Australian Family Physician
Australian Family Physician


Volume 38, Issue 3, March 2009

A cardiovascular risk clinic using home BP monitoring

Patrick D Byrnes Margaret Crawford Geoffrey K Mitchell Colleen McGoldrick
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Hypertension is the most common chronic condition managed in general practice, but blood pressure (BP) control is often suboptimal. Home blood pressure (HBP) monitoring can be more accurate than office based BP (OBP) monitoring, with HBP readings ~10/5 mmHg lower than OBP in the same patients.
This is the first study in standard Australian general practice using both a comprehensive clinic approach and HBP readings exclusively. This study provided a feasible management protocol and practical clinical performance indicators that could be used for a randomised controlled trial. Significantly better control rates were achieved compared with published studies for BP control.
Of 524 eligible patients, 414 (79%) enrolled in the clinic, of whom 89% completed the trial. At 12 months, HBP control rates rose from 29.9% to 44.8%, with mean HBP falling 5.2/3.2 mmHg (p<0.001). Home BP monitor ownership rose from 54.3 to 82.9%.

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