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Related Concept Videos

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Hypertension V: Nursing Management

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Related Experiment Video

Updated: Aug 27, 2025

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
04:37

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Published on: June 6, 2025

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A remote hypertension management program clinical algorithm.

Hunter Nichols1,2,3, Christopher P Cannon1,3,4, Benjamin M Scirica1,3,4

  • 1Division of Cardiovascular Medicine, Boston, Massachusetts, USA.

Clinical Cardiology
|September 25, 2022
PubMed
Summary
This summary is machine-generated.

This study introduces a remote hypertension management program using digital tools and an algorithm to improve blood pressure (BP) control in patients with uncontrolled hypertension.

Keywords:
Angiotensin II receptor blockers (ARBs) and Angiotensin-converting enzyme (ACE) inhibitorsCDTMalgorithmic managementbeta blockerscalcium channel blockers (CCBs)collaborative drug therapy managementhypertensionmineralocorticoid receptor antagonistspharmacythiazide diuretics

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Area of Science:

  • Cardiovascular Medicine
  • Digital Health
  • Health Informatics

Background:

  • Hypertension affects over 1 billion people globally, with inadequate control rates.
  • It remains the leading risk factor for mortality worldwide.
  • Current management strategies often fall short in achieving optimal blood pressure (BP) goals.

Purpose of the Study:

  • To develop and evaluate a remote hypertension management program.
  • To leverage digital technology and algorithmic care pathways for improved BP control.
  • To enhance patient engagement and adherence to guideline-directed BP goals.

Main Methods:

  • Utilized digitally transmitted home BP measurements and patient-navigator communication.
  • Implemented an evidence-based hypertension algorithm within a collaborative drug therapy management (CDTM) agreement.
  • Employed tailored care pathways, including a renin-angiotensin-aldosterone system-blocker pathway for specific patient subgroups.

Main Results:

  • The program demonstrated success in managing hypertension remotely.
  • Algorithmic decision-making streamlined care delivery and responsibilities.
  • The model showed potential for scalability in managing large patient populations.

Conclusions:

  • An algorithmic approach to remote hypertension management has been successfully developed.
  • This model can significantly improve BP control rates.
  • It offers an innovative solution for managing hypertension in widespread populations.