Exploring Digital Management of Hypertension:Design and Practice of Home Blood Pressure Monitoring in the FAIR Study
Objective To explore the application of digital home blood pressure monitoring(HBPM)management in hypertensive patients and analyze indicators such as blood pressure variability.Methods Subjects participating in the FAIR-pilot study and undergoing HBPM from February 1,2023 to January 15,2024 were included.HBPM data were automatically uploaded using Bluetooth blood pressure monitors and integrated with WeChat mini program.HBPM data,blood pressure variability at different time periods,and usage of the mini program were analyzed.Results A total of 86 eligible subjects were included,with 53 males(61.6％)and a mean age of(61.70±9.81)years.A total of 23 277 HBPM blood pressure readings were analyzed.The overall variability of morning systolic blood pressure was(17.31± 67.34)mm Hg,and the variability of evening systolic blood pressure was(13.75±36.10)mm Hg.The variability of morning diastolic blood pressure was(5.87±1.81)mm Hg,and the variability of evening diastolic blood pressure was(6.22±3.66)mm Hg.Overall subject activity on the mini program showed a decreasing trend over time but remained above 80％overall activity.Conclusion Digital HBPM management based on novel information technology is feasible in the field of hypertension.Compared to systolic blood pressure,diastolic blood pressure variability in HBPM may serve as a more stable indicator of variability.However,standardized HBPM processes still require further research and promotion.
Home blood pressure monitoringBlood pressure variabilityDigital managementInformation technology
NETL
NSTL
万方数据
