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December 14, 2020Journal of HypertensionOpen Access

Hemodynamic profiles in treatment-naive arterial hypertension and their clinical implication for treatment choice: an exploratory post hoc analysis

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Why the study?

To describe hemodynamic profiles in treatment-naive hypertensive patients versus normotensive controls and evaluate whether hemodynamic-guided therapy improves BP control within 4 weeks.

Does personalized treatment initiation based on hemodynamic profiles improve blood pressure control in newly diagnosed hypertensive outpatients?

Population

80 outpatients with newly diagnosed AHT and 20 age- and sex-matched normotensive controls

Comparison

Concordant treatment vs discordant treatment based on hemodynamic profiles

Design

Exploratory post hoc analysis of a randomized parallel-group trial

Follow-up

4 weeks

Authors

DGDelphine GlinzCBClaudia Di BlasiAVAndrea Villiger

Discussion

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Overview

Hemodynamic-guided initial therapy did not improve 4-week BP control; leaves open whether profiling aids treatment selection in new hypertension.

Structured PICO

Does personalized treatment initiation based on hemodynamic profiles improve blood pressure control in newly diagnosed hypertensive outpatients?

P
Population
80 outpatients with newly diagnosed arterial hypertension (AHT) and 20 age-matched and sex-matched normotensive controls
I
Intervention
Concordant antihypertensive treatment (ConTG) determined retrospectively based on hemodynamic profiles measured by noninvasive thoracic bioimpedance (HOTMAN System)
C
Comparator
Discordant antihypertensive treatment (DisTG) based on hemodynamic profiles
O
Outcome
Blood pressure (BP) control within 4 weekssurrogate

Personalized treatment initiation based on noninvasive hemodynamic profiles does not significantly improve blood pressure control in newly diagnosed hypertensive outpatients.

Cite This Study

Glinz et al. (2020) studied this question.

synapsesocial.com/papers/6a727e93f44fa9f079dff5f1https://doi.org/10.1097/hjh.0000000000002766
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