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Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan

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  • Takeshi Fujiwara

    (Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK
    Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke 329-0498, Japan)

  • James P. Sheppard

    (Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK)

  • Satoshi Hoshide

    (Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke 329-0498, Japan)

  • Kazuomi Kario

    (Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke 329-0498, Japan)

  • Richard J. McManus

    (Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK)

Abstract

Hypertension is the most frequent modifiable risk factor associated with cardiovascular disease (CVD) morbidity and mortality. Even in older people, strict blood pressure (BP) control has been recommended to reduce CVD event risks. However, caution should be exercised since older hypertensive patients have increased physical vulnerability due to frailty and multimorbidity, and older patients eligible for clinical trials may not represent the general population. Medical telemonitoring systems, which enable us to monitor a patient’s medical condition remotely through digital communication, have become much more prevalent since the coronavirus pandemic. Among various physiological parameters, BP monitoring is well-suited to the use of such systems, which enable healthcare providers to deliver accurate and safe BP management, even in the presence of frailty and/or living in geographically remote areas. Furthermore, medical telemonitoring systems could help reduce nonadherence to antihypertensive medications and clinical inertia, and also enable multi-professional team-based management of hypertension. However, the implementation of medical telemonitoring systems in clinical practice is not easy, and substantial barriers, including the development of user-friendly devices, integration with existing clinical systems, data security, and cost of implementation and maintenance, need to be overcome. In this review, we focus on the potential of medical telemonitoring for the management of hypertension in older people in Japan.

Suggested Citation

  • Takeshi Fujiwara & James P. Sheppard & Satoshi Hoshide & Kazuomi Kario & Richard J. McManus, 2023. "Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan," IJERPH, MDPI, vol. 20(3), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2227-:d:1047630
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    References listed on IDEAS

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    1. Katherine L Tucker & James P Sheppard & Richard Stevens & Hayden B Bosworth & Alfred Bove & Emma P Bray & Kenneth Earle & Johnson George & Marshall Godwin & Beverly B Green & Paul Hebert & F D Richard, 2017. "Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis," PLOS Medicine, Public Library of Science, vol. 14(9), pages 1-29, September.
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