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Self-management effective for people with hypertension

Woman taking her blood pressure

Source: Image Point Fr /

Patients can manage their own blood pressure, suggests a new study

A recent trial in people with hypertension found that self-monitoring of blood pressure (BP) together with self-titration of antihypertensive medication resulted in better BP control compared with standard care.

This strategy has now been tested in high-risk patients, who have the most to gain from optimised BP control. Richard McManus from the University of Oxford and his team undertook TASMIN-SR, a randomised trial involving 552 patients with hypertension and at least one other high-risk condition, published in JAMA (online, 27 August 2014)[1].

After 12 months, BP had fallen significantly in patients who self-managed according to a prespecified algorithm, without an increase in adverse events.

“Patients at high risk of cardiovascular disease whose BP is not optimally controlled could be considered for self-management,” the researchers conclude.

Citation: The Pharmaceutical Journal DOI: 10.1211/PJ.2014.20066305

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