What does a perfect blood pressure meter look like from a clinician point of view?

2014 ◽  
Vol 17 (3) ◽  
pp. 15-20 ◽  
Author(s):  
Shin-ichi Ando
Keyword(s):  
Blood Pressure ◽  
Point Of View ◽  
Pressure Meter

Understanding untreated hypertension from patients’ point of view: A qualitative study in rural Yogyakarta province, Indonesia

2017 ◽  
Vol 14 (3) ◽  
pp. 228-240 ◽  
Author(s):  
Riana Rahmawati ◽  
Beata Bajorek
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Health Care Services ◽  
Point Of View ◽  
Rural Villages ◽  
Face To Face ◽  
Care Services ◽  
Alternative Medicines ◽  
One Year ◽  
Untreated Hypertension

Objectives This study aimed to explore perspectives about hypertension from patients who do not take anti-hypertensive medications. Factors that shape their perspectives as well as patients’ expectations were also canvassed. Method Individual, face-to-face interviews were conducted with 30 people (≥45 years old) living in rural villages, diagnosed with hypertension, who had not taken any anti-hypertensive medications for at least one year. Interviews were audiotaped, transcribed verbatim and thematically analysed. Results Four themes emerged: (1) alternative medicines for managing high blood pressure; (2) accessing health care services; (3) the need for anti-hypertensive medications; and (4) existing support and patients’ expectations. Reluctance to take anti-hypertensive medications was influenced by patients’ beliefs in personal health threats and the effectiveness of anti-hypertensive medications, high self-efficacy for taking alternative medicines, the lack of recommendation regarding hypertension treatment, and barriers to accessing supplies of medicines. Conclusion Despite their awareness of being diagnosed with hypertension, patients undervalued visiting a health professional to control their high blood pressure. Health strategies need to consider patients’ beliefs, concerns and expectations. Providing an accessible, affordable and adequate supply of hypertension medication is also key to any programs designed to optimise hypertension management.

scholarly journals A Digital Pressure Meter Equipped with Pressure Leak Detection

2021 ◽  
Vol 14 (2) ◽  
pp. 55-61
Author(s):  
Septian Nur Wahyu Erdyansyah ◽  
Torib Hamzah ◽  
Dyah Titisari
Keyword(s):  
Blood Pressure ◽  
Positive Pressure ◽  
Maximum Pressure ◽  
Leak Test ◽  
Inflatable Cuff ◽  
Measure Blood Pressure ◽  
Digital Pressure ◽  
Pressure Meter ◽  
Sd Card ◽  
Mercury Manometer

A manual sphygmomanometer is an instrument used to measure blood pressure, and consists of an inflatable cuff, a mercury manometer (or aneroid gauge) and an inflation ball and gauge. To assess the condition, accuracy and safety of mercury and anaeroid sphygmomanometers in use in general practice and to pilot a scheme for sphyg- momanometer maintenance within the district. Therefore, it must be calibrated periodically. Using the MPX 5050GP sensor as a positive pressure sensor. Requires a maximum pressure of 300 mmHg. This tool is also equipped with a SD Card as external storage. The display used in this module is TFT Nextion 2.8”. After conductings measurements of the three comparisons consisting of Multifunction, DPM and mercury tensimeter to 6 times, the smallest result 0 mmHg and the largest results 251.52 mmHg. While the error in mercury tensimeter’s of leak test to module and rigel is 0.56% and 0.404%.

742 Analysis of the pulse wave velocity and its application to the blood pressure meter

2004 ◽  
Vol 2004 (0) ◽  
pp. _742-1_-_742-6_
Author(s):  
Tateki Nakamura ◽  
Shigehiko Kaneko ◽  
Tatsuo Watanabe
Keyword(s):  
Blood Pressure ◽  
Pulse Wave Velocity ◽  
Wave Velocity ◽  
Pulse Wave ◽  
Pressure Meter

scholarly journals The roles of sensitization and neuroplasticity in the long-term regulation of blood pressure and hypertension

