TASMIN4H

Acronym: Telemonitoring And/or Self-Monitoring IN Hypertension

Purpose: Assessment of the efficacy of self-monitored blood pressure with or without telemonitoring for antihypertensive treatment

Format: Randomized, parallel, open-label trial

Treatment Group: Self-monitoring blood pressure with telemonitoring, self-monitoring blood pressure without telemonitoring or usual care (clinic blood pressure)

Number of Participants: 1,182

Centers: 142

Inclusion Criteria: Patients with hypertension aged older than 35 years with blood pressure > 140/90

Primary Outcome(s): Systolic blood pressure at 12 months measured in the clinic

Follow-up: 12 months

Summary: At 12 months, systolic blood pressure was lower in the self-monitoring group (137 mm Hg; standard deviation, 16.7) and the telemonitoring group (136 mm Hg; standard deviation, 16.1) than in the usual-care group (140.4 mm Hg; standard deviation, 16.5). The adjusted mean difference between the self-monitoring group and the usual-care group was -3.5 mm Hg (95% CI, -5.8 to -1.2) and the adjusted mean difference between the telemonitoring group and the usual-care group was -4.7 mm Hg (95% CI, -7 to -2.4).

Original Publication:

McManus RJ, et al. Lancet. 2018; doi:10.1016/S0140-6736(18)30309-X.

Link to Cardiology Today Article:

https://www.healio.com/cardiology/vascular-medicine/news/online/%7B07377a36-fbae-4d68-abaa-6482260be9e7%7D/bp-medication-titration-most-effective-after-self-monitoring