Hypertension

Leveraging Preexisting Cardiovascular Data to Improve the Detection and Treatment of Hypertension: The NOTIFY-LVH Randomized Clinical Trial

JAMA CardiolPublished Randomised controlled trial

Primary resultResult — go to the resultAdjusted odds ratio 3.76 95% CI 2.09–6.75

Authors' conclusion

In the NOTIFY-LVH randomized clinical trial, a centralized population health coordinator-led notification and clinical support pathway for individuals with LVH on prior echocardiograms increased the initial treatment of hypertension.

Study context

Population
Primary care patients with left ventricular hypertrophy (LVH) on prior echocardiogram, no established cardiomyopathy and no antihypertensive treatment, Mass General Brigham, 2023–2024
Participants
648 patients
Comparison
Population health coordinator-led LVH notification and clinical support pathway vs control
  • Interventionn = 326
  • Controln = 322reference
Primary endpoint
Initiation of an antihypertensive medication
Follow-up
12 months
Methodological details2-arm, pragmatic
  • 2-arm
  • Pragmatic

Primary result

As reported in the abstract

Adjusted odds ratio

3.76

95% CI 2.09–6.75

P < 0.001

Events by treatment group

Interventionvs Control
adjusted OR 3.76 (95% CI 2.09–6.75); P < 0.001

Secondary outcomes

OutcomeAdjusted OR (95% CI)P value
New hypertension diagnosis4.43 (2.36–8.33)P < 0.001

Cardiomyopathy diagnosis

No significant difference between groups

Original publication

Leveraging Preexisting Cardiovascular Data to Improve the Detection and Treatment of Hypertension: The NOTIFY-LVH Randomized Clinical Trial. JAMA Cardiol. Published 1 July 2025. doi:10.1001/jamacardio.2025.0871

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