Telemonitoring in hypertensive patients improves blood pressure control and optimizes healthcare expenditures. The evidence so far supports the efficacy of blood pressure telemonitoring (BPT) in reducing blood pressure compared to ordinary care although the heterogeneity of the studies performed is high. The technology and equipment costs have hindered the costeffectiveness of BPT, however, considering the increased use of mobile phones and expanding wireless networks and broadband speeds, its cost-effectiveness will improve in the near future. There are still many obstacles to overcome for the routine use of telemedicine in hypertensive patients. Telemedicine is an acknowledged method in other fields of cardiology (heart failure, acute coronary syndrome, arrhythmias).