2015 ◽  
Vol 309 (11) ◽  
pp. R1309-R1325 ◽  
Author(s):  
Alan Kim Johnson ◽  
Zhongming Zhang ◽  
Sarah C. Clayton ◽  
Terry G. Beltz ◽  
Seth W. Hurley ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Central Nervous System ◽  
Nervous System ◽  
Blood Pressure Response ◽  
Point Of View ◽  
Short Term ◽  
The Neural Network ◽  
The Face ◽  
Ontogenetic Periods ◽  
The Brain

After decades of investigation, the causes of essential hypertension remain obscure. The contribution of the nervous system has been excluded by some on the basis that baroreceptor mechanisms maintain blood pressure only over the short term. However, this point of view ignores one of the most powerful contributions of the brain in maintaining biological fitness—specifically, the ability to promote adaptation of behavioral and physiological responses to cope with new challenges and maintain this new capacity through processes involving neuroplasticity. We present a body of recent findings demonstrating that prior, short-term challenges can induce persistent changes in the central nervous system to result in an enhanced blood pressure response to hypertension-eliciting stimuli. This sensitized hypertensinogenic state is maintained in the absence of the inducing stimuli, and it is accompanied by sustained upregulation of components of the brain renin-angiotensin-aldosterone system and other molecular changes recognized to be associated with central nervous system neuroplasticity. Although the heritability of hypertension is high, it is becoming increasingly clear that factors beyond just genes contribute to the etiology of this disease. Life experiences and attendant changes in cellular and molecular components in the neural network controlling sympathetic tone can enhance the hypertensive response to recurrent, sustained, or new stressors. Although the epigenetic mechanisms that allow the brain to be reprogrammed in the face of challenges to cardiovascular homeostasis can be adaptive, this capacity can also be maladaptive under conditions present in different evolutionary eras or ontogenetic periods.

scholarly journals ІНФОРМАТИВНЕ ЗНАЧЕННЯ ОКРЕМИХ ПОКАЗНИКІВ ОСЦИЛОГРАМ СУДИН ВЕРХНЬОЇ КІНЦІВКИ, ЗАРЕЄСТРОВАНИХ В ПРОЦЕСІ ВИМІРЮВАННЯ АРТЕРІАЛЬНОГО ТИСКУ

2014 ◽  
Author(s):  
D. V. Vakulenko
Keyword(s):  
Blood Pressure ◽  
Cardiovascular System ◽  
Rapid Diagnosis ◽  
Daily Monitoring ◽  
New Approaches ◽  
Electronic Pressure ◽  
Class 1 ◽  
Pressure Meter

<p class="1">New approaches and valuation parameters of the cardiovascular system during the procedure blood pressure electronic pressure meter VAT41 -2. They are informative and promising directions for rapid diagnosis, daily monitoring, monitoring the effectiveness of treatment and research. Correlation was calculated to assess the interaction between different vallue cardiovascular system and show its relevance. Presented in this paper direction requires deeper study and interpretation of the obtained parameters.</p>

Technical and Clinical Aspects of Cascade Filtration Plasma Exchange (CFPE)

1983 ◽  
Vol 6 (6) ◽  
pp. 309-314
Author(s):  
J.F. Quaranta ◽  
E. Cassuto-Viguier ◽  
R. Maiolini ◽  
F. Sanderson ◽  
H. Duplay
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Blood Cells ◽  
Pressure Pulse ◽  
Point Of View ◽  
Clinical Aspects ◽  
Albumin Solution ◽  
Technical Point ◽  
Plasma Substitute ◽  
Clinical Point

