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Automatic and Conventional Methods of Hypertensive Patients Monitoring

Not yet recruiting
Conditions
Primary Hypertension
Registration Number
NCT06929728
Lead Sponsor
Assiut University
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.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
620
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 .

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
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

Secondary Outcome Measures
NameTimeMethod
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