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G U I D E L I N E S HOME BP MONITORING JNC ESH 2003 CHEP 2004

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Presentation on theme: "G U I D E L I N E S HOME BP MONITORING JNC ESH 2003 CHEP 2004"— Presentation transcript:

1 G U I D E L I N E S HOME BP MONITORING JNC 7 2003 ESH 2003 CHEP 2004
HSSH 2005 G U I D E L I N E S JSH 2004 BHS 2004

2 Home BP Monitoring Clinical Benefits
Diagnosis (hypertension, white coat hypertension, masked hypertension) Prognosis (Ohasama, Pamela, Sheaf, Didima) Long-term follow-up Improvement of patients’ compliance Improvement of hypertension control

3 Home BP Monitoring Current Problems
1. 2. 3. 4. 5. Device accuracy Observer bias Observer misreporting Variable monitoring schedule Data summarizing

4 Journal of Hypertension 2003;21:821-848

5 European Society of Hypertension Recommendations
Journal of Hypertension 2003;21: Oscillometric arm measuring devices. Independently validated using established protocols. Correct cuffs for individual arms. Storage, transmission or printing capacity.

6 European Society of Hypertension Recommendations
Journal of Hypertension 2003;21: 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. Treatment Phase As in diagnostic phase (trough measurements). Long-Term Observation 1 week SBPM every 3 months (discard 1st day).

7 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 1st day) Storage, transmission or printing capacity.

8 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 1st day) Storage, transmission or printing capacity.

9 Microlife WatchBP Home Monitor

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

11 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

12 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, 3rd University Department of Medicine Sotiria Hospital, Athens, Greece Blood Pressure Monitoring 2006, in press

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

14 Microlife WatchBP Home

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

16 Microlife WatchBP Home

17 Microlife WatchBP Home

18 Microlife WatchBP Home

19 Microlife WatchBP Home
USB Microlife WatchBP Home

20 Microlife WatchBP Home

21 Microlife WatchBP Home

22 Microlife WatchBP Home
Stergiou, George Microlife WatchBP Home

23 Unique Solution Microlife WatchBP Home Monitor Unique Design
Unique Function Unique Solution

24 Microlife WatchBP Home
Pilot Study Users’ Acceptance - Performance 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.

25 Microlife Watch BP Monitor
Abstract 10573 Tuesday Oct. 2006 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

26 Microlife WatchBP Home
Pilot Study 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”.

27 Microlife WatchBP Home Monitor
Accurate BP measurement Reliable assessment (no observer bias, no reporting bias) Strictly adhering to European Society of Hypertension recommendations (measurement schedule - BP summary) Convenient for patient - physician Reasonable cost

28 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

29 Microlife WatchBP Home Monitor
In press, Blood Pressure Monitoring

30 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


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