Conclusion for high blood pressure
Conclusion for high blood pressure
This trial is expected to inform the choice of the home BP target, although it does not appear that it will provide evidence as to the effect of SMBP monitoring, per se. None of the comparative studies reviewed addressed Key Question 4 by examining the relationship between achieving BP control and clinical or surrogate outcomes. Since SMBP is a tool for patient participation, it is likely that its adoption by a patient is affected by a patient's attitudes and preferences for self-participation in disease management. Clinical review: the management of hypertensive crises. Further, studies varied regarding how many serial measurements were taken on each occasion, and which measurements were chosen or averaged. Diagnosis of a pheochromocytoma. Therefore, another outcome of interest to be examined in future comparative studies of SMBP is patients' understanding of disease and how this correlates with adherence to antihypertensive medication and with BP control. Future studies in individuals with masked hypertension should examine the effect of self-management of home BP on the adequacy of home BP control. These studies are primarily examining the effects of various types of additional support along with SMBP versus control on BP control. Other surrogate and intermediate outcomes and outcomes related to health care encounters were also inconsistently studied and reported across studies, further limiting the conclusions that can be drawn. N Engl J Med ; The methods of recording and transmitting BP readings were similarly diverse, including ad hoc or structured self-recording into fixed forms; automatic storage of readings; presentation of the readings to the physician, a nurse, or a research coordinator; manual or automatic transmission of readings via telephone or Web site; and other variations. Many clinicians consider self-monitoring of BP to be an educational tool to help patients become aware of their disease process, increase their commitment to BP normalization, recognize the importance of antihypertensive therapy, and increase adherence and persistence to BP lowering therapy.
These eligibility criteria likely selected groups of patients with lesser severities of illness, better functional and cognitive status, higher socio-economic status, and better family support, thus limiting applicability to the general population of adults under treatment for hypertension.
Limitations As discussed above, the present systematic review is subject to several important limitations.
Over the years, this increases your chances of developing heart disease, strokekidney failurediabeteseye diseaseerectile dysfunction and other conditions. Arch Intern Med ; This is represented by the top, higher number.
Summary of hypertension
Older studies used manual devices, while more recent studies used semiautomated or automated machines. Results on clinical outcomes for all comparisons were sparse or absent. Studies should then evaluate patients according to their pattern of BP abnormality prior to study enrollment. No abstract available. Many clinicians consider self-monitoring of BP to be an educational tool to help patients become aware of their disease process, increase their commitment to BP normalization, recognize the importance of antihypertensive therapy, and increase adherence and persistence to BP lowering therapy. For the comparison of SMBP plus additional support versus SMBP alone or with another type of additional support, the evidence was weak and failed to show a difference Clinical Heterogeneity Despite the ostensible similarity in research questions across studies, great clinical heterogeneity across the examined publications limits the conclusions that can be drawn. Some studies specifically stated exclusion of individuals with active acute illness or recent hospital admissions. The data on predictors of adherence with SMBP were scant. Duration of followup was limited and in most instances less than 12 months. A small number of studies reported quality of life or mental health outcomes but were inconclusive regarding the effect of SMBP. Ann Intern Med ;
When the heart is squeezing blood into the arteries, the pressure is high. Other important areas for future research include examining the role of various measures for improving the accuracy of and adherence with SMBP, as well as improving the transmission of SMBP information for decisionmaking.
Relationship of renal function to homocysteine and lipoprotein a levels: The frequency of the combination of both risk factors in chronic renal impairment.
The observed reduction in BP with SMBP was statistically significant at 6 months but clinically only of small to modest size. However, it is clear that various conditions and behaviour make high blood pressure more likely.
This is also known as hypertension.
Varon J, Marik PE.
based on 2 review