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Dr Christopher Clark

Dr Christopher Clark

Clinical Senior Lecturer in General Practice

2754

Smeall building JS111

Chris studied Medicine and Physiology at University of Bristol Medical School, graduating in 1986. He has been a partner in the Mid Devon Medical Practice since 1994. He joined the Medical School as an Clinical Academic Fellow in 2004, completed his MSc in 2006 and his PhD in 2013. He was appointed as NIHR Clinical Lecturer in 2014, and Clinical Senior Lecturer in 2015.

Qualifications

  • BSc (Hons) Physiology
  • MB ChB
  • MSc
  • PhD
  • FRCP
  • FRCGP
  • FBHS
  • AFHEA

Links

Research

Research interests

My areas of research are mainly cardiovascular within the following themes:

  • Significance and implications of a difference in blood pressures between arms
  • Organisation and management of care in hypertension in primary care
  • Estimation and early detection of cardiovascular risk
  • Recognition and management of postural hypotension in primary care

Research projects

  • INTERPRESS-IPD: the Inter-arm blood Pressure difference, cardiovascular events, cerebrovascular disease and mortality: an Individual Patient Data meta-analysis

  • DROP: Detecting Risks Of Postural hypotension

  • Cochrane Review: Allied health professional-led interventions for improving control of blood pressure in patients with hypertension

  • CHECK-UP study: Improving NHS cardiovascular health checks uptake in primary care

  • Trends in the diagnosis and organisation of care for hypertension over nine years in Primary Care in South West England

  • Understanding the barriers to successful treatment of newly diagnosed severe hypertension

  • Exploring the aetiology of clinic blood pressure changes during a single clinic visit: A cross-sectional study

  • Sensitivity and Specificity of a mobile lead-one ECG like device for the detection of Atrial Fibrillation (AF)

 

 

Research networks

  • Chair: Exeter Cardiovascular Research Network
  • RCGP Rural Forum Steering Group: Southwest England Representative
  • BHS: Blood Presure Measurement Working Party
  • BHS: Collaborative Research Working Party
  • NHS England: Medicines Optimisation in Rural Practices Working Party

Research grants

  • 2015 National Institute for Health Research, Research for Patient Benefit
    INTERPRESS-IPD an international collaboration conducting an Individual Patient Data meta-analysis of inter-arm blood pressure difference and survival
  • 2014 National Institute for Health Research
    NIHR Clinical Lecturer in General Practice

Key publications | Publications by category | Publications by year

Key publications


Clark CE, Taylor RS, Butcher I, Stewart MC, Price J, Fowkes FGR, Shore AC, Campbell JL (2016). Inter-arm blood pressure difference and mortality: a cohort study in an asymptomatic primary care population at elevated cardiovascular risk. Br J Gen Pract, 66(646), e297-e308. Abstract.  Author URL.  Full text.
Clark CE, Horvath IA, Taylor RS, Campbell JL (2014). Doctors record higher blood pressures than nurses: systematic review and meta-analysis. Br J Gen Pract, 64(621), e223-e232. Abstract.  Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2014). Interarm Blood Pressure Difference in People with Diabetes: Measurement and Vascular and Mortality Implications a Cohort Study. DIABETES CARE, 37(6), 1613-1620. Author URL.
Campbell J, Clark CE, Taylor RS, Shore AC, Ukoumunne OC (2012). Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta analysis. Lancet
Clark CE, Taylor RS, Shore AC, Campbell JL (2012). The difference in blood pressure readings between arms and survival: primary care cohort study. BMJ, 344 Abstract.  Author URL.  Full text.
Clark CE, McManus R (2012). The use of highly structured care to achieve blood pressure targets. BRITISH MEDICAL JOURNAL, 345 Author URL.

