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In patients with uncomplicated hypertension, home blood pressure (BP) monitoring combined with medication self-titration has been shown to substantially reduce BP.1 It is unknown whether a similar intervention is effective in high-risk patients with hypertension.
Patients (n=555) aged ≥35 years with a BP ≥130/80 mm Hg, but ≤180/100 mm Hg (treated with 0–3 antihypertensive drugs) and ≥1 high-risk condition were randomly assigned to home BP monitoring with patient-initiated drug titration (intervention arm) or standard care. In the intervention arm, patients and their general practitioner (GP) developed an individualised three-step titration plan at baseline. Patients then measured home BP daily for the first …
Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.