Remote BP monitoring and online health guidance for predicting cardiovascular risk in morning hypertension patients / 中华老年心脑血管病杂志

ABSTRACT

Objective To study the clinical application of remote BP monitoring and online health guidance in predicting the risk of cardiovascular disease in morning hypertensive patients.Methods A total of 1200 morning hypertensive patients admitted to our hospital were randomly divided into observation group (n=600) and control group (n =600).The patients in observation group re ceived remote BP monitoring and online health guidance while those in control group received routine guidance.Their awareness rate of hypertension,control rate of BP,cardiac function index and incidence of cardiovascular events were recorded and compared before and after treatment.Results The awareness rate of hypertension and control rate of BP were significantly higher in observation group after treatment than before treatment (P＜0.05).The serum FPG,TG,AST levels and SBP,DBP,BMI were significantly lower while the serum ALT level was significantly higher in observation group after treatment than before treatment (P＜0.05).The LVEDD and LVESD were significantly shorter and the LVEF was significantly higher in observation group than in control group after treatment (53.16±8.25 mm vs 59.33±9.14 mm,37.16±2.13 mm vs 42.83± 1.35 mm,54.73％±2.63％ vs 51.95％ ± 1.96％,P＜0.05).The incidence of cardiovascular events was significantly lower in observation group than in control group (1.17％ vs 3.83％,P＜ 0.05).Conclusion Remote BP monitoring and online health guidance can effectively manage the risk factors for cardiovascular disease,improve the awareness rate of hypertension and control rate of BP,and reduce the incidence of cardiovascular events in morning hypertensive patients.