Self-Monitoring of Blood Pressure With Mobile App Feedback Enhances Control and Adherence in Uncontrolled Hypertension: Insights From the SMART-BP Trial and Broader Evidence

Highlights

  • The SMART-BP randomized trial confirmed that a mobile app incorporating tailored feedback significantly lowers home systolic blood pressure and improves medication adherence compared with self-monitoring alone.
  • Systematic reviews and meta-analyses reaffirm the efficacy of home blood pressure monitoring (HBPM) in diagnosing and managing hypertension, enhancing patient compliance, and potentially reducing healthcare costs.
  • Pharmacologic advances, including sacubitril/valsartan and combination therapies, demonstrate improved blood pressure control and safety profiles in diverse hypertensive populations.
  • Despite high hypertension prevalence worldwide, control rates remain suboptimal, emphasizing the need for multifaceted approaches integrating technological, pharmacological, and public health strategies.

Background

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