A COMPARISON OF OFFICE BLOOD PRESSURE, TELEMEDICAL HOME BLOOD PRESSURE AND AMBULATORY BLOOD PRESSURE MONITORING

2011 ◽  
Vol 29 ◽  
pp. e450
Author(s):  
N. Hoffmann-Petersen ◽  
T. Tambo ◽  
K. Bejder ◽  
E. B. Pedersen
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Office Blood Pressure ◽  
Pressure Monitoring

scholarly journals A Comparison of Office Blood Pressure, Telemedical Home Blood Pressure and Ambulatory Blood Pressure Monitoring

2015 ◽  
Vol 7 (1) ◽  
pp. 7-13
Author(s):  
Nikolai Hoffmann-Petersen ◽  
Erling B. Pedersen
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Systematic Difference ◽  
Home Blood Pressure ◽  
Office Blood Pressure ◽  
Pressure Monitoring ◽  
Measuring Device ◽  
Measuring Devices

Background: Telemonitoring of home blood pressure (HBP) is a new advance in blood pressure monitoring. The aim of this study was to compare office blood pressure (OBP) and telemedical home blood pressure with daytime ambulatory blood pressure (ABP). Methods: One hundred and two patients were recruited consecutively from our Renal Outpatients’ Clinic. Office blood pressure was measured three times with the HBP equipment (A&D UA-767Plus BT). Telemonitoring of HBP was done for four consecutive days with three measurements three times daily followed by ABP (A&D TM-2430) on the next day. All patients received a questionnaire regarding acceptance of the equipment. Results: OBP was a significantly higher than daytime ABP (systolic/diastolic, 3.3/3.8 mmHg). HBP was significantly lower than daytime ABP (systolic/diastolic, -4.6/-1.6 mmHg). The strongest correlations were seen between all HBP readings day 2-4 and daytime ABP (systolic, r=0.69, p<0.001; diastolic, r=0.61, p<0.001). There were no significant differences between the different HBP schedules, i.e. 3 measurements twice daily for 3 days and 3 measurements three times daily for 4 days. Patients were content with and accepted the HBP measuring device. Conclusion: The telemedical HBP was lower than daytime ABP. The observed difference could possible be due to less pain and more relaxation during HBP measurements or a systematic difference in the algoritms between the blood pressure measuring devices. HBP measurement during three days was as good as measurement during 4 days.. The equipment was well accepted among patients.

Hypertension

2020 ◽  
Author(s):  
Marc P Bonaca
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Sodium Intake ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Pressure Monitoring ◽  
Blood Pressure Targets ◽  
Treatment Targets ◽  
Treatment Of Hypertension

Hypertension is a common chronic disorder with an increasing prevalence in the context of an aging population. Patients with hypertension are at risk for adverse cardiovascular, renal, and neurologic outcomes. Treatment of hypertension reduces this associated risk; therefore, early diagnosis and systematic management are critical in reducing morbidity and mortality. Although hypertension is multifactorial, a large component is related to lifestyle, including excess sodium intake, lack of physical activity, and obesity. Lifestyle intervention and education, therefore, are critical to both prevention and treatment of hypertension. Patients diagnosed with hypertension should be evaluated for their overall risk, with specific therapies and treatment targets guided by their characteristics and comorbidities. Several professional and guideline societies have published recommendations with regard to the diagnosis and treatment of hypertension, which have many similarities but also several areas of discussion and ongoing debate. Recent evolutions in the field include the expanded indications for home-based and ambulatory blood pressure monitoring and outcomes trials, which add important data regarding optimal treatment targets. These evolutions are likely to be addressed in ongoing guideline updates. This review contains 10 figures, 15 tables, and 67 references. Key words: ambulatory blood pressure monitoring, antihypertensive therapy, blood pressure, blood pressure targets, cardiovascular risk, high blood pressure, home blood pressure monitoring, hypertension, screening, secondary hypertension

Hypertension

2020 ◽  
Author(s):  
Marc P Bonaca
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Sodium Intake ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Pressure Monitoring ◽  
Blood Pressure Targets ◽  
Treatment Targets ◽  
Treatment Of Hypertension

Hypertension is a common chronic disorder with an increasing prevalence in the context of an aging population. Patients with hypertension are at risk for adverse cardiovascular, renal, and neurologic outcomes. Treatment of hypertension reduces this associated risk; therefore, early diagnosis and systematic management are critical in reducing morbidity and mortality. Although hypertension is multifactorial, a large component is related to lifestyle, including excess sodium intake, lack of physical activity, and obesity. Lifestyle intervention and education, therefore, are critical to both prevention and treatment of hypertension. Patients diagnosed with hypertension should be evaluated for their overall risk, with specific therapies and treatment targets guided by their characteristics and comorbidities. Several professional and guideline societies have published recommendations with regard to the diagnosis and treatment of hypertension, which have many similarities but also several areas of discussion and ongoing debate. Recent evolutions in the field include the expanded indications for home-based and ambulatory blood pressure monitoring and outcomes trials, which add important data regarding optimal treatment targets. These evolutions are likely to be addressed in ongoing guideline updates. This review contains 10 figures, 15 tables, and 67 references. Key words: ambulatory blood pressure monitoring, antihypertensive therapy, blood pressure, blood pressure targets, cardiovascular risk, high blood pressure, home blood pressure monitoring, hypertension, screening, secondary hypertension

Hypertension

2018 ◽  
Author(s):  
Marc P Bonaca
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Sodium Intake ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Pressure Monitoring ◽  
Blood Pressure Targets ◽  
Treatment Targets ◽  
Treatment Of Hypertension

Hypertension is a common chronic disorder with an increasing prevalence in the context of an aging population. Patients with hypertension are at risk for adverse cardiovascular, renal, and neurologic outcomes. Treatment of hypertension reduces this associated risk; therefore, early diagnosis and systematic management are critical in reducing morbidity and mortality. Although hypertension is multifactorial, a large component is related to lifestyle, including excess sodium intake, lack of physical activity, and obesity. Lifestyle intervention and education, therefore, are critical to both prevention and treatment of hypertension. Patients diagnosed with hypertension should be evaluated for their overall risk, with specific therapies and treatment targets guided by their characteristics and comorbidities. Several professional and guideline societies have published recommendations with regard to the diagnosis and treatment of hypertension, which have many similarities but also several areas of discussion and ongoing debate. Recent evolutions in the field include the expanded indications for home-based and ambulatory blood pressure monitoring and outcomes trials, which add important data regarding optimal treatment targets. These evolutions are likely to be addressed in ongoing guideline updates. Key words: ambulatory blood pressure monitoring, antihypertensive therapy, blood pressure, blood pressure targets, cardiovascular risk, high blood pressure, home blood pressure monitoring, hypertension, screening, secondary hypertension This review contains 9 figures, 13 tables, and 59 references.

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