NL-OMON50648
Completed
Not Applicable
STEPWISE treatment of uncontrolled HyperTensioN in primary care: a cluster randomised trial. - STEPWISE HT
Julius Centrum0 sites240 target enrollmentTBD
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Julius Centrum
- Enrollment
- 240
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients aged \> 18 years and \< 80 years with an office blood pressure \> 140/90
- •mmHg, on at least two blood pressure measurements per visit and on at least two
- •occasions in the last year despite prescription of three or more blood pressure
- •lowering drugs of different classes at adequate dosage, with for each
- •antihypertensive drug at least 1 prescription of 3 months. During the inclusion
- •consultation, the office blood pressure should be \> 140/90 mmHg (measured
- •according to the guideline on \*standardized office blood pressure measurement
- •based on the NHG CVRM guideline).
Exclusion Criteria
- •\- A short life expectancy (\< 6 months) as judged by the GP.
- •\- Inability to understand or conform to the stepwise protocol.
- •\- Unwillingness to provide a written informed consent.
- •\- In case of suspicion of a hypertensive crisis (systolic blood pressure \* 200
- •mmHg and/or diastolic blood pressure \* 120 mmHg) the patient is referred for
- •further evaluation. If a hypertensive crisis is excluded, the patient can be
- •included in the study.
- •\- Atrial fibrillation (because of difficulties to interpret 24 hour BP
- •measurements)
- •\- Pregnancy or breast feeding.
Outcomes
Primary Outcomes
Not specified
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