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REFLECTIONS
Hypertension
Hypertension Global Newsletter #9 2025

CLINICAL PEARLS FROM THE FACULTY CLICK HERE Hypertension
FOR THE LINK TO FULL ARTICLE

WATCH
VIEW COMMENTARY FROM DR.
FIKRLE DISCUSSING THE CLINICAL
RELEVANCE OF THE ARTICLE.

Effect of telemonitoring and home blood pressure monitoring on blood pressure

reduction in hypertensive adults: A network meta-analysis.
Grover S, et al. J Hypertens. 2025 Jul;43(7):1091-1098.

Despite the high prevalence of hypertension worldwide, fewer than half receive treatment and only about 20% achieve
adequate BP control. Uncontrolled hypertension significantly increases the risk of stroke, MI, heart failure, and chronic
kidney disease (CKD), underscoring the need for improved management strategies beyond usual office-based monitoring.
Two alternatives that have gained attention are home blood pressure monitoring (HBPM), which can mitigate the ‘white-coat
effect’ and improve adherence, and telemonitoring (TM), which allows electronic transmission of home BP data to healthcare
providers for more proactive management.

This network meta-analysis aimed to systematically compare the BP-lowering effects of TM, HBPM, and usual care in adults
with hypertension. The authors performed a literature search through May 15, 2024, identifying randomised clinical trials
(RCTs) lasting at least one month and reporting changes in SBP or DBP. In total, 24 RCTs with over 7000 participants were
included. Analyses were conducted using a frequentist framework and random-effects model.

Forest plot and ranking table of network meta-analysis results
for change in systolic (left) and diastolic (right) BP (mmHg)

BP, blood presssure; CI, confidence interval; MD, mean difference.

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