To assess the education impact on systemic hypertension (SH) control and outcome after 1 yearDesign and method:
100 patients with SH were randomized in two groups: enhanced educational group (which will have the predefined, standardized education program based on the Curriculum Modules – 2 modules of 45 minutes each at visit 0 and 6 months; phone call at month 3) and control group (will have training taken as usual every day practice). During the 4 visits (0 – M3 –M6-M12) were determinate: blood pressure (3 measurements), ECG and 6 minutes’ walk test. For outcome: any cardiovascular event or hospitalization.Results:
Baseline characteristics: in study group: AVERAGE age: 56.4(3.6), 62% males, T2DM 12%, dyslipidemia 24%, obesity 32%, treatmenT with: ACEi, Sartans, Beta blockers, Diuretics, Calcium channel blockers, Statins in proportion of 80, 15, 15, 35, 35, respectively 20%; in control group: average age: 57.8(3.4), 61% males, T2DM 11%, dyslipidemia 23%, obesity 33%, in treatment with: ACEi, Sartans, Beta blockers, Diuretics, Calcium channel blockers, Statins in proportion of: 71, 16, 14, 36, 34, 22%; Results at last visit (after 1 year): in study group: Blood pressure measurement – average - 135/80 mmHg (3.6); ECG (% of patients with changes) – 30%; 6 minute walking test worsening (% patients) – 9%; 9% patients with CV events; 6 % pts with hospitalization for heart failureResults:
In control group: average blood pressure - 144/85 mmHg(3.8); 40 % of patients with ECG; changes; 14 % patients with CV events; 10 % pts with hospitalization for heart failureConclusions:
In enhanced educational group the overall results were significantly better. We obtained a better control of blood pressure closer to target value, better blood test, ECG and echo results and very few cardiovascular events. We obtained an excellent communication patient – physician, the confident patient adopting an optimistic attitude with higher professional and social performances.