Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
Abstracts e209
Objective: Failing to reach blood pressure (BP) goals is a major problem in treat-
ment of hypertension, causing a high socioeconomic burden, sequel morbidities
and strongly increased mortality. Recent studies demonstrated that interventional
decentralized telemonitoring (idTM
®
) can strongly improve BP management in
hypertension including high risk patients. In the EDiMed-Project (efficiency anal-
ysis of services in telemedicine) - supported by German Ministry for education
and research - the cost-benefit ratio was analyzed and a positive socioeconomic
impact was found.
Design and method: This project aims at establishing a telemonitoring system
that allows to extend this service to all European Excellence centers for hyperten-
sion treatment and ultimately to all physicians treating hypertensive patients in
Europe. For this effort, the unique software SciTIM
®
providing highest standard
of data security was developed for the register to allow:
• Making idTM
®
available to physicians and patients across Europe
• Establishing telemedical standards for selected hypertensive indications (renal
failure, pregnancy, juveniles)
• Establishing a system for collections of high quality epidemiologic data from
daily medical practice, ultimately extend beyond planned register
• Establishing a digital interface for direct interaction between specialists and
general practitioners based on patient data.
Results: The register nucleus started with 8 ESH-centers in 2017. To integrate
data directly from the data management systems the project has and will generate
interfaces to the most commonly used medical data management systems. In addi-
tion, the system provides an user interface to physicians, enabling to monitor their
patient’s telemonitoring progress at the first time directly in their electronic health
records enabling physicians to set individual patient limits and specific rules to
pro-actively alert staff members via auto generated messages and daily reports.
Conclusions: The EUSTAR consortium has establish a register based on needs
of medical specialists under the aegis of the ESH and will roll out this register
throughout Europe. A database was created that allows safe and standardized ex-
change of data. The System include interfaces for data collection from medical
measurement devices and be open for all possible providers and also for other data
than the first two parameters blood pressure and body weight.
PP.15.11 EVALUATION OF AFFECTIVE TEMPERAMENTS,
DEPRESSION AND ANXIETY IN WHITE-COAT,
WELL-TREATED AND RESISTANT HYPERTENSION
AND IN HEALTHY CONTROLS
J. Nemcsik
1
, B. Korosi
1
, D. Batta
1
, A. Laszlo
1
, A. Tabak
2
, D. Eorsi
1
, P. Torzsa
1
,
O. Cseprekal
3
, A. Tisler
2
, Z.S. Nemcsik-Bencze
4
, X. Gonda
5
, Z. Rihmer
5
.
1
Department of Family Medicine, Semmelweis University, Budapest, Hungary,
2
First Department of Medicine, Semmelweis University, Budapest, Hungary,
3
Department of Transplantation and Surgery, Semmelweis University, Budapest,
Hungary,
4
Magnetic Resonance Imaging Research Center, Semmelweis University,
Budapest, Hungary,
5
Department of Psychiatry and Psychotherapy, Semmelweis
University, Budapest, Hungary
Objective: Hypertension and mood disorders both increase the frequency of car-
diovascular events. Affective temperaments are related to mood disorders, how-
ever, less data are available about the relationship between affective temperaments
and cardiovascular diseases. The aim of this study was to evaluate affective tem-
perament scores, depression, anxiety, hemodynamic and arterial stiffness param-
eters in healthy subjects (Cont), as well as in chronic, well-treated (Chr), chronic,
resistant (Res) and white-coat (Wh) hypertensive patient populations.
Design and method: In our study, 261 patients were included: 148 Chr, 29 Res,
17 Wh and 67 Cont subjects. The patients completed the Temperament Evaluation
of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A), the Beck
Depression Inventory (BDI) and the Hamilton Anxiety Scale (HAMA). Blood
pressure was measured with a validated oscillometric device (Omron M3) and
arterial stiffness was examined with tonometry (PulsePen).
