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Hypertension management in the digital era

Milani, Richard V.a,b; Bober, Robert M.a,b; Milani, Alexander R.a,b

Current Opinion in Cardiology: July 2017 - Volume 32 - Issue 4 - p 373–380
doi: 10.1097/HCO.0000000000000405
HYPERTENSION: Edited by Hector O. Ventura and Carl J. Lavie
Editor's Choice

Purpose of review Hypertension (HTN) is the most common chronic disease in the United States, and the standard model of office-based care delivery continues to yield suboptimal outcomes, with approximately 50% of affected patients not achieving blood pressure (BP) control. Poor population-level BP control has been primarily attributed to therapeutic inertia and low patient engagement resulting in significant and preventable morbidity and mortality. This review will highlight the rationale for a reengineered model of care delivery for populations with HTN.

Recent findings New technologies now enable patients to generate accurate home-based BP readings that are transmitted directly into the electronic medical record. Using more frequent BP measurements in conjunction with assessment of social health determinants, computerized algorithms can be generated that provide tailored interventions and communications that can transform HTN control.

Summary New capabilities enable healthcare providers the means to measure larger volumes of BP data directly from home and provide near real-time interventions that can dramatically improve HTN control.

aDepartment of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School – University of Queensland School of Medicine, Brisbane, Queensland, Australia

bCenter for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana, USA

Correspondence to Richard V. Milani, MD, Center for Healthcare Innovation, Ochsner Health System 1514 Jefferson Highway, New Orleans, LA 70121, USA. Tel: +1 504 842 5874; fax: +1 504 842 5875; e-mail:

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