. Results: Daytime ABPM (mean SBP) was consistently significantly higher by approximately 3 mmHg compared to HBPTM. When the study started we found out hypertension in 49% (daytime ABPM) and in 56% (ABPM/24 h) of referred well controlled patients, respectively. Mean SBP in both cases increased in ca 50%, decreased in ca 45% and did not changed in ca 3% of patients (mmHg) during the study. Cases of hypertension without change of therapy decreased to 38 and 35%, respectively at the end of the study. HBPTM showed similar results, sometimes oscillating below and above the borderline. Conclusions: HBPTM has the advantage of more frequent repeating to enable a fine and safe titration of medication.