title: The effects of home blood pressure monitoring on blood pressure control and treatment planning.
abstract: OBJECTIVE
  Blood pressure monitoring is essential in hypertension, which is an important public health issue. Our objective was to compare the rates of blood pressure control and to investigate factors that affect blood pressure control in patients with hypertension.
  
  
  METHODS
  The records of 1006 patients with hypertension were examined retrospectively. The blood pressure control rates of the 394 patients who measured their blood pressure at home (group 1) and those who did not (group 2) were compared.
  
  
  RESULTS
  In group 1, the mean systolic and diastolic blood pressure was 123.91±12.63/78.64±8.92 mmHg measured at home, whereas it was 140.31±20.56/85.76±11.55 mmHg in the office setting (p<0.0001). In the total group (N=1006), the blood pressure control achievement rate was 56.1%. The number of cardiovascular events, hypertension duration, and the rate of being employed was higher in group 1 (p<0.0001, p<0.0001 and p=0.0001, respectively), while heart rate and grade 3-4 retinopathy was lower in group 1 (p<0.0001 for both) . Occupational status, geographical origin, BMI and the use of angiotensin converting enzyme (ACE) inhibitors were found to be the determinants of office BP control (p<0.05, p<0.05, p=0.001 and p<0.05, respectively), and BMI and grade 3-4 retinopathy findings were found to be the determinants of home BP control (p <0.05 for both).
  
  
  CONCLUSIONS
  Home blood pressure monitoring is useful in preventing complications and achieving therapy compliance and is essential in diagnosis and treatment planning of hypertension.
authors.affiliation: a Department of Internal Medicine , Istanbul University , Istanbul , Turkey.
authors.forename: Sacide
authors.initials: S
authors.lastname: Erden
authors.affiliation: b Cerrahpasa Medical School, Department of Endocrinology and Metabolism , Istanbul University , Istanbul , Turkey.
authors.forename: Hande
authors.initials: H
authors.lastname: Mefkure Ozkaya
authors.affiliation: c Department of Family Medicine , Istanbul University , Istanbul , Turkey.
authors.forename: Sabiha
authors.initials: S
authors.lastname: Banu Denizeri
authors.affiliation: d Emergency Department , Uludere State Government Hospital, Şırnak , Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Karabacak
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure; D018660:Blood Pressure Monitoring, Ambulatory / Q000706:statistics & numerical data*; D015992:Body Mass Index; D005260:Female; D006339:Heart Rate; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012959:Socioeconomic Factors
chemical_list: D000959:Antihypertensive Agents
keywords: Blood pressure; home monitoring; hypertension