Home Blood Pressure Monitoring and Its Association With Blood Pressure Control Among Hypertensive Patients With High Cardiovascular Risk in China

作     者：Jiaying Li Aoxi Tian Jiamin Liu Jinzhuo Ge Yue Peng Xiaoming Su Jing Li Jiaying Li;Aoxi Tian;Jiamin Liu;Jinzhuo Ge;Yue Peng;Xiaoming Su;Jing Li

作者机构：National Clinical Research Center for Cardiovascular DiseasesNational Health Commission Key Laboratory of Clinical Research for Cardiovascular MedicationsState Key Laboratory of Cardiovascular DiseaseFuwai HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeNational Center for Cardiovascular DiseasesBeijing 100037China 

出 版 物：《Cardiology Discovery》 (心血管病探索（英文）)

年 卷 期：2024年第4卷第1期

页      面：15-22页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：supported by the National Key Research and Development Program of China(2018YFC1312404,2018YFC1312400) by the National Clinical Research Center for Cardiovascular Diseases,Fuwai Hospital,Chinese Academy of Medical Sciences(NCRC2021001) 

主　　题：Hypertension Home blood pressure monitoring Blood pressure control Medication adherence 

摘      要：Objective:Home blood pressure monitoring(HBPM)is viewed as a facilitating factor in the initial diagnosis and long-term management of treated ***,evidence remains scarce about the effectiveness of HBPM use in the real *** study aimed to examine the associations of HBPM use with blood pressure(BP)control and medication ***:This prospective cohort study included hypertensive patients with high cardiovascular risk who were aged≥50 *** baseline,information about types of BP monitor,frequency of HBPM,perception of anti-hypertensive treatment,and measured office BP were *** the 1-year follow-up(visits at 1,2,3,6,and 12 months),information on medication adherence was collected at each *** 2 major outcomes were BP control at baseline and medication adherence during the 1-year follow-up.A log-binomial regression model was used to examine the association between frequency of HBPM and outcomes,stratified by the perceptions of anti-hypertensive ***:A total of 5,363 hypertensive patients were included in the *** age was(64.6±7.2)years,and 41.2%(2,208)were *** the total patients,85.9%(4,606)had a home BP monitor and 47.8%(2,564)had an incorrect perception of anti-hypertensive ***,24.2%(1,299)of patients monitored their BP daily,37.6%(2,015)weekly,17.3%(926)monthly,and 20.9%(1,123)less than *** baseline,the systolic BP and diastolic BP were(146.6±10.8)mmHg and(81.9±10.6)mmHg,respectively,and 28.5%(1,527)of patients had their BP *** of whether the patients had correct or incorrect perceptions of anti-hypertensive treatment,there is no significant association between HBPM frequency and BP control at *** the 1-year follow-up,23.9%(1,280)of patients had non-adherence to medications at least *** patients with an incorrect perception of anti-hypertensive treatment,those monitoring BP most frequently(daily)had the highest non-adherence rate(29.