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Self-Measured Blood Pressure Monitoring

Slide: 25 of 27

Knowledge Gaps and Future Research Needs (2 of 3)

Existing trials may have included varying proportions of individuals with uncontrolled hypertension or white coat hypertension, which may have masked the potential benefits of SMBP monitoring. In future trials, SMBP monitoring may be used to stratify patients on the basis of their BP abnormality as uncontrolled hypertension or masked hypertension. In patients with consistently elevated BP at home and in the clinic, SMBP monitoring should be examined for its effects on BP control and adherence. In patients with white coat hypertension, SMBP should be examined for the adequacy of BP control achieved and avoidance of overtreatment.

Given that SMBP monitoring can be burdensome over time, future research studies should compare different monitoring schedules with the goal of finding the least burdensome protocol.

There is a paucity of data for clinical event outcomes in this review; future studies should examine the effects of SMBP monitoring on clinical events in addition to BP control. This will require durations of followup >1 year.