Does home blood pressure monitoring (HBPM) have prognostic value for cardiovascular events in treated hypertensive patients?
Validated Home BP Monitor, studied in 1582 patients (J Hum Hypertens 2022, PMID 36163509) — the association was statistically significant for all separate measurement periods: morning (HR 1.32 [95% CI 1.01-1.72]), afternoon (HR 1.33 [95% CI 1.02-1.72]), and evening (HR 1.30 [95% CI 1.01-1.67]). Scope: 1582 patients, and the abstract states no limitations.
Source: J Hum Hypertens 2022, PMID 36163509 ↗ · Research map · How Magellan grades evidence · evidence confidence: medium
J Hum Hypertens · 2022 · PMID 36163509 · DOI 10.1038/s41371-022-00758-x
Home blood pressure monitoring independently predicts cardiovascular events in people already being treated for high blood pressure.
The question
Does home blood pressure monitoring (HBPM) have prognostic value for cardiovascular events in treated hypertensive patients?
What they tested
The prognostic value of HBPM in treated hypertensive subjects is controversial, and this study aims to evaluate it.
How they did it
Medicated hypertensive patients who performed a 4-day HBPM between 2008 and 2015 were followed for a median of 5.9 years. The occurrence of a composite primary outcome of fatal and non-fatal cardiovascular events was registered. Cox regression models were used to analyze the prognostic value of HBPM, considering 4-day measurements (discarding the first day) and analyzing morning, afternoon, and evening periods separately. The analysis included 1582 patients.
What they found
During follow-up, 273 cardiovascular events occurred. HBPM was significantly associated with cardiovascular events in all five scenarios in unadjusted models. After adjusting for office BP and other cardiovascular risk factors, the association remained marginally significant for the 4-day period (HR 1.04 [95% CI 1-1.1] and 1.04 [95% CI 1-1.1] when discarding the first day). The association was statistically significant for all separate measurement periods: morning (HR 1.32 [95% CI 1.01-1.72]), afternoon (HR 1.33 [95% CI 1.02-1.72]), and evening (HR 1.30 [95% CI 1.01-1.67]). When fatal and non-fatal events were analyzed separately, statistical significance was only maintained for fatal events.
| Morning | 1.32 | |
|---|---|---|
| Afternoon | 1.33 | |
| Evening | 1.3 |
Hazard ratios for cardiovascular events, adjusted for office BP and other cardiovascular risk factors, across different home blood pressure monitoring periods.
What it means
HBPM is an independent predictor of cardiovascular events in hypertensive patients undergoing treatment.
Limitations
The abstract does not explicitly state limitations of the study.
Where the published abstract does not list limitations, we say so rather than inventing them. Read the full paper on PubMed before drawing conclusions.
The paper at a glance
| Title | Prognostic value of home blood pressure monitoring in patients under antihypertensive treatment |
|---|---|
| Journal | J Hum Hypertens |
| Year | 2022 |
| PMID | 36163509 ↗ |
| DOI | 10.1038/s41371-022-00758-x ↗ |
| Topic | Cardiovascular & vascular aging |
Read the source: PubMed record (authors, abstract, full citation) ↗ · Publisher via doi.org ↗
Where Magellan uses this paper
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Validated Home BP Monitor
Across prospective cohorts and meta-analyses, home/self-measured blood pressure predicts cardiovascular events and mortality at least as well as, and often independently of, office measurement.
A validated home blood pressure monitor is an automated oscillometric device that estimates arterial…
Research describes the compound or intervention studied. It is not a claim about any specific product.
Molecules & mechanisms in this paper
Each of these is named in the paper’s own words above. Open the monograph for the full mechanism and its other citations.
Cite this page
These citations point at this summary. To cite the original paper with its full author list, use the PubMed record or doi.org.
Magellan Longevity. (2026). Does home blood pressure monitoring (HBPM) have prognostic value for cardiovascular events in treated hypertensive patients? [Plain-English summary of J Hum Hypertens 2022, PMID 36163509, DOI 10.1038/s41371-022-00758-x]. Magellan Longevity. https://magellanlongevity.com/study/d36163509.html@misc{magellan_d36163509,
title = {Does home blood pressure monitoring (HBPM) have prognostic value for cardiovascular events in treated hypertensive patients?},
author = {{Magellan Longevity}},
year = {2026},
howpublished = {\url{https://magellanlongevity.com/study/d36163509.html}},
note = {Plain-English summary of PubMed PMID 36163509; DOI 10.1038/s41371-022-00758-x; J Hum Hypertens 2022. Reviewed by Gabriel Radu, DO},
urldate = {2026-08-11}
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