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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.
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| Measure | Description | Time Frame |
|---|---|---|
| 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 | at baseline and 3 years of follow up |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | at baseline and 3 years of follow up |
| Difference of office blood pressure control rate |
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Inclusion Criteria:
Exclusion Criteria:
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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.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dongguk University Ilsan Hospital | Goyang-si | Gyeonggi-do | 10326 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38884638 | Derived | Lee KJ, Rhee MY. Status of home blood pressure measurement in treated hypertensive patients. Results of a survey from two cities in Korea. J Clin Hypertens (Greenwich). 2024 Jul;26(7):825-831. doi: 10.1111/jch.14808. Epub 2024 Jun 17. | |
| 36742078 | Derived | Rhee MY, Munakata M, Nah DY, Kim JS, Kim HY. Home blood pressure measurement for hypertension management in the real world: Do not just measure, but share with your physician. Front Cardiovasc Med. 2023 Jan 18;10:1103216. doi: 10.3389/fcvm.2023.1103216. eCollection 2023. |
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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.
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Difference of office blood pressure control rate between patients who measure and do not measure home blood pressure |
| 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 | at baseline and 3 years of follow up |
| Rate of home blood pressure measurement | Rate of home blood pressure measurement in study population | 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 | 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
| 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 | 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
| during 3 years of follow up from baseline measurement |