Comparison of Telemedical and Conventional Treatment of Hypertension

Erling Bjerregaard Pedersen

Status: Completed

Conditions: Hypertension

Treatments: Behavioral: Telemedical home blood pressure measurements; Behavioral: Conventional blood pressure monitoring

Study type: Interventional

Funder types: Other

Identifiers

NCT02531347

M-20110013

Details and patient eligibility

About

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.

Enrollment: 375 patients

Sex: All

Ages: 55 to 64 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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375 participants in 2 patient groups

Telemedical blood pressure monitoring

Experimental group

Description:

Telemedical home blood pressure measurements for three days every second week. The average of all measures excluding day one is electronically transmitted to the General Practitioners. Following communication primarily by email or telephone.

Treatment:

Behavioral: Telemedical home blood pressure measurements

Conventional blood pressure monitoring

Active Comparator group

Description:

Conventional blood pressure monitoring

Treatment:

Behavioral: Conventional blood pressure monitoring