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BP home monitoring 'is best'

Patients with hypertension can control their blood pressure best by monitoring it at home, a new study shows.

The meta-analysis of 18 randomised trials, presented at the European Society of Hypertension in Paris this week, found that people who home monitored had lower blood pressures than those who relied on the health care system.

In the 1,359 home monitoring patients, systolic blood pressure was 4.3mmHg lower than in controls and diastolic blood pressure was 2.4 mmHg lower.

Study leader Professor Francesco Cappuccio, professor of clinical epidemiology and primary care at St George's Hospital Medical School in London, said control of blood pressure was better and the proportion hitting targets higher among patients who self-monitored, although the reason for the differences was 'not clear'.

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