Volume 4 • Issue 4 • 1000183 Fam Med Med Sci Res ISSN: 2327-4972 FMMSR, an open access journal Rodríguez et al., Fam Med Med Sci Res 2015, 4:4 DOI: 10.4172/2327-4972.1000183 Research Article Open Access Does Self-measurement of Blood Pressure (SMBP) Contribute to Improve the Degree of Hypertension Control? Ángel Díaz Rodríguez 1 *, Ana Beatriz De Abajo Larriba 2 , Enrique Méndez Rodríguez 3 , Beatriz Peleteiro Cobo 3 , Omar Mahmoud Atoui 4 , Rocío Alvarez López 4 , Serafín de Abajo Olea 5 , Jessica Capón Álvarez 6 and María Jesús Álvarez López 7 1 Specialist in Family and Community Medicine. Bembibre Health Center. León. Professor of the University of León, National Coordinator of the Working Group Lipid SEMERGEN. C/ Maestro Alberto Carbajal, 1, 24300. Bembibre, León, Spain 2 Specialist in Anesthesiology and Resuscitation. Department of Anesthesiology and Resuscitation. University Hospital of Leon, C/ Altos de Nava S/N. 24071 León, Spain 3 3nd year internal medical resident of Family and Community Medicine, Bembibre Health Center. C/ Maestro Alberto Carbajal, 1, 24300, Bembibre, León, Spain 4 Specialist in Family and Community Medicine, Bembibre Health Center, C/ Maestro Alberto Carbajal, 1, 24300. Bembibre, León, Spain 5 Specialist in Family and Community Medicine, Health Center of San Andres de Rabanedo, Associate Professor of the University of León, C/ Burbia, 23, 24010 San Andrés de Rabanedo, León, Spain 6 1st year internal medical resident of Family and Community Medicine, Bembibre Health Center, C/ Maestro Alberto Carbajal, 1, 24300, Bembibre, León, 7 University Diploma in Nursing, Bembibre Health Center, C/ Maestro Alberto Carbajal, 1, 24300, Bembibre, León, Spain *Corresponding author: Dr. Ángel Díaz Rodríguez, MD, PhD, Bembibre Health Center, C/ Maestro Alberto Carbajal, 1, 24300, Bembibre. León, Spain, Tel: +34639891743; E-mail: med015917@yahoo.es Received June 26, 2015; Accepted August 26, 2015; Published August 30, 2015 Citation: Rodríguez ÁD, De Abajo Larriba AB, Rodríguez EM, Cobo BP, Atoui OM, et al. (2015) Does Self-measurement of Blood Pressure (SMBP) Contribute to Improve the Degree of Hypertension Control? Fam Med Med Sci Res 4: 183. doi:10.4172/2327-4972.1000183 Copyright: © 2015 Rodríguez ÁD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Keywords: Hypertension; Ambulatory blood pressure measurement; Control; Treatment Introduction Cardiovascular disease (CVD) is the leading cause of death worldwide and also in the whole of Spain [1]. Hypertension is one of the major cardiovascular risk factors contributing to this mortality. 33% of the Spanish population is hypertensive, reaching 68% at the age of 60. Out of these, nearly two thirds know that they have the disease. Among these, 79% are treated with antihypertensive drugs. Finally, among those treated, 46% have blood pressure controlled. Terefore, just over 20% of hypertensive Spanish people are adequately controlled [2]. Te degree of control of hypertensive patients seen in primary care is insufcient; although it has been observed a progressive increase in the diferent studies CONTROLPRES from 1995 to 2003, increasing from 13% to 38.8% [3]. More recently in the PRESCAP study, the degree of BP control was 36.1% in 2002 [4] and 41.4% in 2006 [5]. Although there have been important advances in the understanding, treatment and control of hypertension in recent years in Spain [2,6] the reality is that the level of control and treatment remain improvable. Te method traditionally used for the diagnosis and management of hypertension has been the measurement of BP in Primary Care with mercury or aneroid sphygmomanometers. At the population level this method has proven BP relationship to cardiovascular morbidity and mortality. Moreover, it is known that with the clinical measures to outpatients the alert reaction of the consult is not avoided, the BP variability is not reported and mistakes in the measurement process are frequent. Leading to committing errors in the process of diagnosis and monitoring of hypertension. It is estimated that 20-30% of the decisions made based only on clinical measures will be wrong [7]. Te domiciliary measures (SMBP) have shown a good correlation with ambulatory motorization of blood pressure (AMBP), high Abstract Background and objectives: Self-measurement of blood pressure can be associated with a better control of blood pressure. The objectives of this study were to determine the degree of control with two measuring methods (clinical blood pressure measure and self-measurement of blood pressure) and determine the factors associated with poor control. Methods: Multicenter randomized cross-sectional Study in Hypertensive patients diagnosed and treated at Primary Care. Recollected data included: socio-demographic profles, personal history, standard blood tests and arterial pressure measure by self-measurement of blood pressure and clinical blood pressure measure. Control objectives included for self-measurement of blood pressure (<135/85 mmHg) and for clinical blood pressure measure (<140/90 mmHg). Data are expressed in percentages and averages with a CI of 95%. Results: 514 patients where included (59.3% female) with a mean age of 70.84 (80.01-61.67) years old and 10.37 (14.87-5.62) years of hypertensive disease evolution. The degree of control was 84.67% (83.58-85.76) with self-measurement of blood pressure and 68.54% (67.31-69.77); p<0.0001. Patients controlled by self-measurement of blood pressure took 2.58 (1.65-3.51) versus 2.97 (2.11-3.83) with clinical blood pressure measure; p<0.001. Being more frequent the use of fxed combinations. Obesity, diabetes, hyperlipidemia, cardiovascular disease, severity of hypertension, measurement method, number of drugs and age were associated with poorer control of the blood pressure; p<0.001. Conclusions: The degree of control with self-measurement of blood pressure is very high, compared with ambulatory monitoring, with important clinical signifcance. Although the characteristics of this study can not infer causality, this fnding reinforces the recommendations of the Clinical Practice Guidelines for the regularly use of the self-measurement of blood pressure in our daily practice. F a m i l y M e d i c i n e & M e d i c a l S c i en c e R e s e a r c h ISSN: 2327-4972 Family Medicine and Medical Science Research