Centre for Epidemiological Studies and Clinical Trials, Shanghai Key Laboratory of Hypertension, Department of Hypertension, Ruijin Hospital, The Shanghai Institute of Hypertension, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
J Clin Hypertens (Greenwich). 2021 Mar;23(3):435-439. doi: 10.1111/jch.14194. Epub 2021 Jan 23.
The prevalence of hypertension is high and still increasing in almost all communities regardless of high, middle, or low income. The control rate remains low in most countries. Telemedicine offers possibilities to improve blood pressure control. The past two decades witnessed the fast evolving telecommunication from telephone transmission to smart mobile phone technology for telemedicine. There is some evidence from randomized controlled trials that telemonitoring improves blood pressure control. However, it requires co-interventions. The emerging new technology may offer even more possibilities in telemonitoring and co-interventions, for instance, an interactive platform between patients and health professionals for the management of hypertension. Telemedicine might ultimately change the situation of the unsatisfactory management of hypertension in many communities. It helps fully utilize antihypertensive treatment, the most effective cardiovascular prevention, to achieve the goal of ending atherosclerosis and arteriosclerosis in humans.
高血压的患病率在几乎所有社区都很高,且仍在不断上升,无论这些社区的收入水平高、中还是低。在大多数国家,高血压的控制率仍然很低。远程医疗提供了改善血压控制的可能性。在过去的二十年中,远程医疗见证了从电话传输到智能移动电话技术的快速发展。一些随机对照试验的证据表明,远程监测可以改善血压控制。然而,这需要共同干预。新兴的新技术可能在远程监测和共同干预方面提供更多的可能性,例如,患者和卫生专业人员之间的互动平台,用于高血压的管理。远程医疗最终可能改变许多社区中高血压管理不理想的局面。它有助于充分利用降压治疗,这是最有效的心血管预防措施,以实现人类终止动脉粥样硬化和动脉硬化的目标。