Education and Training

Effectiveness of BP Remote Monitoring With Virtual Physician Management in Hypertensive Patients.

To assess the feasibility and adoptability of DailyDoctor's remote monitoring clinical decision support software tool in helping physicians virtually manage systolic blood pressures among patients with history of stroke or TIA to a target systolic blood pressure (<140 mmHg or a lower target range specified by referring physicians) using remote monitoring and independent clinical judgement.

Stanford is currently not accepting patients for this trial.

Stanford Investigator(s):

Intervention(s):

  • behavioral: Daily Blood Pressure Monitoring

Eligibility


Inclusion Criteria:

Age 18 years or older. A history of ischemic or hemorrhagic stroke, or transient ischemic
attack. The ability to report blood pressure values by phone (either a patient or
designated caregiver may call to report values).

At least 2 BP measurements that are ≥140 mmHg systolic or ≥90 mmHg diastolic obtained on
different days in the last 6 months in any setting (including at home, in clinic, or in the
hospital setting).

The referring physician feels the patient would benefit from BP optimization. Consent to
receive care from telehealth physicians available through the DailyDoctor monitoring
platform.

English or Spanish speaking.

Exclusion Criteria:

Currently enrolled in another interventional research study Inability to comply with study
protocol Have a planned surgical procedure during the study period Upper arm circumference
> 20 inches Has diagnosis of end-stage renal disease (GFR < 15 mL/min), Serum creatinine >
2.0 mg/dL (176.8 μmol/L), or currently undergoing dialysis treatment (10) Women who are
pregnant or who are planning to become pregnant during the study period.

Blood pressure reduction is not indicated (e.g. patients who have a high blood pressure
target to augment cerebral perfusion).

Any other reason that, in the opinion of the investigator, makes the person a poor
candidate for participation in this study

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Lironn Kraler, MD
Not Recruiting