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March 7, 2006Hypertension

Value of Noninvasive Hemodynamics to Achieve Blood Pressure Control in Hypertensive Subjects

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Why the study?

Does hypertension therapy guided by noninvasive hemodynamics with impedance cardiography improve blood pressure control in uncontrolled hypertensive patients on 1 to 3 medications?

Population

164 uncontrolled hypertensive patients on 1 to 3 medications from 11 centers

Comparison

Hypertension therapy guided by noninvasive… vs Standard care

Design

RCT, 3:2 ratio

Follow-up

3 months

Authors

RSRonald D. SmithPLPavel J. LevyCFCarlos M. Ferrario

Discussion

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Overview

Supports impedance cardiography-guided therapy for uncontrolled hypertension on 1-3 agents; confirms hemodynamic tailoring superiority in this RCT.

Structured PICO

Does hypertension therapy guided by noninvasive hemodynamics with impedance cardiography improve blood pressure control in uncontrolled hypertensive patients on 1 to 3 medications?

P
Population
164 uncontrolled hypertensive patients on 1 to 3 medications from 11 centers
I
Intervention
Hypertension therapy guided by noninvasive hemodynamics with impedance cardiography (BioZ, CardioDynamics) for 3 months
C
Comparator
Standard care
O
Outcome
Reduction in systolic and diastolic blood pressure from baseline and after washoutsurrogate

Antihypertensive therapy guided by impedance cardiography is more effective than standard care in achieving blood pressure control in uncontrolled hypertensive patients.

Cite This Study

Smith et al. (2006) studied this question.

synapsesocial.com/papers/6a727e96f44fa9f079dff610https://doi.org/10.1161/01.hyp.0000209642.11448.e0
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