An observational study in Hypertension, Blood Pressure and Home Blood Pressure Measurement, sponsored by DongGuk University. Active, not recruiting at 1 site in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-07-12.
Sponsored by DongGuk University · Observational
Home blood pressure measurement has been reported to be associated with better clinic blood pressure and daytime blood pressure control. However, no study has evaluated the association between home blood pressure measurement and control of 24-hour ambulatory blood pressure in real world practice.
The purpose of the present study is to investigate the effect of home blood pressure measurement on the control of ambulatory blood pressure in the real world.
The detailed purposes of the present study are (1) to investigate the effects of home blood pressure measurement on the appropriate control of 24-hour ambulatory blood pressure in hypertensive patients treated with antihypertensive drug, (2) to evaluate the effect of home blood pressure measurement on the occurrence of cardiovascular events and target organ damage, (3) to investigate the status and appropriateness of home blood pressure measurement in the real world, and (4) to investigate factors of home blood pressure measurement methods affecting the treatment of hypertension.
Patients with hypertension who were taking antihypertensive drugs for more than 1 year for treatment of hypertension are recruited through advertising in Goyang City where the hospital is located and Paju City near to the hospital.
Exclusion Criteria:
Difference of 24-hour blood pressure control rate
difference of 24-hour blood pressure control rate between patients who measure and do not measure home blood pressure
Time frame: at baseline and 3 years of follow up
Difference of daytime blood pressure control rate
Difference of daytime blood pressure control rate between patients who measure and do not measure home blood pressure
Time frame: at baseline and 3 years of follow up
Difference of office blood pressure control rate
Difference of office blood pressure control rate between patients who measure and do not measure home blood pressure
Time frame: at baseline and 3 years of follow up
Difference of systolic and diastolic blood pressure (office, 24-hour, daytime, nighttime)
Difference of systolic and diastolic blood pressure (office, 24-hour, daytime, nighttime) between patients who measure and do not measure home blood pressure
Time frame: at baseline and 3 years of follow up
Rate of home blood pressure measurement
Rate of home blood pressure measurement in study population
Time frame: at baseline and 3 years of follow up
Reflection of home blood pressure
Rate of reflecting home blood pressure in the treatment of hypertension at office
Time frame: at baseline and 3 years of follow up
cardiovascular disease prevalence and target organ damage
Difference of cardiovascular disease prevalence and target organ damage between patient who do or do not measure home blood pressure * Composites of cardiovascular disease: number of participants with non-fatal myocardial infarction, angina pectoris, revascularization of arteries, stroke, transient ischemic attack, atrial fibrillation, heart failure hospitalization, progression to end-stage renal failure or elevation of creatinine more than 2-fold, other undefined cardiovascular events at the discretion of the investigator * Target organ damage: left ventricular hypertrophy by electrocardiography, brachial-ankle pulse wave velocity, microalbuminuria
Time frame: at baseline and 3 years of follow up
Changes of home blood pressure measurement rate
Changes of home blood pressure measurement rate in study population after 3 year of follow up from baseline
Time frame: from baseline to 3 years of follow up
Cardiovascular disease events and target organ damage
Difference of occurrence of cardiovascular disease events and target organ damage between patient who measure and do not measure home blood pressure * Composites of cardiovascular disease events: number of participants with first occurrence of non-fatal myocardial infarction, angina pectoris, revascularization of arteries, stroke, transient ischemic attack, atrial fibrillation, heart failure hospitalization, progression to end-stage renal failure or elevation of creatinine more than 2-fold, other undefined cardiovascular events at the discretion of the investigator * Target organ damage: left ventricular hypertrophy by electrocardiography, brachial-ankle pulse wave velocity, microalbuminuria from enrollment
Time frame: during 3 years of follow up from baseline measurement
Plan to share: No — In order to share the IPD, the informed consent from the research participants is required un the Korean law, and the investigators did not get the consent to share at the beginning of this study.
No publications or documents are linked to this record.
This study is active, not recruiting, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.
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DongGuk University