In a study from the University of Missouri, scientists found that a doctor’s decision not to intensify high blood pressure treatment is often an appropriate choice.
In two-thirds of cases where physicians did not change treatment for patients with high blood pressure, patients’ blood pressure returned to normal in follow-up readings taken at home.
In the study, the team tracked 90 patients with high blood pressure to understand the role that follow-up home blood pressure measures could play in understanding cases of “therapeutic inertia.”
About 66% of patients who had a blood pressure reading of 140/90 or higher when they were in the clinic and whose doctors did not change their treatment, had average readings under 140/90 when patients took their blood pressure at home.
According to the team, there are implications for health care quality metrics.
Doctors’ success rates in controlling high blood pressure are based solely on clinic blood pressure rates.
The team extrapolated the home blood pressure metrics to show that when home metrics replaced clinical ones, the department’s hypertension control success rates rose from 58% to 86%.
They concluded that most validated home blood pressure should be accepted and preferred for physician hypertension performance measures.
Additionally, when surveyed after the home blood pressure reading intervention, participants shared that home blood pressure monitoring enhanced their understanding of blood pressure control.
About 83% of participants agreed that they would consider buying a home blood pressure monitor if it was covered by insurance.
If you care about high blood pressure, please read studies about how fasting may help reverse high blood pressure naturally, and how to eat less salt to protect your blood pressure and heart health.
For more information about blood pressure, please see recent studies about why people with high blood pressure more likely to have severe COVID-19, and results showing when it comes to accurate blood pressure readings, cuff size matters.
The study was published in The Annals of Family Medicine and conducted by Sonal J. Patil, et al.
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