Virtual management of hypertension: lessons from the COVID-19 pandemic–International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

  • Nadia A. Khan
    Department of Medicine, Center for Health Evaluation and Outcomes Sciences, University of British Columbia, Vancouver, Canada
  • George S. Stergiou
    Hypertension Centre STRIDE, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece
  • Stefano Omboni
    Clinical Research Unit, Italian Institute of Telemedicine, Varese, Italy
  • Kazuomi Kario
    Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
  • Nicolas Renna
    National University of Cuyo, Mendoza, Argentina
  • Niamh Chapman
    Menzies Institute for Medical Research, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
  • Richard J. McManus
    Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
  • Bryan Williams
    Institute of Cardiovascular Science, University College London (UCL), National Institute for Health Research (NIHR), UCL Hospitals Biomedical Research Centre, London, UK
  • Gianfranco Parati
    Department of Medicine and Surgery, University of Milano-Bicocca and IRCCS, Istituto Auxologico Italiano, Milan, Italy
  • Aleksandra Konradi
    Almazov National Medical Research Centre, Saint-Petersburg, Russia
  • Shariful M. Islam
    Institute for Physical Activity and Nutrition, Deakin University, Melbourne, Australia
  • Hiroshi Itoh
    Department of Endocrinology, Metabolism and Nephrology, School of Medicine, Keio University, Tokyo, Japan
  • Ching S. Mooi
    Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan, Malaysia
  • Bev B. Green
    Kaiser Permanente Washington Health Research Institute, United States; Kaiser Permanente Washington Medical Group, Washington, USA
  • Myeong-Chan Cho
    Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea
  • Maciej Tomaszewski
    Division of Cardiovascular Sciences, Faculty of Medicine, Biology and Health, University of Manchester

Abstract

<jats:sec> <jats:title /> <jats:p>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.</jats:p> <jats:p>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.</jats:p> </jats:sec>

Journal

  • Journal of Hypertension

    Journal of Hypertension 40 (8), 1435-1448, 2022-08

    Ovid Technologies (Wolters Kluwer Health)

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