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Effects of a Comprehensive Intervention on Blood Pressure Control in a Primary Care Setting

Not Applicable
Completed
Conditions
Hypertension
Interventions
Other: Intensive Care
Registration Number
NCT01915199
Lead Sponsor
Finnish Institute for Health and Welfare
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
144
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)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionIntensive CarePatients in this arm received a comprehensive intervention on hypertension through optimization of drug therapy, introduction of home blood pressure monitoring, and lifestyle guidance.
Primary Outcome Measures
NameTimeMethod
Change in Office Systolic and Diastolic Blood PressureBaseline and at 12 Months.
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Population Studies Unit

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Turku, Finland

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