Department of Medicine, Center for Health Evaluation and Outcomes Sciences, University of British Columbia, Vancouver, Canada.
Hypertension Centre STRIDE, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece.
J Hypertens. 2022 Aug 1;40(8):1435-1448. doi: 10.1097/HJH.0000000000003205.
The coronavirus disease 2019 pandemic caused an unprecedented shift from in person care to delivering healthcare remotely. To limit infectious spread, patients and providers rapidly adopted distant evaluation with online or telephone-based diagnosis and management of hypertension. It is likely that virtual care of chronic diseases including hypertension will continue in some form into the future. The purpose of the International Society of Hypertension's (ISH) position paper is to provide practical guidance on the virtual management of hypertension to improve its diagnosis and blood pressure control based on the currently available evidence and international experts' opinion for nonpregnant adults. Virtual care represents the provision of healthcare services at a distance with communication conducted between healthcare providers, healthcare users and their circle of care. This statement provides consensus guidance on: selecting blood pressure monitoring devices, accurate home blood pressure assessments, delivering patient education virtually, health behavior modification, medication adjustment and long-term virtual monitoring. We further provide recommendations on modalities for the virtual assessment and management of hypertension across the spectrum of resource availability and patient ability.
2019 年冠状病毒病大流行导致医疗保健从面对面服务向远程服务进行了前所未有的转变。为了限制传染病的传播，患者和医务人员迅速采用了在线或电话为基础的远程诊断和高血压管理方法。未来，包括高血压在内的慢性病的虚拟护理可能会以某种形式继续存在。国际高血压学会（ISH）立场文件的目的是根据现有证据和国际专家意见，为非孕妇成年人提供高血压虚拟管理的实用指南，以改善其诊断和血压控制。虚拟护理是指通过医疗保健提供者、医疗保健使用者及其护理圈之间的沟通，在远程提供医疗保健服务。本声明就以下方面提供了共识指导：选择血压监测设备、准确的家庭血压评估、虚拟患者教育、健康行为改变、药物调整和长期虚拟监测。我们还就各种资源可用性和患者能力的虚拟评估和管理高血压的方式提供了建议。
