A5062278716- Blood Pressure and Hypertension Studies
- Heart Rate Variability and Autonomic Control
- Cardiac Health and Mental Health
- Sodium Intake and Health
- Nutritional Studies and Diet
- Cardiovascular and exercise physiology
- Cardiovascular Health and Disease Prevention
- Hemodynamic Monitoring and Therapy
- Transplantation: Methods and Outcomes
- Patient Satisfaction in Healthcare
- Cardiovascular Syncope and Autonomic Disorders
- Renal Transplantation Outcomes and Treatments
- Stroke Rehabilitation and Recovery
- Thyroid Cancer Diagnosis and Treatment
- Thermoregulation and physiological responses
- Rangeland Management and Livestock Ecology
- Cancer-related cognitive impairment studies
- Coronary Interventions and Diagnostics
- Health Literacy and Information Accessibility
- Agriculture and Biological Studies
- Vascular Tumors and Angiosarcomas
- Cancer Treatment and Pharmacology
- Acute Lymphoblastic Leukemia research
- Educational Robotics and Engineering
- Atherosclerosis and Cardiovascular Diseases
University of Oxford
2014-2024
Jichi Medical University
2024
Primary Health Care
2016-2024
NIHR School for Primary Care Research
2024
Institut Jean Godinot
2021
Seattle University
2019
Boston University
2019
Vanderbilt University
2019
University of British Columbia
2019
Nuffield Health
2018
Self-monitoring of blood pressure with self-titration antihypertensives (self-management) results in lower patients hypertension, but there are no data about high-risk groups.To determine the effect self-monitoring antihypertensive medication compared usual care on systolic among cardiovascular disease, diabetes, or chronic kidney disease.A primary care, unblinded, randomized clinical trial involving 552 who were aged at least 35 years a history stroke, coronary heart disease and baseline...
<h2>Summary</h2><h3>Background</h3> Studies evaluating titration of antihypertensive medication using self-monitoring give contradictory findings and the precise place telemonitoring over alone is unclear. The TASMINH4 trial aimed to assess efficacy self-monitored blood pressure, with or without telemonitoring, for in primary care, compared usual care. <h3>Methods</h3> This study was a parallel randomised controlled done 142 general practices UK, included hypertensive patients older than 35...
PURPOSE Comprehensive cardiac evaluations are currently recommended for all anthracycline-treated patients to detect subclinical failure. A screening test is needed that would easily and inexpensively identify who at risk late decompensation. METHODS We routinely reviewed the ECG echocardiogram (ECHO) results of 52 56 long-term survivors childhood cancer had received > or = 100 mg/m2 ANTH (ANTH 1 doxorubicin), were not in clinical heart Exercise testing was performed eight with a...
Background Self-monitoring of blood pressure is common but how telemonitoring with a mobile healthcare (mHealth) solution in the management hypertension can be implemented by patients and professionals (HCPs) currently unclear. Aim Evaluation facilitators barriers to self- interventions for within Telemonitoring Hypertension (TASMINH4) trial. Design setting An embedded process evaluation TASMINH4 randomised controlled trial (RCT), West Midlands, UK primary care, conducted between March 2015...
A previous economic analysis of self-management, that is, self-monitoring with self-titration antihypertensive medication evaluated cost-effectiveness among patients uncomplicated hypertension. This study considered self-management in those raised blood pressure plus diabetes, chronic kidney disease and/or cardiovascular disease. Markov model-based evaluation was undertaken to estimate the long-term a cohort 70-year-old 'high risk' patients, compared usual care. The model used results...
<h3>Background</h3> Ambulatory and/or home monitoring are recommended in the UK and US for diagnosis of hypertension but little is known about their acceptability. <h3>Aim</h3> To determine acceptability different methods measuring blood pressure to people from minority ethnic groups. <h3>Design setting</h3> Cross-sectional study with focus groups primary care West Midlands. <h3>Method</h3> People ethnicities without were assessed clinic, home, ambulatory measurement using completion rate,...
Out-of-office blood pressure evaluation assessed using ambulatory (ABP) or home (HBP) monitoring is currently recommended for hypertension management. We evaluated the frequency and determinants of diagnostic disagreement between ABP HBP measurements.Cross-sectional data from 1971 participants (mean age 53.8 ± 11.4 years, 52.6% men, 32% treated) Greece, Finland United Kingdom were analyzed. The daytime was regarded as certain when (i) two methods diagnosed a different phenotype, (ii)...
Abstract Background Having a stroke or transient ischaemic attack increases the risk of subsequent one, especially with high blood pressure (BP). Home‐based BP management can be effective at maintaining optimal BP. Objective To describe optimization digital intervention for patients and value participant diversity, using person‐based approach (PBA) integral patient public involvement (PPI). Setting participants Stroke recruited from primary care community settings, health‐care professionals...
