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 .
Telemedicine improves diagnosis of essential hypertension compared with usual care
A r and omized controlled trial was conducted to assess the efficacy of a telemedicine service for the diagnosis of essential hypertension . The telemedicine service consisted of using an automatic home blood pressure monitor connected to an ordinary telephone line for the transmission of the data to a central computer . After use of the home monitor for a week , the results were converted to a report form and faxed to the patient 's physician . The gold st and ard for assessment of true hypertension status was 24 h ambulatory blood pressure monitoring . A total of 74 patients from outpatient clinics were r and omized into either the  telemedicine service  or  usual care . Use of the telemedicine service significantly improved the detection of essential hypertension compared with usual care : in the telemedicine group , 64 % of patients with essential hypertension were diagnosed ; in the usual care group , 26 % of patients with essential hypertension were diagnosed . Furthermore , diagnosis occurred earlier in the telemedicine group than in patients receiving usual care .  Specificity and positive predictive value were similar in the two groups
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 .