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 .
Feasibility of blood pressure telemonitoring in patients with poor blood pressure control
We examined the feasibility of using home blood pressure ( BP ) telemonitoring devices for managing patients with poor BP control .  We enrolled 591 subjects with a diagnosis of hypertension . Patients were r and omized to usual care ( n = 147 ) or to the intervention arm ( n = 441 ) . Those in the intervention arm were issued with a home BP telemonitoring device . The device transmitted BP readings automatically via the home telephone line . Technical alerts were generated if patients did not transmit their BP readings according to the protocol . During the first six months , 693 technical alerts were generated by 267 patients . About half of these patients ( 112 ) generated more than two technical alerts . Resolution of the alerts showed that 61 % were caused by patient non-adherence . Patients who generated > 2 technical alerts were younger ( 61 vs. 64 years ; P = 0.001 ) and were more likely to be non-Caucasian  ( 64 % vs. 47 % , P = 0.002 ) than those generating 2 or fewer alerts . Despite the potential for improving health care using home BP telemonitoring , certain patients will require more support to use the equipment successfully
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 .