Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practicing in specific cardiology domains.
Dr. Diego Vanuzzo,
Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomised controlled trial. Richard J McManus, Jonathan Man, Emma P Bray, Roger Holder, Miren I Jones, Sheila Greenfield, Billingsley Kaambwa, Miriam Banting, Stirling Bryan, Paul Little, Bryan Williams, Richard Hobbs. The Lancet, Volume 376, 2010; 9736:, 163 – 172 Read the abstract
Nonadherence and poor persistence in taking antihypertensive medications result in uncontrolled high blood pressure, poor clinical outcomes, and preventable health care costs. Two important developments in blood pressure measurement make self-titration appealing for the treatment of hypertension: the ubiquitous use of automated home blood pressure monitoring devices, and the availability of telemonitoring capability with reliable transfer of patients' data to primary care practices. The TASMINH2 randomised controlled trial was undertaken in 24 general practices in the UK. Patients aged 35—85 years were eligible for enrolment if they had blood pressure more than 140/90 mm Hg despite antihypertensive treatment and were willing to self-manage their hypertension. Participants were randomly assigned in a 1:1 ratio to self-management (n=234 included in the primary analysis), consisting of self-monitoring of blood pressure and self-titration of antihypertensive drugs, combined with telemonitoring of home blood pressure measurements or to usual care (n=264). Mean systolic blood pressure decreased in both groups with a significant difference of 3·7 mm Hg (0·8—6·6; p=0·013) in the self-management group from baseline to 6 months, and of 5·4 mm Hg (2·4—8·5; p=0·0004) from baseline to 12 months. These results are promising, but titration schedules and safety limits were agreed in advance between participants in the intervention groups and their family doctor, and the research team telemonitored patients, calling them in case they did not request a blood pressure check by the practice while exceeding the safety limits. Moreover of 7637 patients invited to participate, 5987 (78%) declined, and out of the remaining 1650, only 32% - 7% of the total- were eligible. Therefore this approach does not seem easily transferable in a busy practice at the moment.
Our mission: To reduce the burden of cardiovascular disease
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