Detecting and Treating High Blood Pressure in Aboriginal Population and Low and Middle Income Countries

Inclusion Criteria

• •Age 18 years or older
• •Hypertension
• •BP \> 140/90 mmHg or \> 130/80 mmHg if patient has diabetes at the initial screening visit using an approved automated BP monitor.
• •If on drug therapy, continuous drug therapy with the same dosing interval for 8 weeks prior to and throughout the screening period. May be drug naive.
• •Written informed consent
• •Hypertension for at least 12 weeks before screening and throughout the screening period (according to the patient or their medical practitioner)
• •Must have a cell phone plan (in Canada) and be willing to maintain the plan during the study. For Tanzania, must have a cell phone under a locally available Tanzanian carrier.
• •Must be willing to take occasional local calls from study team members
• •One or more of BMI \> 30 kg/m2, diabetes, smoking, over age 40, previous history of CAD including stroke and heart attack
• •An identified health care provider in the community (ie. Family Physician/Nurse Practitioner in Canada or Community Nurse/Clinical officer in Tanzania)