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Evid Based Nurs 7:80 doi:10.1136/ebn.7.3.80
  • Treatment

Adjustment of antihypertensive medication using home based, patient monitored blood pressure reduced both intensity of treatment and blood pressure control


 
 Q Is home based, self measurement of blood pressure (BP) more effective than office based, physician measurement as a basis for initiating and titrating antihypertensive drug treatment?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded {patients, physician making treatment decisions, outcome assessors, data analysts, and monitoring committee}*.

GraphicFollow up period:

1 year.

GraphicSetting:

56 primary care practices and 3 hospital based outpatient clinics in Leuven, Belgium and a specialised hypertension clinic in Dublin, Ireland.

GraphicPatients:

400 patients ⩾18 years of age (mean age 53 y, 52% women) who had either untreated or treated hypertension (using ⩽2 antihypertensive agents), and the last of 3 consecutive readings of diastolic BP (DBP) at 2 run-in visits averaged 95–114 mm Hg. Exclusion criteria: heart failure, unstable angina, stage 3 or 4 hypertensive retinopathy, myocardial infarction or stroke in the previous year, severe non-cardiovascular disease, serum creatinine concentrations …

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