BACKGROUND This study investigated the relationship of ethnicity to differences between blood pressure (BP) measured in a clinic setting and by ambulatory monitoring (ABPM) individuals with previous diagnosis hypertension (HT) without (NHT). METHODS A cross-sectional comparison BP measurement was performed 770 participants (white British (WB, 39%), South Asian (SA, 31%), African Caribbean (AC, 30%)) 28 primary care clinics West Midlands, United Kingdom. Mean daytime ABPM, standardized (mean...
Masked hypertension (MH) is defined as normal office blood pressure (OBP) and elevated ambulatory (ABP) or home (HBP). This study assessed MH identified by each of these two methods.A retrospective analysis cross-sectional data in treated untreated adults from Greece, Finland UK who had OBP, HBP 24-h ABP measurements was performed. Dual OBP ABP, isolated HBP.Of 1971 participants analyzed, 445 (23%) on and/or (age 57.1 ± 10.8 years, men 55%, 49%). Among with any MH, 215 dual (48%), 132 (30%)...
Home blood pressure (HBP) monitoring has become a primary method for hypertension diagnosis and management. This analysis aimed to investigate the optimal minimum schedule HBP monitoring.A retrospective of cross-sectional data was performed, which involved 24-h ambulatory (ABP) in adults performed within context clinical studies Finland, Greece UK. Participants with six seven days at least 12 readings were included. The stability assessed by evaluating average value an increasing number its...
Self-monitoring of hypertension is associated with lower systolic blood pressure (SBP). However, evidence for the use self-monitoring to titrate antihypertensive medication by physicians equivocal. Furthermore, there some efficacy telemonitoring in management but it not clear what this adds over and above self-monitoring. This trial aims evaluate whether GP led titration using results SBP compared usual care anything alone. will be a pragmatic primary based, unblinded, randomised controlled...
Abstract Background Self-monitoring of hypertension with self-titration antihypertensives (self-management) results in lower systolic blood pressure for at least one year. However, few people high risk groups have been evaluated to date and previous work suggests a smaller effect size these groups. This trial therefore aims assess the added value self-management over above usual care. Methods/Design The targets control stroke (TASMIN-SR) will be pragmatic primary care based, unblinded,...
Hypertension is a major risk factor for cardiovascular disease and prevalence varies by ethnic group. The diagnosis management of blood pressure are informed guidelines largely based on data from white populations. This study addressed whether accuracy measurement in terms hypertension ethnicity comparing two modalities (clinic home monitoring) with reference standard ambulatory BP monitoring three groups. Cross-sectional population (June 2010 - December 2012) patients (40–75 years) British,...
Abstract Background: The benefits of post-operative radioactive iodine (RAI) administration have not been demonstrated in patients with low risk differentiated thyroid cancer (DTC). objective this randomized phase III trial is to assess DTC the non-inferiority a follow-up strategy as compared systematic adjuvant RAI administration. Methods: ESTIMABL2 French multicentric low-risk treated total thyroidectomy or without prophylactic neck lymph node dissection (pT1am N0 Nx sum diameters tumor...
Introduction People of South Asian, African-Caribbean and Irish ethnicity are known to have worse cardiovascular outcomes than those from the white British group. While reasons underpinning this complex, effect hypertension is both significant modifiable. In recent years, there has been increasing interest in uptake ‘out-of-office’ methods for blood pressure (BP) monitoring. However, guidance area largely based on research among population. This study aims answer following questions: (1) How...
Interarm differences (IADs) ≥10 mm Hg in systolic blood pressure (BP) are associated with greater incidence of cardiovascular disease. The effect ethnicity and the white coat (WCE) on significant IADs (ssIADs) not well understood.Differences BP by for different methods measurement were examined 770 people (300 White British, 241 South Asian, 229 African-Caribbean). Repeated clinic measurements obtained simultaneously right left arm using 2 BPTru monitors comparisons made between first...
Self-management of hypertension can reduce and control blood pressure (BP) compared with clinic monitoring. However, self-management relies on patients following an algorithm, which may be variably adhered to. This study reports fidelity high-risk to the algorithm set by TASMIN-SR trial.Patients hypertension, above target BP one or more stroke, diabetes, coronary heart disease chronic kidney disease, were invited self-monitor individualized self-titration algorithm. Home readings medication...
Out-of-office blood pressure (BP) measurement is advocated to confirm hypertension diagnosis. However, little known about how primary care patients view and use such measurement.To investigate patient experience of out-of-office BP monitoring, particularly home practice waiting room measurement, before, during, after diagnosis.A cross-sectional, qualitative study with from two UK GP surgeries participating in a feasibility measurement.Interviewees were identified recent additions the...
Objective: Evidence suggests an interarm difference (IAD) of >=10mmHg in blood pressure (BP) is associated with a greater incidence cardiovascular disease. Effect ethnicity on the prevalence this has not been reported. Design and method: The Blood Pressure Ethnic Groups Study (BP-Eth), based primary care, investigated relationship between different methods BP measurement. Using these data significant IAD was 770 people (300 White British, 229 South Asian, 241 African-Caribbean). Repeated...