Effectiveness of BP Remote Monitoring With Virtual Physician Management in Hypertensive Patients.

Not Recruiting

Trial ID: NCT05319418


To assess the feasibility and adoptability of DailyDoctor's remote monitoring clinical decision support software tool in helping physicians virtually manage systolic blood pressures among patients with history of stroke or TIA to a target systolic blood pressure (<140 mmHg or a lower target range specified by referring physicians) using remote monitoring and independent clinical judgement.

Official Title

PILOT: Effectiveness of BP Remote Monitoring Software With Virtual Physician Management in Stage 2 Hypertension Patients With History of Stroke or TIA.

Stanford Investigator(s)

Maarten Lansberg, MD, PhD
Maarten Lansberg, MD, PhD

Professor of Neurology (Adult Neurology) and, by courtesy, of Neurosurgery


Inclusion Criteria:

Age 18 years or older. A history of ischemic or hemorrhagic stroke, or transient ischemic
attack. The ability to report blood pressure values by phone (either a patient or
designated caregiver may call to report values).

At least 2 BP measurements that are ≥140 mmHg systolic or ≥90 mmHg diastolic obtained on
different days in the last 6 months in any setting (including at home, in clinic, or in the
hospital setting).

The referring physician feels the patient would benefit from BP optimization. Consent to
receive care from telehealth physicians available through the DailyDoctor monitoring

English or Spanish speaking.

Exclusion Criteria:

Currently enrolled in another interventional research study Inability to comply with study
protocol Have a planned surgical procedure during the study period Upper arm circumference
> 20 inches Has diagnosis of end-stage renal disease (GFR < 15 mL/min), Serum creatinine >
2.0 mg/dL (176.8 μmol/L), or currently undergoing dialysis treatment (10) Women who are
pregnant or who are planning to become pregnant during the study period.

Blood pressure reduction is not indicated (e.g. patients who have a high blood pressure
target to augment cerebral perfusion).

Any other reason that, in the opinion of the investigator, makes the person a poor
candidate for participation in this study


behavioral: Daily Blood Pressure Monitoring

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Lironn Kraler, MD