Bridging Care Gaps in Resistant Hypertension: A Multidisciplinary Initiative Using Remote Blood Pressure Monitoring.

BACKGROUND: Current American College of Cardiology/American Heart Association guidelines emphasize home blood pressure (BP) monitoring, shared decision-making, self-management interventions, and multidisciplinary care as key strategies for improving outcomes in patients with resistant hypertension (RH). However, evidence regarding optimal device selection for remote blood pressure monitoring (RBPM) is limited. PROJECT RATIONALE: We incorporated these strategies into our RBPM program at a specialized RH clinic to evaluate their impact on BP control, medication adherence, and patient satisfaction. In addition, we prospectively compared data transmission reliability between cellular-enabled and Bluetooth-enabled BP monitors. PROJECT SUMMARY: Patients with RH were enrolled in our 3-month RBPM program, which resulted in meaningful systolic BP changes, high medication adherence, and favorable patient satisfaction. Furthermore, cellular-enabled BP monitors outperformed their Bluetooth-enabled counterparts in data transmission reliability. TAKE-HOME MESSAGE: Multidisciplinary RBPM programs deploying cellular-enabled BP monitors effectively improve BP control, promote medication adherence, and contribute to high patient satisfaction.