Kozlovsky V.I., Simanovich A.V.
Blood pressure long-term self-monitoring method. Focus on increasing the effectiveness of treatment
Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University», Vitebsk, Republic of Belarus
Vestnik VGMU. 2016;15(1):63-69.
Objectives. To evaluate the benefits of arterial blood pressure (ABP) self-monitoring.
Material and methods. The study involved 352 patients with arterial hypertension (AH) of the 2nd degree of risks 2-3, who were divided into two groups. Group 1 did not use the blood pressure self-monitoring method, patients in the second group independently measured their blood pressure during one year. The analysis of the adherence to the treatment one year before and after inclusion in the survey was made, in 12,8±1,2 months we estimated the number of adverse events, including transient ischemic attacks, strokes, cases of unstable angina pectoris, myocardial infarctions, paroxysmal atrial fibrillation, deaths from cardiovascular diseases, emergency calls, hospitalizations, visits to the out-patient department apropos of cardiovascular diseases.
Results. The adherence to the therapy one year before inclusion in the study in both groups, as well as in the first group after one-year observation did not have any statistically significant differences. In the second group after one year of observation there were significantly more patients taking antihypertensive agents (AHA) daily, significantly less patients who took antihypertensive agents only on the increase of blood pressure or did not take them at all (p<0,05) compared to the period one year before the inclusion in the survey.
In the group of patients with blood pressure self-monitoring we observed significantly fewer visits to the polyclinic, emergency calls, hospitalizations, as well as the smaller total number of strokes, myocardial infarctions, deaths from cardiovascular diseases, the total number of cardiovascular events (strokes, myocardial infarctions, paroxysmal atrial fibrillation, cases of unstable angina pectoris) and the total number of events (strokes, myocardial infarctions, paroxysmal atrial fibrillation, cases of unstable angina pectoris, visits to the out-patient department, emergency calls, hospitalizations) within one year of observation.
Conclusions. Long-term arterial blood pressure self-monitoring is an inexpensive and effective method that allows to control effectively the level of blood pressure, improve treatment adherence, reduce the risk of adverse events development in patients with arterial hypertension.
Key words: arterial hypertension, self-monitoring of blood pressure, treatment effectiveness.
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