TITLE:
The Impact of Home Blood Pressure Measurement on Clinical Practice by Cardiologists over 5 Years—The LHAR Project
AUTHORS:
Sayuri Inuzuka, Audes Feitosa, Andrea Brandao, Eduardo Barbosa, Roberto Miranda, Marco Mota-Gomes, Priscila Vitorino, Weimar Sebba-Barroso
KEYWORDS:
Hypertension, Risk Factors, Blood Pressure Monitoring, Remote Patient Monitoring, Antihypertensive Agents, Clinical Practice Patterns
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.15 No.11,
November
18,
2025
ABSTRACT: Introduction: Inadequate blood pressure (BP) control is a significant challenge. Therapeutic decisions based on home blood pressure monitoring (HBPM) have been shown to lead to better blood pressure control compared to those based on office blood pressure (OBP) measurements alone. Objectives: To compare, over a five-year period, the annual BP control rates in hypertensive patients who were treated and monitored by the same cardiologists and who periodically used HBPM. Methodology: This was a multicenter study conducted with five cross-sectional analyses at annual intervals, with the first in 2019 and the last in 2023. OBP and HBPM measurements were performed according to current guidelines. Two cutoff points were considered for the analysis of BP control by OBP: Results: A total of 8,890 individuals with a mean age of 63.3 (±14.9) years were included, of whom 65.8% were women. A reduction in mean OBP values was observed between 2019-2020 and 2021-2022. There was also a reduction in the average number of antihypertensive medications used in 2020, with a mean of 1.99 medications taken that year. Compared to 2020, 2022 showed an improvement in control rates for OBP Conclusion: Continuous monitoring by the same physician and the use of home measurement tools can lead to better BP control in hypertensive patients.