August 08, 2025
3 min learn
Key takeaways:
- A cellular well being app helped decrease blood strain for these with hypertension, particularly ladies.
- The app gives tailor-made CV well being teaching for ladies earlier than, throughout and after menopause.
A cellular well being app might enhance blood strain management for individuals with hypertension, particularly amongst ladies throughout and after menopause, researchers reported.
The outcomes of a research evaluating sex- and age-related modifications in BP amongst contributors in a cellular well being app program had been revealed within the American Journal of Preventive Cardiology.
“There’s a dearth of information on ladies and menopause, but this can be a time of heightened cardiovascular danger,” Jayne Morgan, MD, heart specialist and vice chairman of medical affairs at Hi there Coronary heart, advised Healio. “As a heart specialist, that is notably regarding. With such a wealthy database of cellular well being customers at Hi there Coronary heart, there may be nice alternative to evaluate blood strain indices throughout each perimenopause and menopause to additional inform absolutely the finest method to preventive cardiovascular care for this vastly underserved and ignored inhabitants.”
CV danger earlier than, throughout, after menopause
On this retrospective observational evaluation, the researchers evaluated modifications in BP amongst contributors enrolled within the Hi there Coronary heart program, which consisted of a cellular app (Hi there Coronary heart) and a Bluetooth-enabled BP monitor. The system is designed to supply CV health-related metrics monitoring, remedy monitoring and AI-driven, evidence-based way of life teaching. Teaching suggestions additionally embrace tailor-made suggestions for menopausal ladies.
“Hypertension is among the single best key drivers of cardiac occasions together with coronary heart assaults in addition to strokes,” Morgan mentioned in an interview. “Throughout perimenopause, due to the lack of estrogen and its results on the arteries, hypertension can start to develop with out the lady being conscious as a result of it’s largely asymptomatic. This creates a danger for coronary heart illness except it’s recognized and handled appropriately. Additional, we all know that greater than 40% of Individuals are unaware that they even have hypertension, and of those that are conscious, solely about 20% to 21% even have their blood strain managed.”
Cell well being can ‘stage the enjoying subject in ladies’s well being’
General, 48,121 contributors with hypertension had been included within the evaluation (imply age, 52 years; 55% ladies).
At baseline, the typical systolic BP was 135.5 mm Hg.
The researchers reported reductions in systolic BP strain over time within the cellular well being program (beta = –0.04; P < .001), with a noteworthy interplay between time and intercourse (beta = 0.01; P = .029) with bigger reductions over time in ladies (beta = –0.18) in contrast with males (beta = –0.15).
Information from a basic linear mannequin confirmed increased baseline systolic BP in perimenopausal (beta = –0.19; P < .001) and postmenopausal ladies (beta = –0.15; P = .002) relative to premenopausal ladies in contrast with age-matched males taking part in this system, in response to the research.
Researchers famous hypertensive crises had been extra seemingly within the perimenopausal and postmenopausal ladies in contrast with premenopausal ladies (P for all < .05); nevertheless, no vital interplay with intercourse was noticed compared with age-matched males.
“I used to be much less shocked and extra impressed with the validation that engagement with cellular well being gadgets is a chance to stage the enjoying subject in ladies’s well being,” Morgan advised Healio. “Certainly, AI could be the instrument to quickly advance the science in ladies’s well being, particularly the menopausal state and its inherent cardiovascular dangers.”
There was no vital interplay between change in systolic BP over time and perimenopausal standing (beta = 0.002; P = .421) or postmenopause standing (beta = 0.003; P = .119) in contrast with premenopause standing, in response to the research.
The researchers additionally reported no vital interplay between time and menopause standing for diastolic BP or hypertensive disaster outcomes.
“Gaps in care are centered on consciousness, monitoring, therapy adherence, entry and management. Cell well being gadgets assist to enhance detection and consciousness, improve remedy adherence, promote constant monitoring and allow real-time information sharing with physicians and different members of the well being care crew. Additional, cellular well being gadgets have been proven to extend affected person engagement in their very own well being,” Morgan mentioned. “Menopausal ladies are a vastly underserved inhabitants with many inherent well being dangers however little scientific rigor and research. We stay up for contributing extra scientific publications to this space.”
For extra info:
Jayne Morgan, MD, might be reached on LinkedIn @Jayne Morgan, M.D.
Sources/Disclosures
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Disclosures:
This research was funded by Hi there Coronary heart. Morgan is an worker of Hi there Coronary heart and reviews serving as an advisor for Midi Well being.
