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Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper.
Omboni, Stefano; McManus, Richard J; Bosworth, Hayden B; Chappell, Lucy C; Green, Beverly B; Kario, Kazuomi; Logan, Alexander G; Magid, David J; Mckinstry, Brian; Margolis, Karen L; Parati, Gianfranco; Wakefield, Bonnie J.
  • Omboni S; From the Clinical Research Unit, Italian Institute of Telemedicine, Varese (S.O.).
  • McManus RJ; Scientific Research Department of Cardiology, Science and Technology Park for Biomedicine, Sechenov First Moscow State Medical University, Russian Federation (S.O.).
  • Bosworth HB; Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom (R.J.M.).
  • Chappell LC; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, NC (H.B.B.).
  • Green BB; Department of Psychiatry and Behavioral Sciences (H.B.B.), Duke University, Durham, NC.
  • Kario K; Division of General Internal Medicine (H.B.B.), Duke University, Durham, NC.
  • Logan AG; Department of Population Health Sciences (H.B.B.), Duke University, Durham, NC.
  • Magid DJ; Women's Health Academic Centre, King's College London, United Kingdom (L.C.C.).
  • Mckinstry B; Kaiser Permanente Washington Health Research Institute, Seattle (B.B.G.).
  • Margolis KL; Department of Cardiology, Jichi Medical University School of Medicine, Tochigi, Japan (K.K.).
  • Parati G; Department of Medicine, Mount Sinai Hospital, University Health Network and University of Toronto, ON, Canada (A.G.L.).
  • Wakefield BJ; Colorado Permanente Medical Group, Denver and School of Public Health, University of Colorado, Aurora (D.J.M.).
Hypertension ; 76(5): 1368-1383, 2020 11.
Article in English | MEDLINE | ID: covidwho-2153222
ABSTRACT
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Cross Infection / Telemedicine / Coronavirus Infections / Pandemics / Hypertension Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Hypertension Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Cross Infection / Telemedicine / Coronavirus Infections / Pandemics / Hypertension Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Hypertension Year: 2020 Document Type: Article