STEPs to Blood Pressure Reduction.
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/5/2018 |
| Start Date: | November 2015 |
| End Date: | December 2018 |
| Contact: | Anjail Z Sharrief, MD MPH |
| Email: | anjail.z.sharrief@uth.tmc.edu |
| Phone: | 7135006538 |
STEPs to Blood Pressure Reduction. A Randomized Clinical Trial of the Stroke Transitions, Education, and Prevention Clinic Versus Usual Care for Post-Stroke Blood Pressure Reduction
The Stroke Transitions Education and Prevention (STEP) Clinic is a new type of clinic
designed for stroke patients and was established to provide a comprehensive approach to
stroke risk factor reduction. The goal of this study will be more effective than usual care
at reducing blood pressure in patients with poorly controlled blood pressure after an
ischemic or hemorrhagic stroke or transient ischemic attack.
designed for stroke patients and was established to provide a comprehensive approach to
stroke risk factor reduction. The goal of this study will be more effective than usual care
at reducing blood pressure in patients with poorly controlled blood pressure after an
ischemic or hemorrhagic stroke or transient ischemic attack.
STEP clinic patients will receive personalized goals, instructions to self-monitor, a blood
pressure monitor, prescription medications, sleep apnea screening, dietary counseling, and
more frequent follow-up if needed. A stroke neurologist will see patients in the usual care
group and recommendations will be sent to their primary care providers.
pressure monitor, prescription medications, sleep apnea screening, dietary counseling, and
more frequent follow-up if needed. A stroke neurologist will see patients in the usual care
group and recommendations will be sent to their primary care providers.
Inclusion Criteria
- Age ≥ 18
- Clinical ischemic stroke, intracerebral hemorrhage, or transient ischemic attack
- Plan to discharge home or to short stay inpatient rehab after stroke
- Two of following required:
- History of hypertension (prior to hospitalization)
- Hospital blood pressure ≥ 140/90 on two or more occasions during hospitalization
- Discharge home on blood pressure medication
- Willingness and ability to follow-up in University of Texas Physicians stroke clinic
Exclusion Criteria:
- Modified Rankin scale (mRs) > 3 at enrollment
- Terminal illness
- Chronic kidney disease stage 4 or greater (eGFR < 30)
- Pregnancy
- Symptomatic flow limiting carotid stenosis without plan for intervention prior to
clinic visit
- Stroke etiology presumed unrelated to atherosclerotic risk factors (amyloid
angiopathy, vasculitis, malignancy associated)
We found this trial at
1
site
7000 Fannin St
Houston, Texas 77030
Houston, Texas 77030
(713) 500-4472
Phone: 713-500-6538
University of Texas Health Science Center at Houston The University of Texas Health Science Center...
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