High risk of atrial fibrillation in patients with hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 60 years old (according to WHO and most geriatric research standards); 2. Meet the above hypertension diagnostic criteria, and have a qualifying CHA2DS2-VASc score; 3. Conscious, with basic communication and comprehension abilities, able to read or understand the informed consent form with family assistance; 4. Voluntarily participate in this study and sign a written informed consent form.
Exclusion criteria
Exclusion criteria: 1. Clearly diagnosed with atrial fibrillation, atrial flutter, or other persistent arrhythmias requiring anticoagulation treatment; secondary hypertension; severe structural heart disease (such as severe valvular heart disease, hypertrophic obstructive cardiomyopathy); history of cardiac pacemaker or implantable cardioverter-defibrillator implantation; 2. Complicated with malignant tumors (excluding non-melanoma skin cancer) that are active or with an expected lifespan of <2 years; end-stage renal disease (estimated glomerular filtration rate eGFR <15 mL/min/1.73m^2 or receiving dialysis); severe liver dysfunction (Child-Pugh class C); myocardial infarction, unstable angina, or stroke occurring within the past 6 months; 3. Currently participating in other clinical trials that may interfere with the outcomes of this study; planning to leave the local area within the next 6 months and unable to complete follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Electrocardiogram (ECG) examination rate;Atrial fibrillation (AF) detection rate;Time to Target Blood Pressure (TTR); | — |
Secondary
| Measure | Time frame |
|---|---|
| 24-hour mean systolic blood pressure (SBP);24-hour mean diastolic blood pressure (DBP);24-hour mean pulse pressure (PP);Hypertension and Atrial Fibrillation Prevention Knowledge Assessment;Chinese Version of the Medication Adherence and Dosage Questionnaire (ARMS-10);Quality of Life Scale (EQ-5D-5L); | — |
Countries
China
Contacts
Sichuan Provincial Second Hospital of Traditional Chinese Medicine