TC led to a greater decrease in systolic and diastolic BP  than UC .
The differences between TC and UC for systolic BP tend to become larger when no treatment modification is applied .
TC seems a valuable tool for hypertension management
There is an increasing interest for using telecare(TC ) in the management of hypertension .
Blood pressure control during telemonitoring of home blood pressure. A randomized controlled trial during 6 months
Aim . To compare the effectiveness of antihypertensive treatment based on telemonitoring of home blood pressure ( BP ) and conventional monitoring of office BP . Methods . Hypertensive patients ( n = 236 ) participated in a r and omized , controlled study . In the intervention group , antihypertensive treatment was based on home BP monitoring . BP readings were registered by a PDA and automatically transmitted to a server , by which the patient and doctor could communicate . In the control group , patients received usual care with office visits to adjust antihypertensive treatment as needed . Primary outcome was difference in systolic daytime ambulatory BP monitoring ( ABPM ) change between baseline and 6 months . Results . In both groups , systolic daytime ABPM decreased significantly from baseline to follow‐up . The decrease in systolic daytime ABPM was −11.9 mmHg in the intervention group and −9.6 mmHg in the control group ( mean difference −2.3 [ 95 % CI −6.1 to −1.5 ] , p = 0.225 ) . The likelihood of daytime ABPM normalization was similar in the two groups [ 32/113 ( 28 % ) vs 46/123 ( 37 % ) , p = 0.139 ] . Conclusion . Antihypertensive treatment based on telemonitoring of home BP was as effective as usual monitoring of office BP with regards to reduction of BP . Trial registration : Clinical Trials.gov identifier : NCT00282334
TC led to a greater decrease in systolic and diastolic BP  than UC .
The differences between TC and UC for systolic BP tend to become larger when no treatment modification is applied .
TC seems a valuable tool for hypertension management
There is an increasing interest for using telecare(TC ) in the management of hypertension .