Publications by category


Journal articles

Clark CE, Taylor RS, Butcher I, Stewart MC, Price J, Fowkes FGR, Shore AC, Campbell JL (2016). Inter-arm blood pressure difference and mortality: a cohort study in an asymptomatic primary care population at elevated cardiovascular risk. Br J Gen Pract, 66(646), e297-e308. Abstract.  Author URL.  Full text.
Clark CE, Taylor RS, Shore AC, Campbell JL (2016). Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis. Br J Gen Pract, 66(652), e838-e847. Abstract.  Author URL.
Clark C, Shore A, Taylor R, Campbell J (2015). 1C.08: THE INTER-ARM DIFFERENCE IN BLOOD PRESSURE AND MORTALITY: SYSTEMATIC REVIEW AND META-ANALYSIS. J Hypertens, 33 Suppl 1 Abstract.  Author URL.
Clark CE (2015). Difference in blood pressure measurements between arms: methodological and clinical implications. Curr Pharm Des, 21(6), 737-743. Abstract.  Author URL.
Clark CE, Aboyans V (2015). Interarm blood pressure difference: more than an epiphenomenon. Nephrol Dial Transplant, 30(5), 695-697. Author URL.  Full text.
Jenkinson CE, Asprey A, Clark CE, Richards SH (2015). Patients' willingness to attend the NHS cardiovascular health checks in primary care: a qualitative interview study. BMC Family Practice, 16(1). Abstract.  Full text.
Clark CE, Horvath IA, Taylor RS, Campbell JL (2014). Doctors record higher blood pressures than nurses: systematic review and meta-analysis. Br J Gen Pract, 64(621), e223-e232. Abstract.  Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2014). Interarm Blood Pressure Difference in People with Diabetes: Measurement and Vascular and Mortality Implications a Cohort Study. DIABETES CARE, 37(6), 1613-1620. Author URL.
Clark CE, Smith LFP, Glynn LG, Taylor RS, Campbell JL, Cloutier L (2013). Allied health professional-led interventions for improving control of blood pressure in patients with hypertension: systematic review and meta-analysis. JOURNAL OF HUMAN HYPERTENSION, 27(10), 641-641. Author URL.
Clark CE (2013). Four-Limb Blood Pressure Measurement a Research Tool Looking for Clinical Use. HYPERTENSION, 61(6), 1146-1147. Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2013). The inter-arm blood pressure difference in people with diabetes: measurement, vascular, and mortality implications. JOURNAL OF HUMAN HYPERTENSION, 27(10), 645-645. Author URL.
Campbell J, Clark CE, Taylor RS, Shore AC, Ukoumunne OC (2012). Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta analysis. Lancet
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2012). Interarm blood pressure difference and vascular disease Reply. LANCET, 380(9836), 24-25. Author URL.
Clark CE, Taylor RS, Shore AC, Campbell JL (2012). The difference in blood pressure readings between arms and survival: primary care cohort study. BMJ, 344 Abstract.  Author URL.  Full text.
Clark CE, McManus R (2012). The use of highly structured care to achieve blood pressure targets. BRITISH MEDICAL JOURNAL, 345 Author URL.
Clark CE (2011). Inter-arm blood pressure measurement needs to be practical and accurate. Am J Hypertens, 24(11), 1189-1190. Author URL.
Clark CE, Smith LFP, Harding G, Taylor RS, Campbell JL (2011). Nurse led hypertension clinics: evolving ahead of the evidence?. JOURNAL OF HUMAN HYPERTENSION, 25(10), 630-630. Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2011). Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta-analysis. Diabet Med, 28(3), 250-261. Abstract.  Author URL.
Clark CE, Taylor RS, Shore AC, Campbell JL (2011). Systolic inter-arm blood pressure difference is associated with increased cardiovascular and all-cause mortality in hypertension: meta-analysis. JOURNAL OF HUMAN HYPERTENSION, 25(10), 633-633. Author URL.
Clark CE, Arnold E, Lasserson TJ, Wu T (2010). Herbal interventions for chronic asthma in adults and children: a systematic review and meta-analysis. Prim Care Respir J, 19(4), 307-314. Abstract.  Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. BMJ, 341 Abstract.  Author URL.  Full text.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse-led management of hypertension. Br J Gen Pract, 60(572). Author URL.
Clark CE, Campbell JL (2009). Hypertension guidelines. BRITISH JOURNAL OF GENERAL PRACTICE, 59(563), 448-449. Author URL.
Clark CE, Greaves CJ, Evans PH, Dickens A, Campbell JL (2009). Inter-arm blood pressure difference in type 2 diabetes: a barrier to effective management?. Br J Gen Pract, 59(563), 428-432. Abstract.  Author URL.
Clark CE, Campbell JL (2008). The interarm blood pressure difference. HYPERTENSION, 52(2), E15-E15. Author URL.
Clark CE, Campbell JL, Powell RJ, Thompson JF (2007). The inter-arm blood pressure difference and peripheral vascular disease: cross-sectional study. Fam Pract, 24(5), 420-426. Abstract.  Author URL.
Clark CE, Campbell JL, Powell RJ (2007). The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study. J Hum Hypertens, 21(8), 633-638. Abstract.  Author URL.
Clark CE, Campbell JL, Evans PH, Millward A (2006). Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review. J Hum Hypertens, 20(12), 923-931. Abstract.  Author URL.
Clark CE, Powell RJ (2002). The differential blood pressure sign in general practice: prevalence and prognostic value. FAMILY PRACTICE, 19(5), 439-441. Author URL.
Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia - Reply. BRITISH MEDICAL JOURNAL, 321(7271), 1290-1290. Author URL.
Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia: six year follow up study. BRITISH MEDICAL JOURNAL, 320(7248), 1514-1516. Author URL.
Clark CE, Bourne S (1999). Practice information on audiotape for visually-impaired patients. BRITISH JOURNAL OF GENERAL PRACTICE, 49(438), 67-68. Author URL.
Clark CE, Ferguson AD, Siddorn JA (1993). Respiratory arrests in young asthmatics on salmeterol. Respir Med, 87(3), 227-228. Author URL.

