cardiovasculaire risicofactoren High blood pressure Hypertension
Conditions
Interventions
Patients in the intervention group will use a home blood pressure monitor for
self-measuring of the blood pressure. These measurments will be transferred to
a secured website when the monitor is con
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 80 years. Use of 3 or more antihypertensive medications. Use of 0,1 or 2 antihypertensive medications and a documented BP equal or greater than 140/90 mmHg (non-diabetic patients) Use of 0,1 or 2 antihypertensive medications and a documented BP equal or greater than 130/80 mmHg (diabetic patients) Patients must be able to measure the BP at home and to communicate with the nurse or physician through the web-based system.
Exclusion criteria
Exclusion criteria: Younger than 18 years of age, older than 80 years of age. Not fluent in Dutch or English language Pregnancy Life expectancy less than one year No access to computer with internet Most recent creatinine clearance (24 hour creatinine clearance) lesser than 30 ml/min Class III or IV heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Improvement of systolic and diastolic blood pressure in hypertensive patients in order to reduce clinical events related to high blood pressure, measured with 24-hours ambulatory blood pressure monitor. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Reduction of cardiovascular events - Reducing the amount of anti-hypertensive drugs needed. - Improvement of surrogate cardiovascular risk markers such as weight, waist-hip ratio, serum lipids, diet, physical activity - Improvement of patient satisfaction. - Reducing the number of out patient clinic visits | — |
Countries
Netherlands
Outcome results
None listed