Comparison of Telemedical and Conventional Treatment of Hypertension

Erling Bjerregaard Pedersen375 enrolled

Overview

The purpose of the study is to compare antihypertensive treatment based on either conventional blood pressure measurements or telemedical home blood pressure measurements. Hypothesis is that telemedical treatment of hypertension is more effective in lowering blood pressure, is more cost-effective and provides better quality of life.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

375

Conditions

Hypertension

Interventions

Telemedical home blood pressure measurementsBEHAVIORAL

Conventional blood pressure monitoringBEHAVIORAL

Eligibility

Sex: ALLMin age: 55 YearsMax age: 64 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age 55 to 64 years * Registered address in the Municipality of Holstebro * Enrolment at a practice of one of the general practitioners who had agreed to participate in the study * Telemedical home blood pressure measurement with ≥12 measurements on day 2 and 3. * Elevated home blood pressure ≥135/85 (if diagnosed diabetes, chronic kidney disease or prior stroke ≥130/80) * Hypertension confirmed by daytime ambulatory blood pressure ≥135/85 (if diagnosed diabetes, chronic kidney disease or prior stroke ≥130/80) * ECG verified sinus rhythm Exclusion Criteria: * Unwillingness to participate * Normotension * Withdrawal of consent to participate

Outcomes

Primary Outcomes

Blood pressure reduction

Difference in daytime ambulatory blood pressure from baseline to followup between intervention and control group

Time frame: 3 month

Secondary Outcomes

Number of patients reaching target blood pressure

Time frame: 3 month

Data from ClinicalTrials.gov

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