comparing automatic blood pressure measurments methods with conventional office methods in follow up and monitoring of hypertensive patients and predicting hypertension mediated organ damage .

Close monitoring of hypertensive patients using home and ambulatory blood pressure measurments and its role in predicting hypertention mediated organ damage. Echocardiography assessment for hypertensive patients and its important role in early detection and prevention of changes such as left ventricular hypertrophy,left atrial enlargement ,systolic and diastolic dysfunction and left ventricular mass . Microalbumiuria and early detection of renal impairment. Important role of close monitoring in management and control of hypertention and reduction of hypertensive emergencies and improvement of outcomes ,addherence to treatment , reduce of office consultation , improvement of psycosochial life ,reduce hospitalization cost and mortality rates . Digital apps has a good role in improve healthy life style and rapid detection of blood presssure changes during daily activities.

Inclusion Criteria:

• Patients who were screening for suspected hypertention or white coat hypertention .
• medically underserved population .
• primary arterial hypertention .
• high risk hypertensive patients [resistant hypertension ,patients with poor medication adherance ]

Exclusion Criteria:

• patients with secondary causes of hypertention
• patients with other cardiac diseases [heart faliure ,valvular heart diseases ]
• chronic illness affect blood pressure as chronic kideny disease .

A calculated minimum sample of 620 male and female hypertensive patients aged more than 18 years old recruited from outpatient clinic of assiut cardiology departement will be randomly assigned 1:1 design.