Journal article : Review
Medical telemonitoring for the management of hypertension in older patients in Japan
- Abstract:
- Hypertension is the most frequent modifiable risk factor associated with cardiovascular disease (CVD) morbidity and mortality. Even in older people, strict blood pressure (BP) control has been recommended to reduce CVD event risks. However, caution should be exercised since older hypertensive patients have increased physical vulnerability due to frailty and multimorbidity, and older patients eligible for clinical trials may not represent the general population. Medical telemonitoring systems, which enable us to monitor a patient's medical condition remotely through digital communication, have become much more prevalent since the coronavirus pandemic. Among various physiological parameters, BP monitoring is well-suited to the use of such systems, which enable healthcare providers to deliver accurate and safe BP management, even in the presence of frailty and/or living in geographically remote areas. Furthermore, medical telemonitoring systems could help reduce nonadherence to antihypertensive medications and clinical inertia, and also enable multi-professional team-based management of hypertension. However, the implementation of medical telemonitoring systems in clinical practice is not easy, and substantial barriers, including the development of user-friendly devices, integration with existing clinical systems, data security, and cost of implementation and maintenance, need to be overcome. In this review, we focus on the potential of medical telemonitoring for the management of hypertension in older people in Japan.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 591.3KB, Terms of use)
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- Publisher copy:
- 10.3390/ijerph20032227
Authors
- Publisher:
- MDPI
- Journal:
- International Journal of Environmental Research and Public Health More from this journal
- Volume:
- 20
- Issue:
- 3
- Article number:
- 2227
- Place of publication:
- Switzerland
- Publication date:
- 2023-01-26
- Acceptance date:
- 2023-01-24
- DOI:
- EISSN:
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1660-4601
- ISSN:
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1661-7827
- Pmid:
-
36767594
- Language:
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English
- Keywords:
- Subtype:
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Review
- Pubs id:
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1327628
- Local pid:
-
pubs:1327628
- Deposit date:
-
2023-05-25
Terms of use
- Copyright holder:
- Fujiwara et al
- Copyright date:
- 2023
- Rights statement:
- © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
- Licence:
- CC Attribution (CC BY)
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