HOME BP MONITORING JNC 7 2003 CHEP 2004
HOME BP MONITORING JNC 7 2003 CHEP 2004 ESH 2003 HSSH 2005 GUIDELINES JSH 2004 BHS 2004
Home BP Monitoring Clinical Benefits 1. Diagnosis (hypertension, white coat hypertension, masked hypertension) 2. Prognosis (Ohasama, Pamela, Sheaf, Didima) 3. Long-term follow-up 4. Improvement of patients’ compliance 5. Improvement of hypertension control
Home BP Monitoring Current Problems 1. Device accuracy 2. Observer bias 3. Observer misreporting 4. Variable monitoring schedule 5. Data summarizing
Journal of Hypertension 2003; 21: 821 -848 Journal of Hypertension 2005; 23: 697 -701
European Society of Hypertension Recommendations Journal of Hypertension 2003; 21: 821 -848 1. Oscillometric arm measuring devices. 2. Independently validated using established protocols. 3. Correct cuffs for individual arms. 4. Storage, transmission or printing capacity.
European Society of Hypertension Recommendations Journal of Hypertension 2003; 21: 821 -848 Diagnosis - Treatment Initiation n Duplicate morning (6 -9 am) and evening (6 -9 pm) measurements for 7 working days. n Exclude 1 st day measurements. n Minimum of 12 readings in 7 days. n Average blood pressure taken as reference. Treatment Phase n As in diagnostic phase (trough measurements). Long-Term Observation n 1 week SBPM every 3 months (discard 1 st day).
European Society of Hypertension Recommendations Home Blood Pressure Monitoring Validated electronic devices (arm) 7 days 2 morning (6 -9 am) and 2 evening (6 -9 pm) Average blood pressure (exclude 1 st day) Storage, transmission or printing capacity.
European Society of Hypertension Recommendations Home Blood Pressure Monitoring Validated electronic devices (arm) 7 days 2 morning (6 -9 am) and 2 evening (6 -9 pm) Average blood pressure (exclude 1 st day) Storage, transmission or printing capacity.
Microlife Watch. BP Home Monitor
Microlife Watch. BP Home A home BP monitor designed according to European Society of Hypertension Working Group on BP Monitoring recommendations
Microlife Watch. BP Home Stergiou GS, Giovas P. Hypertension Center, 3 rd University Dept. of Medicine, Sotiria Hospital, Athens, Greece Jaenecke B, Tan T. Microlife AG, Heerbrugg, Switzerland Chang A, Yen C. Microlife Corporation, Taipei, Taiwan
Validation of the Microlife Watch. BP Home device for self-home BP measurement according to the International Protocol Stergiou G, Giovas P, Gkinos C, Patouras J. Hypertension Center, 3 rd University Department of Medicine Sotiria Hospital, Athens, Greece Blood Pressure Monitoring 2006, in press
Microlife Watch. BP Home Design Automated oscillometric BP monitor for self-home measurement / arm 1. Dual-function (USUAL / DIAG). 2. Embedded ESH home BP monitoring schedule. 3. Memory - PC link capacity.
Microlife Watch. BP Home
Microlife Watch. BP Home Design USUAL Casual home BP measurements mode DIAG mode Home BP monitoring schedule strictly according to European Society of Hypertension (duplicate morning and evening measurements for 7 days) Average home BP is displayed, as well as the individual readings
Microlife Watch. BP Home
Microlife Watch. BP Home
Microlife Watch. BP Home
USB Microlife Watch. BP Home
Microlife Watch. BP Home
Microlife Watch. BP Home
Stergiou, George Microlife Watch. BP Home
Microlife Watch. BP Home Monitor Unique Design Unique Function Unique Solution
Microlife Watch. BP Home Pilot Study Users’ Acceptance - Performance Ø 20 consecutive hypertensives. Ø Age 34 -78 years, 13/7 men/women, low-high level of education. Ø 7 days self-home Watch-BP use. Ø Brief instructions (5 min) single-page handout.
Tuesday 17 Oct. 2006 Abstract 10573 Blood Pressure Monitoring (in press) Microlife Watch BP Monitor A tool for reliable home BP monitoring designed according to the European Society of Hypertension recommendations
Microlife Watch. BP Home Pilot Study Users’ Acceptance - Performance 95% Effectively used the DIAG mode (19/20). Used the USUAL mode (4 used only the 70% DIAG mode - 1 did not use the device). “Easy” or “very easy” to understand 90% the dual function and to use the device. 90% Dual mode “useful” or “very useful”.
Microlife Watch. BP Home Monitor 1. Accurate BP measurement 2. Reliable assessment (no observer bias, no reporting bias) 3. Strictly adhering to European Society of Hypertension recommendations (measurement schedule - BP summary) 4. Convenient for patient - physician 5. Reasonable cost
Microlife Watch. BP Home Monitor A unique tool for optimal application of self-home BP monitoring in clinical practice strictly adhering to the European Society of Hypertension recommendations
Microlife Watch. BP Home Monitor In press, Blood Pressure Monitoring
Watch BP Pro for the doctor’s office • • • doctor initiates Watch BP concept by Watch BP Pro measurement in his office Watch BP Pro supplies the office readings next to the home readings obtained by Watch BP Home can do simultaneous left right arm measurements to find out which arm shows higher readings can transfer data to Watch BP. net software via bluetooth 3 modes: 1 st visit mode, further visit mode and also an auscultation mode LCD backlight Fully automatic measurement procedure Oscillometric method equipped with S, M and L cuffs (2 each) last reading memory, only
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