Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care

<p>Background</p><p>The effective diagnosis and management of hypertension is one of the most important parts of cardiovascular prevention internationally and this is no different in the United Kingdom. Approximately 14% of the UK population currently receive treatment for hyperten...

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Autores principales:	James P. Sheppard, Claire L. Schwartz, Katherine L. Tucker, Richard J. McManus
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	blood pressure hypertension self-monitoring home monitoring self-management Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bcda12415b794d5ca24a07597b6df75d
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spelling	oai:doaj.org-article:bcda12415b794d5ca24a07597b6df75d2021-12-02T04:11:04ZModern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care2214-999610.1016/j.aogh.2016.02.005https://doaj.org/article/bcda12415b794d5ca24a07597b6df75d2016-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/745https://doaj.org/toc/2214-9996<p>Background</p><p>The effective diagnosis and management of hypertension is one of the most important parts of cardiovascular prevention internationally and this is no different in the United Kingdom. Approximately 14% of the UK population currently receive treatment for hypertension. Recent UK guidelines from the National Institute of Health and Care Excellence have placed greater emphasis on the utilization of out-of-office measurement of blood pressure to more accurately diagnose hypertension.</p><p>Objective</p><p>The aim of the present study was to provide a state-of-the-art review of the evidence for screening, diagnosing, and managing hypertension, as implemented in the United Kingdom, with an emphasis on the role of self-monitored and ambulatory blood pressure monitoring in routine clinical care.</p><p>Method</p><p>Consideration was given to the use of ambulatory and home monitoring to confirm a diagnosis of hypertension and the use of self-monitoring and self-management to monitor and guide treatment. The evidence for the use of self-monitoring in patients with hypertension was examined, both in isolation, and in combination with lifestyle and treatment interventions.</p><p>Findings</p><p>There is a place for self-monitored blood pressure in specific underresearched populations such as the elderly, specialist conditions, ethnic groups, and during pregnancy and this is discussed here.</p><p>Conclusions</p>The evidence supporting the use of out-of-office monitoring in all aspects of routine clinical care has increased substantially in recent years and is reflected in increased utilization by patients and clinicians alike. Several areas require further research but it is clear that out-of-office monitoring is here to stay and is fast becoming an important part of hypertension management in the United Kingdom.James P. SheppardClaire L. SchwartzKatherine L. TuckerRichard J. McManusUbiquity Pressarticleblood pressurehypertensionself-monitoringhome monitoringself-managementInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 2, Pp 274-287 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	blood pressure hypertension self-monitoring home monitoring self-management Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	blood pressure hypertension self-monitoring home monitoring self-management Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 James P. Sheppard Claire L. Schwartz Katherine L. Tucker Richard J. McManus Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care
description	<p>Background</p><p>The effective diagnosis and management of hypertension is one of the most important parts of cardiovascular prevention internationally and this is no different in the United Kingdom. Approximately 14% of the UK population currently receive treatment for hypertension. Recent UK guidelines from the National Institute of Health and Care Excellence have placed greater emphasis on the utilization of out-of-office measurement of blood pressure to more accurately diagnose hypertension.</p><p>Objective</p><p>The aim of the present study was to provide a state-of-the-art review of the evidence for screening, diagnosing, and managing hypertension, as implemented in the United Kingdom, with an emphasis on the role of self-monitored and ambulatory blood pressure monitoring in routine clinical care.</p><p>Method</p><p>Consideration was given to the use of ambulatory and home monitoring to confirm a diagnosis of hypertension and the use of self-monitoring and self-management to monitor and guide treatment. The evidence for the use of self-monitoring in patients with hypertension was examined, both in isolation, and in combination with lifestyle and treatment interventions.</p><p>Findings</p><p>There is a place for self-monitored blood pressure in specific underresearched populations such as the elderly, specialist conditions, ethnic groups, and during pregnancy and this is discussed here.</p><p>Conclusions</p>The evidence supporting the use of out-of-office monitoring in all aspects of routine clinical care has increased substantially in recent years and is reflected in increased utilization by patients and clinicians alike. Several areas require further research but it is clear that out-of-office monitoring is here to stay and is fast becoming an important part of hypertension management in the United Kingdom.
format	article
author	James P. Sheppard Claire L. Schwartz Katherine L. Tucker Richard J. McManus
author_facet	James P. Sheppard Claire L. Schwartz Katherine L. Tucker Richard J. McManus
author_sort	James P. Sheppard
title	Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care
title_short	Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care
title_full	Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care
title_fullStr	Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care
title_full_unstemmed	Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care
title_sort	modern management and diagnosis of hypertension in the united kingdom: home care and self-care
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/bcda12415b794d5ca24a07597b6df75d
work_keys_str_mv	AT jamespsheppard modernmanagementanddiagnosisofhypertensionintheunitedkingdomhomecareandselfcare AT clairelschwartz modernmanagementanddiagnosisofhypertensionintheunitedkingdomhomecareandselfcare AT katherineltucker modernmanagementanddiagnosisofhypertensionintheunitedkingdomhomecareandselfcare AT richardjmcmanus modernmanagementanddiagnosisofhypertensionintheunitedkingdomhomecareandselfcare
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Modern Management and Diagnosis of Hypertension in the United Kingdom: Home Care and Self-care

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