Assessment of the Relationship Between Ambient Temperature and Home Blood Pressure in Patients From a Web-Based Synchronous Telehealth Care Program: Retrospective Study

• Published in: Journal of medical Internet research 2019-03, Vol.21 (3), p.e12369-e12369
• Main Authors: Huang, Ching-Chang, Chen, Ying-Hsien, Hung, Chi-Sheng, Lee, Jen-Kuang, Hsu, Tse-Pin, Wu, Hui-Wen, Chuang, Pao-Yu, Chen, Ming-Fong, Ho, Yi-Lwun
• Format: Article
• Language: English
• Subjects: Age; Aged; Antihypertensive Agents - pharmacology; Antihypertensive Agents - therapeutic use; Antihypertensive drugs; Antihypertensives; Biometrics; Blood pressure; Blood Pressure Determination - methods; Cardiac patients; Cardiovascular disease; Cardiovascular diseases; Caregivers; Chronic illnesses; Demography; Diabetes; Diabetics; Diuretics; Drugs; Female; Heart failure; Heart rate; Hospitals; Humans; Humidity; Hypertension; Hypertension - drug therapy; Internet; Male; Measurement; Mortality; Multivariate analysis; Original Paper; Patients; Real property; Regression analysis; Retrospective Studies; Seasonal variations; Short term; Statistical analysis; Stroke; Telemedicine; Telemedicine - methods; Temperature; Valuation; Weather
• ISSN: 1438-8871; 1439-4456; 1438-8871
• DOI: 10.2196/12369

Decreased ambient temperature significantly increases office blood pressure, but few studies have evaluated the effect of ambient temperature on home blood pressure. We aimed to investigate the relationship between short-term ambient temperature exposure and home blood pressure. We recruited patients with chronic cardiovascular diseases from a telehealth care program at a university-affiliated hospital. Blood pressure was measured at home by patients or their caregivers. We obtained hourly meteorological data for Taipei (temperature, relative humidity, and wind speed) for the same time period from the Central Weather Bureau, Taiwan. From 2009 to 2013, we enrolled a total of 253 patients. Mean patient age was 70.28 (SD 13.79) years, and 66.0% (167/253) of patients were male. We collected a total of 110,715 home blood pressure measurements. Ambient temperature had a negative linear effect on all 3 home blood pressure parameters after adjusting for demographic and clinical factors and antihypertensive agents. A 1°C decrease was associated with a 0.5492-mm Hg increase in mean blood pressure, a 0.6841-mm Hg increase in systolic blood pressure, and a 0.2709-mm Hg increase in diastolic blood pressure. This temperature effect on home blood pressure was less prominent in patients with diabetes or hypertension. Antihypertensive agents modified this negative effect of temperature on home blood pressure to some extent, and angiotensin receptor blockers had the most favorable results. Short-term exposure to low ambient temperature significantly increased home blood pressure in patients with chronic cardiovascular diseases. Antihypertensive agents may modify this effect.