Technology-enabled Management Versus Usual Care for Blood Pressure

Recruiting

I'm Interested

Trial ID: NCT05479461

Purpose

Two arm parallel randomized clinical trial

Official Title

A Two-arm Parallel Randomized Clinical Trial of Implementation of Technology-enabled Management Versus Usual Care for Blood Pressure

Stanford Investigator(s)

Paul  J. Wang, MD
Paul J. Wang, MD

John R. and Ai Giak L. Singleton Director, Professor of Medicine (Cardiovascular Medicine) and, by courtesy, of Bioengineering

Vishnu Ravi

Clinical Assistant Professor, Medicine - Primary Care and Population Health

Eligibility

Inclusion Criteria:

* Age 30-90 yrs.
* Smartphone ownership
* Office SBP: ≥ 140 mm Hg
* ≤ 2 current anti-HTN meds
* Able to add or dose-increase at least 2 of the following classes of medications: ACE-I/ARB, diuretic, calcium channel blocker, beta-blocker, mineralocorticoid receptor antagonists (i.e., at least 2 classes are available for addition or dose- increases after excluding intolerant medications and medications currently at maximum dose)
* English or Spanish-speakers

Exclusion Criteria:

* Heart failure with reduced ejection fraction (EF \< 40%)
* ESRD (GFR \<15)
* Renal replacement therapy
* Pregnant
* Myocardial infarction or stroke within preceding 6 months
* Hospitalization for hypertensive emergency or malignant hypertension within preceding 6 months
* Prior solid organ transplantation
* At the clinical discretion of the investigators
* Enrolled in another clinical study

Intervention(s):

other: Digital Hypertension Management System

other: Usual Care

Recruiting

I'm Interested

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Paul Wang, MD
650-723-9363