Evaluation of self-monitoring of blood pressure in the PERHIT study and the impact on glomerular function

Abstract

Background: Although intensive blood pressure (BP) control has not been shown to slow the progression of chronic kidney disease (CKD), intensive BP control has been shown to reduce the risk for adverse cardiovascular outcomes in the CKD population. The aim of this post-hoc study was to study the interplay between a self-monitoring BP system and glomerular function. Methods: In all, 949 participants with hypertension underwent visits at baseline, after eight weeks and 12 months. Half of the participants received a BP monitor and installed a program on their mobile phone. During eight weeks, they measured daily and reported their BP values. Results: Within the intervention group, BP and systolic BP (SBP) decreased from baseline to eight weeks and 12 months (p