Internet publications

Clark CE (2016). What’s new in hypertension?.  Abstract.  Author URL.

Publications by year


2016

Clark CE, Taylor RS, Butcher I, Stewart MC, Price J, Fowkes FGR, Shore AC, Campbell JL (2016). Inter-arm blood pressure difference and mortality: a cohort study in an asymptomatic primary care population at elevated cardiovascular risk. Br J Gen Pract, 66(646), e297-e308. Abstract.  Author URL.  Full text.
Clark CE, Taylor RS, Shore AC, Campbell JL (2016). Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis. Br J Gen Pract, 66(652), e838-e847. Abstract.  Author URL.
Clark CE (2016). What’s new in hypertension?.  Abstract.  Author URL.

2015

Clark C, Shore A, Taylor R, Campbell J (2015). 1C.08: THE INTER-ARM DIFFERENCE IN BLOOD PRESSURE AND MORTALITY: SYSTEMATIC REVIEW AND META-ANALYSIS. J Hypertens, 33 Suppl 1 Abstract.  Author URL.
Clark CE (2015). Difference in blood pressure measurements between arms: methodological and clinical implications. Curr Pharm Des, 21(6), 737-743. Abstract.  Author URL.
Clark CE, Aboyans V (2015). Interarm blood pressure difference: more than an epiphenomenon. Nephrol Dial Transplant, 30(5), 695-697. Author URL.  Full text.
Jenkinson CE, Asprey A, Clark CE, Richards SH (2015). Patients' willingness to attend the NHS cardiovascular health checks in primary care: a qualitative interview study. BMC Family Practice, 16(1). Abstract.  Full text.

2014

Clark CE, Horvath IA, Taylor RS, Campbell JL (2014). Doctors record higher blood pressures than nurses: systematic review and meta-analysis. Br J Gen Pract, 64(621), e223-e232. Abstract.  Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2014). Interarm Blood Pressure Difference in People with Diabetes: Measurement and Vascular and Mortality Implications a Cohort Study. DIABETES CARE, 37(6), 1613-1620. Author URL.

