Primary Hypertension
Conditions
Keywords
HTN , HMOD ,BP , LVH ,LAE
Brief summary
comparing automatic blood pressure measurments methods with conventional office methods in follow up and monitoring of hypertensive patients and predicting hypertension mediated organ damage .
Detailed description
Close monitoring of hypertensive patients using home and ambulatory blood pressure measurments and its role in predicting hypertention mediated organ damage. Echocardiography assessment for hypertensive patients and its important role in early detection and prevention of changes such as left ventricular hypertrophy,left atrial enlargement ,systolic and diastolic dysfunction and left ventricular mass . Microalbumiuria and early detection of renal impairment. Important role of close monitoring in management and control of hypertention and reduction of hypertensive emergencies and improvement of outcomes ,addherence to treatment , reduce of office consultation , improvement of psycosochial life ,reduce hospitalization cost and mortality rates . Digital apps has a good role in improve healthy life style and rapid detection of blood presssure changes during daily activities.
Interventions
DEVICEblood pressure measurments devices
measure arterial blood pressure by arm cuff devises
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients who were screening for suspected hypertention or white coat hypertention . * medically underserved population . * primary arterial hypertention . * high risk hypertensive patients \[resistant hypertension ,patients with poor medication adherance \]
Exclusion criteria
* patients with secondary causes of hypertention * patients with other cardiac diseases \[heart faliure ,valvular heart diseases \] * chronic illness affect blood pressure as chronic kideny disease .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| predictive accuracy of automatic blood pressure measurments versus conventional office based measurments in identifying patient at risk of hypertension mediated organ damage [HMOD] . | over 6 months follow up period | this outcomes will be assessed by measuring systolic and diastolic blood pressure using both automated devices \[eg omron HEM -907\] and conventional manual sphygmomanometers in a seated postion ,after 5 minutes of rest .measurments will be taken in duplicate on two separate visits ,one week apart and the average readings will be used for analysis .the presence of HMOD will be evaluated through echocardiographic assessment of left ventricular hypertrophy \[LVH \] and microalbuminuria .correlation and predictive value \[ sensitivity , specificity\] will be calculated to compare both methods |
Contacts
Primary Contactvereena karam william, resident doctor
Backup ContactNoha mouhamed gamal, assistant lecture
Outcome results
None listed