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Therapeutics
Home monitoring service was more effective than usual care in patients with essential hypertension

https://doi.org/10.1136/ebm.7.1.18

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    (2001) Ann Intern Med 134, 1024. Rogers MA, Small D, Buchan DA. , et al. . Home monitoring service improves mean arterial pressure in patients with essential hypertension. A randomized, controlled trial.. Jun 5;. :. –32.
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 QUESTION: In patients with essential hypertension, does a home monitoring service (HMS) improve mean arterial pressure more than usual care?

    Design

    Randomised (allocation concealed*), unblinded,* controlled trial with a median 11 weeks of follow up.

    Setting

    University affiliated primary care outpatient clinics in New York, USA.

    Patients

    121 patients (mean age 62 y, 50% women) with essential hypertension who needed to change their antihypertensive treatment because of elevated blood pressure (BP) despite current use of antihypertensive medication, with undesirable side effects from the current antihypertensive drug, or with an office systolic BP ≥ 180 mm Hg or a diastolic BP ≥ 110 mm Hg with no current use of medication. In patients with diabetes mellitus, heart disease, stroke, nephropathy, peripheral arterial disease, or hypertensive retinopathy, an office systolic BP ≥ 130 mm Hg or …

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    Footnotes

    • Source of funding: Welch Allyn, Inc.

    • For correspondence: Dr M A Rogers, Joint Research Program for Pediatrics and Family Medicine, Medical College of Ohio, 1015 Garden Lake Parkway, Toledo, OH 43614, USA. Fax +1 419 382 7876.

    • ↵* See glossary.