Hypertension

Digital Twin in Managing Hypertension Among People With Type 2 Diabetes: 1-Year Randomized Controlled Trial

JACC AdvPublished Secondary analysis of a randomised controlled trial

Authors' conclusion

Artificial intelligence -enabled DT technology is more effective than SC in reducing BP and anti-HTN medications and inducing HTN remission and normoalbuminuria in participants with HTN and T2D.

Study context

Population
Participants with T2DM in India59 on anti-HTN medications
Participants
319 participants
Comparison
Digital twin vs standard of care
  • Digital twin (DT)n = 233
  • Standard of care (SC)n = 86reference
Methodological detailsHome blood pressure (BP) monitoring system guided anti-HTN medication adjustments
  • Home BP monitoring system guided anti-HTN medication adjustments

Primary result

As reported in the abstract

1 year
GroupSBP changeDBP change
DT−7.6 mm Hg−4.3 mm Hg
SC−3.2 mm Hg−2.2 mm Hg

SBP change

DT−7.6 mm Hg
SC−3.2 mm Hg

DBP change

DT−4.3 mm Hg
SC−2.2 mm Hg
  • DT vs SC: P < 0.007 — SBP
  • DT vs SC: P = 0.046 — DBP

Further findings

Normotension (participants with HTN, subgroup)

P = 0.0009

HTN remission (participants with HTN, subgroup)

P < 0.0001

Normoalbuminuria · 1 year

P = 0.018

OutcomeDTSC
Remained off anti-HTN medications68.2%0 events

Original publication

Digital Twin in Managing Hypertension Among People With Type 2 Diabetes: 1-Year Randomized Controlled Trial. JACC Adv. Published 14 August 2024. doi:10.1016/j.jacadv.2024.101172

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