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Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper
Open accessAbstract
Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients’ access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.
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“The potential importance of HBPT has been further emphasized by the difficulties in managing patients, including those with hypertension, at the time of coronavirus disease 2019 (COVID-19) outbreak [119]”
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“and to achieve more satisfactory hypertension control rates [57,112–115]”
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Metadata
- Authors
- Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., Logan, A. G., Magid, D. J., Mckinstry, B., Margolis, K. L., Parati, G., & Wakefield, B. J.
- Affiliations
- Sechenov University (RU)
- University of Oxford (GB)
- Duke University (US)
- King's College London (GB)
- Kaiser Permanente Washington Health Research Institute (US)
- Jichi Medical University (JP)
- Mount Sinai Hospital (CA)
- Colorado Permanente Medical Group (US)
- University of Edinburgh (GB)
- HealthPartners (US)
- IRCCS Istituto Auxologico Italiano (IT)
- University of Missouri (US)
- ORCID
- Venue
- Hypertension
- Published
- 2020-11
- Volume
- 76
- Issue
- 5
- Pages
- 1368-1383
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W3086532707
- Cited by
- 307
- References
- 98
- Citations by year
- 2026: 37 · 2025: 44 · 2024: 47 · 2023: 67 · 2022: 66 · 2021: 45
- FWCI
- 33.37
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Funders
- U.S. Department of Veterans Affairs (IK6 HX003161)
- National Institute for Health and Care Research (NIHR200201, NIHR-RP-02-12-015, RP-2014-05-019)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- telemedicine, hypertension, remote blood pressure monitoring, medication adherence, lifestyle education, video consultation, COVID-19 pandemic, hypertension screening, older adults, medically underserved populations, high-risk hypertensive patients, multidisciplinary care, automated feedback
- MeSH terms
- COVID-19, Blood Pressure Determination, Cross Infection, Female, Humans, Hypertension, Italy, Male, Pneumonia, Viral, Severity of Illness Index, Occupational Health, Telemedicine, Coronavirus Infections, Evidence-Based Medicine, Disease Management, Pandemics, Patient Safety
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