Table 4. Changes in blood pressure, medication, and lifestyle factors among participants at 1-year follow-up visit.
| Lifestyle change | Remote patient management (n=1021) | Usual care (n=1017) | P value |
|---|---|---|---|
| Current smokinga, n (%) | 114 (11.2) | 142 (14.0) | .06 |
| Current drinkingb, n (%) | 119 (11.7) | 168 (16.5) | .002 |
| Blood pressure control achieved | |||
| Blood pressure(mmHg), mean (SD) | |||
| Systolic | 117.74 (13.80) | 121.46 (16.85) | .002 |
| Diastolic | 73.60 (10.18) | 75.72 (10.45) | .02 |
| Distribution of BP, n (%) | |||
| Proportion of patients with BP | |||
| >140/90 mmHg | 123 (12.0) | 188 (18.5) | <.001 |
| Proportion of patients with BP | |||
| >130/80 mmHg | 310 (30.4) | 442 (43.5) | <.001 |
| Medication adherencec, n (%) | |||
| Aspirin | 896 (87.8) | 858 (84.4) | .03 |
| P2Y12 antagonists | 847 (83.0) | 812 (79.8) | .07 |
| Statins | 810 (79.3) | 776 (76.3) | .10 |
| ACEId/ARBe/ARNIf | 489 (47.9) | 442 (43.5) | .045 |
| Beta-blockers | 533 (52.2) | 516 (50.7) | .51 |
Current smokers were defined as those who smoked at least one cigarette per day.
Current drinkers were defined as those who drank alcohol at least twice a week for ≥4 consecutive weeks.
Adherence was defined as having medication available to take on ≥80% of the days during the follow-up period (ie, Proportion of Days Covered ≥80%). The Proportion of Days Covered (PDC) for each medication was calculated as the days covered by filled prescriptions divided by the follow-up period from discharge to the last interview, unless therapy was discontinued for ≥3 months. Discontinued medications and approximate discontinuation dates were recorded through interviews and clinical records review.
ACEI: angiotensin-converting enzyme inhibitor.
ARB: angiotensin II receptor blocker.
ARNI: angiotensin receptor neprilysin inhibitor.