Hypertension and nephrology

[Telemedicine care for high-risk hypertensive patients with antihypertensive for reaching better blood pressure target ratio and smaller blood pressure variability]

KISS István1, ÁDÁM Ágnes2, HERCZEG Béla3, MATOLTSY András4, POÓR Ferenc5, SZEGEDI János6, VÁRALLYAY Zoltán5, PAKSY András7, KÉKES Ede8

SEPTEMBER 14, 2018

Hypertension and nephrology - 2018;22(03 klsz)

[Telehealth care of high-risk hypertensive patients for a better target blood pressure and smaller size blood pressure fluctuation. Authors conducted a one-year, multicentre, prospective, observational study with no intervention. Their aim was to achieve better targeting and smaller blood pressure fluctuation in patients with high risk hypertensive patients with the new type of doctorpatient co-operation and telemedicinal care than the conventional control method. In the active group, 50 patients, in the non-active group 47 treated hypertensive patients were analysed. During the observation period (1 year) the mean (± SD) of the systolic blood pressure decreased from 143.3 (15.1) mmHg to 134.5 (9.2) mmHg in the active group, but in the non-active group there was no significant decrease. The target blood pressure (< 140/90 mmHg) could be increased from 46% to 62%. The two characteristics of interpersonal visit-to-visit variability index. The standard deviation (SD) and variation coefficient (VC) showed a significant decrease in the active group. There was no change in the inactive group. A method supported by telemedicine-assisted and better patientphysician- assistant co-operation is suitable for increasing target blood pressure rates and reducing blood pressure fluctuation.]

AFFILIATIONS

  1. Semmelweis Egyetem, Általános Orvostudományi Kar, II. Sz. Belgyógyászati Klinika, Geriátriai Tanszéki Csoport, Budapest, Szent Imre Oktató Kórház, NephrologiaHypertonia Profil, Budapest
  2. Drádám Egészségügyi Szolgálat – Zugló, Hypertonia Centrum, Budapest
  3. Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház és Rendelôintézet, Kardiológiai Osztály, Szolnok
  4. Kanizsai Dorottya Kórház, Kardiológia, Nagykanizsa
  5. Karolina Kórház, Belgyógyászati Mátrix Osztály, Általános Kardiológiai Részleg/Hypertonia Decentrum, Mosonmagyaróvár
  6. Jósa András Oktatókórház, Nonprofit Kft., I. Sz. Belgyógyászati Osztály, B. Braun Avitum 2. Sz. Dialízisközpont, Nyíregyháza
  7. Aesculap Akadémia Doktorjelöltek Iskolája
  8. ny. egyetemi tanár, Pécs

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