2013

Clark CE, Smith LFP, Glynn LG, Taylor RS, Campbell JL, Cloutier L (2013). Allied health professional-led interventions for improving control of blood pressure in patients with hypertension: systematic review and meta-analysis. JOURNAL OF HUMAN HYPERTENSION, 27(10), 641-641. Author URL.
Clark CE (2013). Four-Limb Blood Pressure Measurement a Research Tool Looking for Clinical Use. HYPERTENSION, 61(6), 1146-1147. Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2013). The inter-arm blood pressure difference in people with diabetes: measurement, vascular, and mortality implications. JOURNAL OF HUMAN HYPERTENSION, 27(10), 645-645. Author URL.

2012

Campbell J, Clark CE, Taylor RS, Shore AC, Ukoumunne OC (2012). Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta analysis. Lancet
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2012). Interarm blood pressure difference and vascular disease Reply. LANCET, 380(9836), 24-25. Author URL.
Clark CE, Taylor RS, Shore AC, Campbell JL (2012). The difference in blood pressure readings between arms and survival: primary care cohort study. BMJ, 344 Abstract.  Author URL.  Full text.
Clark CE, McManus R (2012). The use of highly structured care to achieve blood pressure targets. BRITISH MEDICAL JOURNAL, 345 Author URL.

2011

Clark CE (2011). Inter-arm blood pressure measurement needs to be practical and accurate. Am J Hypertens, 24(11), 1189-1190. Author URL.
Clark CE, Smith LFP, Harding G, Taylor RS, Campbell JL (2011). Nurse led hypertension clinics: evolving ahead of the evidence?. JOURNAL OF HUMAN HYPERTENSION, 25(10), 630-630. Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2011). Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta-analysis. Diabet Med, 28(3), 250-261. Abstract.  Author URL.
Clark CE, Taylor RS, Shore AC, Campbell JL (2011). Systolic inter-arm blood pressure difference is associated with increased cardiovascular and all-cause mortality in hypertension: meta-analysis. JOURNAL OF HUMAN HYPERTENSION, 25(10), 633-633. Author URL.

2010

Clark CE, Arnold E, Lasserson TJ, Wu T (2010). Herbal interventions for chronic asthma in adults and children: a systematic review and meta-analysis. Prim Care Respir J, 19(4), 307-314. Abstract.  Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. BMJ, 341 Abstract.  Author URL.  Full text.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse-led management of hypertension. Br J Gen Pract, 60(572). Author URL.

2009

Clark CE, Campbell JL (2009). Hypertension guidelines. BRITISH JOURNAL OF GENERAL PRACTICE, 59(563), 448-449. Author URL.
Clark CE, Greaves CJ, Evans PH, Dickens A, Campbell JL (2009). Inter-arm blood pressure difference in type 2 diabetes: a barrier to effective management?. Br J Gen Pract, 59(563), 428-432. Abstract.  Author URL.

2008

Clark CE, Campbell JL (2008). The interarm blood pressure difference. HYPERTENSION, 52(2), E15-E15. Author URL.

2007

Clark CE, Campbell JL, Powell RJ, Thompson JF (2007). The inter-arm blood pressure difference and peripheral vascular disease: cross-sectional study. Fam Pract, 24(5), 420-426. Abstract.  Author URL.
Clark CE, Campbell JL, Powell RJ (2007). The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study. J Hum Hypertens, 21(8), 633-638. Abstract.  Author URL.

2006

Clark CE, Campbell JL, Evans PH, Millward A (2006). Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review. J Hum Hypertens, 20(12), 923-931. Abstract.  Author URL.

2002

Clark CE, Powell RJ (2002). The differential blood pressure sign in general practice: prevalence and prognostic value. FAMILY PRACTICE, 19(5), 439-441. Author URL.

2000

Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia - Reply. BRITISH MEDICAL JOURNAL, 321(7271), 1290-1290. Author URL.
Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia: six year follow up study. BRITISH MEDICAL JOURNAL, 320(7248), 1514-1516. Author URL.

1999

Clark CE, Bourne S (1999). Practice information on audiotape for visually-impaired patients. BRITISH JOURNAL OF GENERAL PRACTICE, 49(438), 67-68. Author URL.

1993

Clark CE, Ferguson AD, Siddorn JA (1993). Respiratory arrests in young asthmatics on salmeterol. Respir Med, 87(3), 227-228. Author URL.

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