Hypertension
Conditions
Brief summary
The implementation of lifestyle modifications, home blood pressure (BP) measurement, and optimization of antihypertensive drug therapy have been shown to improve BP control in tightly controlled research settings. The investigators objective is to determine the effect of these interventions in a primary care setting, with the family practitioners and nurses serving as the interventionists. The investigaotrs hypothesis is that a comprehensive intervention performed in a primary care setting would lead to better blood pressure control.
Interventions
OTHERIntensive Care
Comprehensive intervention on hypertension through optimization of drug therapy, introduction of home blood pressure monitoring, and lifestyle guidance
Sponsors
City of Turku
Social Insurance Institution, Finland
Finnish Institute for Health and Welfare
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
35 Years to 74 Years
Healthy volunteers
No
Inclusion criteria
* Aged 35-74 years * Untreated office blood pressure of ≥ 160/100 mmHg or on active antihypertensive treatment.
Exclusion criteria
* Severe psychiatric or neurologic illnesses * Heart failure (ejection fraction \< 40% or previous hospitalization for heart failure) * Hemodynamically significant valvular disease * Unstable coronary heart disease * Chronic kidney disease (proteinuria \> 1 g/l or a serum creatinine concentration \> 160 mmol/l)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Office Systolic and Diastolic Blood Pressure | Baseline and at 12 Months. |
Countries
Finland
Outcome results
None listed