# Self-Blood Pressure Monitoring (SBPM) in Patients With Hypertension and Multimorbidity: A Systematic Review

## TL;DR

This review examines how self-blood pressure monitoring helps manage hypertension in patients with multiple health conditions.

## Contribution

The study evaluates SBPM effectiveness in hypertension patients with multimorbidity using a systematic review.

## Key findings

- SBPM was effective in lowering blood pressure in patients with hypertension and comorbidities.
- Effectiveness was observed mainly in cases involving stroke and obesity with additional interventions.
- 12 studies were analyzed following PRISMA guidelines to assess SBPM outcomes.

## Abstract

Hypertension (HTN) remains a major cause of mortality and morbidity globally and is normally accompanied by multimorbidity, which makes its management increasingly difficult and multifaceted. In addition to being considered a vital intervention empowering patients by ensuring they are actively involved in their care and enhancing HTN management, several studies have disclosed that self-blood pressure monitoring (SBPM) is highly effective when utilized jointly with other interventions. However, the effectiveness of SBPM varies in instances of multimorbidity. This systematic review aims to evaluate the effectiveness of SBPM in reducing clinic BP in persons with HTN and multimorbidity. To realize the study objectives, an in-depth literature search and systematic review were performed on articles drawn from various virtual databases, including PubMed, SCOPUS, Medline, Google Scholar, and Embase. Randomized controlled trials (RCTs), cohort studies, clinical trials, and reviews focused on SBPM were selected and included. As a result, 12 studies met the inclusion criteria and were included based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. As such, SBPM was found to be effective in lowering BP regardless of the existence of HTN-related comorbidities; however, SBPM was only effective in instances of comorbidities that included stroke and obesity and upon combination with other high-intensity co-interventions.