Results: Significant differences were found between the Cont, Chr, Res and Wh
in brachial systolic blood pressure (121.44 ± 11.1, 131.66 ± 12.16, 151.1 ± 27.92,
136.31 ± 12.31 mmHg, respectively) and in pulse wave velocity (7.78 ± 1.39,
9.24 ± 2.19, 10.49 ± 2.76, 8.06 ± 1.61 m/s, resp.). In cyclothymic affective tem-
perament scores we found significant differences between the Cont, Chr and Res
groups (2(0–4), 3(1–5), 4(3–8), resp.) with the highest score in Res. In BDI scores
also significant differences were found between Cont, Chr and Res (3(0–5), 5(2–9),
7(4–12.5), resp.), while in HAMA scores differences between Cont, Chr, Res and
Wh (3(1–6), 5(2–9), 12 (6–19.5), 8(5–10.5), resp.) groups were found. Res group
showed the worst BDI and HAMA profiles as well.
Conclusions: Evaluation of affective temperaments might be helpful in identifica-
tion of high-risk subgroups of hypertensive patients. However, prospective studies
are required to confirm these observations.
PP.15.12 MEDICUS, A MOBILE-BASED, A PATIENT-
CENTERED APPROACH TO THE TRACKING,
PREDICTION, AND PREVENTION OF
HYPERTENSION AND CARDIOVASCULAR
CONDITIONS
N. Nehme
1
, B. Al Khatib
3
, B. Al Hakim
1,2
.
1
INiTS Universitäres Gründerservice,
Vienna, Austria,
2
Paris&Co Incubator, Paris, France,
3
Damascus University,
Damascus, Syria
Objective: Lifestyle choices are critical contributors to the onset of hyperten-
sion and related cardiovascular diseases (1, 2). However, patients and health prac-
titioners are often confronted with the challenge of understanding and drawing
meaningful conclusions from a large number of analysis reports such as blood
tests, NGS data, etc.
Design and method: Medicus is a healthcare platform that converts medical re-
ports with their cryptic numbers and medical language into a visual experience
with personalized easy-to-understand health insights and actionable recommenda-
tions. Medicus is powered by a Medical Reasoning Engine that uses AI to encode
medical knowledge.
Results: One of our primary focuses at Medicus is hypertension and the heart
health. We’re tracking biomarker changes in response to users’ profile (sex, age,
ethnic origin), lifestyle habits (alcohol, smoking, diet type, activity, BMI), used
medication, genetic predisposition or existing condition. To date, we cover and
track vitals including blood pressure, heart rate (HR), temperature, along with
other serum biomarkers such as hematological variables, lipids, glucose, renal,
and liver markers. Such detailed data allows Medicus to give the user a custom-
ized hypertension and cardiovascular health risk assessment while tracking users’
progression over time and linking it to lifestyle changes among others (3). In ad-
dition to cardiac markers, new biomarkers will be added and analyzed via our
algorithms, including blood pressure, and HR related variables such as resting,
high resting, target, recovery HR, and HR variability in a variety of user profiles
including healthy users, athletes, and hypertension or cardiac patients.
By presenting our innovative platform to researchers and health practitioners, we
aim to establish two-way research collaborations to improve our product and con-
tribute to advancing the research, clinical and medical fields. Researchers can
benefit from compliant patients data to support their studies and understand more
the factors that affect hypertension and related cardiovascular conditions.
Conclusions: In conclusion, Medicus’s goal is to change the way people under-
stand and interact with their health by promoting the predict and prevent model
(3). This personalized approach will significantly reduce the onset of conditions
by focusing on measurable risk factors and driving positive behavioral change.
PP.15.13 EFFECT OF RENAL DENERVATION ON BLOOD
PRESSURE IN PATIENTS WITH RESISTANT
HYPERTENSION AND TYPE 2 DIABETES MELLITUS
AFTER A 2 YEARS FOLLOW-UP
V. Mordovin, A. Falkovskaya, S. Pekarskiy, G. Semke, T. Ripp, I. Zyubanova,
V. Lichikaki, A. Baev. Cardiology Research Institute, Tomsk NRMC, Tomsk,
Russia
Objective: Combination of the type 2 diabetes mellitus (T2DM) and resistant
hypertension (RHTN) associated with very high cardiovascular risk. Renal dener-
vation (RDN) is a new non-pharmaceutical approach for treating RHTN. The aim
of this study was to evaluate long-term blood pressure (BP) lowering after RDN
in patients with RHTN and T2DM.