G U I D E L I N E SG U I D E L I N E SG U I D E L I N E SG U I D E L I N E S JNC ESH 2003 BHS 2004 CHEP 2004 JSH 2004 HSSH 2005 HOME BP MONITORING

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: Journal of Hypertension 2005;23:

European Society of Hypertension Recommendations Journal of Hypertension 2003;21: 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 Diagnosis - Treatment Initiation Duplicate morning (6-9 am) and evening (6-9 pm) measurements for 7 working days. Exclude 1st day measurements. Minimum of 12 readings in 7 days. Average blood pressure taken as reference. Journal of Hypertension 2003;21: Long-Term Observation 1 week SBPM every 3 months (discard 1st day). Treatment Phase As in diagnostic phase (trough measurements).

Home Blood Pressure Monitoring European Society of Hypertension Recommendations Validated electronic devices (arm) 7 days 2 morning (6-9 am) and 2 evening (6-9 pm) Average blood pressure (exclude 1st day) Storage, transmission or printing capacity.

Home Blood Pressure Monitoring European Society of Hypertension Recommendations Validated electronic devices (arm) 7 days 2 morning (6-9 am) and 2 evening (6-9 pm) Average blood pressure (exclude 1st day) Storage, transmission or printing capacity.

Microlife WatchBP Home Monitor

A home BP monitor designed according to European Society of Hypertension Working Group on BP Monitoring recommendations Microlife WatchBP Home

Stergiou GS, Giovas P. Hypertension Center, 3rd University Dept. of Medicine, Sotiria Hospital, Athens, Greece Jaenecke B, Tan T. Microlife AG, Heerbrugg, Switzerland Chang A, Yen C. Microlife Corporation, Taipei, Taiwan Microlife WatchBP Home

Validation of the Microlife WatchBP 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

1.Dual-function (USUAL / DIAG). 2.Embedded ESH home BP monitoring schedule. 3.Memory - PC link capacity. Design Automated oscillometric BP monitor for self-home measurement / arm Microlife WatchBP Home

Home BP monitoring schedule strictly according to European Society of Hypertension (duplicate morning and evening measurements for 7 days) USUAL mode DIAG mode Design Casual home BP measurements Average home BP is displayed, as well as the individual readings Microlife WatchBP Home

USB Microlife WatchBP Home

Stergiou, George Microlife WatchBP Home

Microlife WatchBP Home Monitor Unique Design Unique Function Unique Solution

 20 consecutive hypertensives.  Age years, 13/7 men/women, low-high level of education.  7 days self-home Watch-BP use.  Brief instructions (5 min) - single-page handout. Pilot Study Pilot Study Users’ Acceptance - Performance Microlife WatchBP Home

Microlife Watch BP Monitor A tool for reliable home BP monitoring designed according to the European Society of Hypertension recommendations Abstract Tuesday 17 Oct Blood Pressure Monitoring (in press)

Users’ Acceptance - Performance 95% Effectively used the DIAG mode (19/20). 70% Used the USUAL mode (4 used only the DIAG mode - 1 did not use the device). 90% “Easy” or “very easy” to understand the dual function and to use the device. 90% Dual mode “useful” or “very useful”. Pilot Study Pilot Study Microlife WatchBP Home

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 WatchBP 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 WatchBP Home Monitor

Microlife WatchBP 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: 1st 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