resistant hypertension I10-I15
Conditions
Interventions
Group 1: Intervention: Primary care physicians participating in an evidence-based, educational intervention addressing hypertension management strategies for patients with resistant hypertension, incl
Sponsors
Institut für Allgemeinmedizin, Universitätsklinikum Essen, Universität Duisburg-Essen
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: resistant hypertension, defined as blood pressure =130/80 mmHg on ambulatory blood pressure monitoring (24 hours) despite therapy with =3 antihypertensive agents
Exclusion criteria
Exclusion criteria: Patients not able to provide informed consent, patients with white coat hypertension (office blood pressure uncontrolled, but controlled in ambulatory blood pressure monitoring), pregnancy-related hypertension, patients undergoing dialysis for renal failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment success: Rate of patients with normalized blood pressure in a 24-hour ambulatory blood pressure monitoring (<130/80 mmHg) and/or a blood pressure reduction of =20 mmHg systolic and/or =10 mmHg diastolic (measured by ambulatory blood pressure monitoring before the intervention and 12 months later) | — |
Secondary
| Measure | Time frame |
|---|---|
| a) Changes in mean systolic ambulatory blood pressure (24 hours, daytime, nighttime), b) Changes in mean diastolic ambulatory blood pressure (24 hours, daytime, nighttime), c) Changes of non-pharmacological and pharmacological treatment, d) Rate of cardiovascular events or death from any cause, e) Increase of physicians’ knowledge: diagnostic and therapeutic strategies for resistant hypertension, f) Number and kind of practice tools implemented | — |
Countries
Germany
Contacts
Public ContactBirgitta Weltermann, MPH(USA)
Institut für Allgemeinmedizin, Universitätsklinikum Essen, Universität Duisburg-Essen
Outcome results
None listed