Hypertension guidelines recommend team-based care for the treatment of high blood pressure (BP). Clinical pharmacists can help patients get to goal BP with rapid medication titration in conjunction with telehealth visits. We conducted a pharmacist-led home BP monitoring pilot program from June 2020 to September 2021. Forty-two patients with a SBP ≥140 despite using ≤2 antihypertensive medications were referred for pharmacist telehealth with expedited medication titration to achieve a BP goal <130/80. The mean enrollment SBP/DBP was 155.2 (SD, 15.8)/89.7 (SD, 11.5) mm Hg, and the mean completion SBP/DBP was 132.1 (SD, 10.9)/77.6 (SD, 10). The number of hypertension medications prescribed increased from 1.3 to 1.6 with no instances of falls or hypotension. At completion, 31% of patients had an automated office blood pressure (AOBP) with SBP <130 mm Hg and DBP <80 mm Hg. A pharmacist-led, home BP monitoring telehealth pilot program helped patients safely achieve BP goals.

中文翻译：

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药剂师主导的远程医疗高血压管理快速药物滴定：一项质量改进举措

高血压指南建议采用团队护理来治疗高血压 (BP)。临床药剂师可以通过快速药物滴定并结合远程医疗就诊来帮助患者达到目标血压。我们从 2020 年 6 月至 2021 年 9 月开展了一项由药剂师主导的家庭血压监测试点计划。42 名尽管使用 ≤2 种抗高血压药物但 SBP ≥140 的患者被转介接受药剂师远程医疗，通过快速药物滴定来实现血压目标 <130/ 80.平均入组 SBP/DBP 为 155.2 (SD, 15.8)/89.7 (SD, 11.5) mm Hg，平均完成 SBP/DBP 为 132.1 (SD, 10.9)/77.6 (SD, 10)。服用的高血压药物数量从 1.3 种增加到 1.6 种，没有出现跌倒或低血压的情况。完成后，31% 的患者自动诊室血压 (AOBP) 为收缩压 <130 毫米汞柱和舒张压 <80 毫米汞柱。由药剂师主导的家庭血压监测远程医疗试点计划帮助患者安全地实现血压目标。