Hypertension Management Using Telemonitoring



Status:Recruiting
Conditions:High Blood Pressure (Hypertension)
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:10/11/2018
Start Date:September 17, 2018
End Date:September 1, 2021
Contact:Donald Clark III, MD, MPH
Email:dclark2@umc.edu
Phone:601-984-5640

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Remote Hypertension Management Using Home Blood Pressure Telemonitoring and a Standardized Treatment Protocol

This is a prospective study evaluating the feasibility and safety of remote hypertension
management using a central telemonitoring program among patients with elevated blood pressure
(BP) at the University of Mississippi Medical Center (UMMC).

Patients with elevated BP, identified by the electronic medical record, will be recruited for
study enrollment. Patients will be mailed a telemonitoring kit including an electronic tablet
equipped with a wireless BP cuff that transmits measurements directly to the UMMC electronic
medical record and monitored by the UMMC Center for Telehealth. Patients will participate in
a 6 month intervention period during which they will transmit daily BP recordings with
regular contact by a Telehealth nurse coordinator who will provide education and encourage
healthy lifestyle habits. Every 2 weeks BP medications will be adjusted according to an
evidence-based treatment algorithm managed by the Center for Telehealth pharmacist using a
standardized physician-approved protocol. Data analysis will track metrics of study
enrollment, study completion, safety, therapeutic intensification, and BP change from
baseline.

Inclusion Criteria:

1. Age greater than 18 years

2. Patient of UMMC clinician approving the study

3. At least 2 clinic encounters in the past 12 months with systolic BP ≥ 140 mmHg and/or
diastolic BP ≥ 90 mmHg

Exclusion Criteria:

1. Stage 4 or 5 chronic kidney disease

2. Systolic heart failure (LVEF <50%) or major cardiovascular event (MI, stroke) within 3
months

3. Resistant hypertension (prescribed 3 or more antihypertensive medications at target
doses) or known secondary cause of hypertension

4. Pregnancy or inability/unwillingness to use birth control for women of child-bearing
potential

5. Institutionalized, dementia, limited life expectancy, uncontrolled mental illness,
substance abuse, or other conditions that would prohibit ability to perform regular
home BP monitoring
We found this trial at
1
site
2500 N State St
Jackson, Mississippi 39216
(601) 984-1000
Principal Investigator: Donald Clark III, MD, MPH
University of Mississippi Medical Center The University of Mississippi Medical Center, located in Jackson, is...
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mi
from
Jackson, MS
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