Cascade filtration plasma exchanges (CFPE) were realized using an hemofiltration system (HFS) coupled to 2 filters with different pore sizes. The first one (F1 = plasma-separator; Asahi plasmaflo HI-05) separates plasma from whole blood, the second one (F2 = plasma filter; Asahi XK-60, Kuraray EVAL 2A or 4A) filtrates high molecular weight (MW) components from the separated plasma. F2 filtrate returns to patient mixed with blood cells and 4% Albumin solution or Plasmion R* replacing plasma discarded (about 0.5-0.8 I for 1-1.5 plasma mass (PM) treated). The HFS is able i) to modulate the different pressures (veinous pressure, F1 and F2 transmembrane pressures (TMp)) using pumps speed variators, ii) to recirculate and concentrate extracted plasma and iii) to know F2 treated PM. Blood pressure, pulse rate and electrocardiogram were monitored during each CFPE session. Nineteen CFPE were performed for 8 patients selected among our PE indications, this selection taking into account presence or not of risk factors linked to disease e and/or to patient. Anti-histamine drugs were always infused before CFPE session. On a biological point of view, the problem lies into F2 selectivity which is relatively good for low (as Albumin) and high (as IgM) MW molecules which are returned to patient or discarded, but should be improved for the intermediate ones (as IgG). On a technical point of view, the plasma substitute quantity is reduced about six times. But the control of F2 TMp is not perfectly and the PM to be treated has to be investigated. On a clinical point of view and through biological results, diseases with high MW mediators may benefit of CFPE. Anyway, CFPE should be improved for IgG mediated diseases.

Screening of insulin resistance in patients with hemodialysis

2020 ◽  
Vol 24 (1) ◽  
pp. 51-59
Author(s):  
A. Sh. Rumyantsev ◽  
P. Yu. Filinyuk ◽  
N. Yu. Korosteleva ◽  
I. Yu. Panina
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Plasma Concentrations ◽  
Clinical Manifestations ◽  
Biological Response ◽  
Point Of View ◽  
Screening Methods ◽  
Cross Sectional ◽  
Glycemic Indices ◽  
Nonparametric Correlation

Insulin resistance (IR) is defined as a violation of the biological response to stimulation of the heart, skeletal muscle, liver, and adipose tissue. The reasons for the formation of the syndrome are diverse, and clinical diagnosis is difficult since there is no generally accepted test available to determine it. For the diagnosis of IR directly and indirectly developed test groups. The complexity of their implementation in some cohorts of patients led to the development of a number of glycemic indices. However, no consensus has yet been reached on which one should be preferred. THE AIM: to compare IR screening methods in a cohort of hemodialysis patients. PATIENTS AND METHODS. 124 patients were examined, including 66 men and 58 women aged 57.6 ± 13.6 years, receiving HD treatment for 75.4 ± 44.5 months. For the screening of IR, the HOMA-1 and HOMA-2 glucose homeostasis model, QUICKI index, and triglycerides/glucose (TriH) were used. RESULTS. When conducting a nonparametric correlation analysis for fasting insulin plasma concentrations, statistically significant relationships were revealed only in men: with BMI (Rs = 0.258 p = 0.049), waist circumference to height ratio (Rs = 0.316 p = 0.015), and amount of dietary protein (Rs = 0.271 p = 0.039), systolic blood pressure (Rs = 0.308 p = 0.018), diastolic blood pressure (Rs = 0.290 p = 0.027), C-reactive protein level (Rs = 0.579 p = 0.0001). In women, no statistically significant correlations were found. The value of the Charlson index, as well as tobacco smoking, currently or in the history of the indicators of insulin resistance had no effect. According to the results of logistic regression analysis, the risk of developing clinical manifestations of atherosclerotic lesions of any vascular pool increased by 4.5 times (χ2 = 4.582 p = 0.032) with IR in the HOMA-1 model of more than 2.7 units, however, only in men. The relationship of other indicators of IR with atherosclerosis was not identified. CONCLUSION. A comparison of surrogate models of IR, from our point of view, allows us to distinguish HOMA-1 and HOMA-2. Probably, for the cross-sectional studies it is advisable to use the first of them, and for longitudinal – the second.

CENTRAL AUTONOMIC DYSFUNCTION WITH DEFECTIVE LACRIMATION

PEDIATRICS ◽  
1949 ◽  
Vol 3 (4) ◽  
pp. 468-478 ◽  
Author(s):  
CONRAD M. RILEY ◽  
RICHARD L. DAY ◽  
DAVID MCL. GREELEY ◽  
WILLIAM S. LANGFORD
Keyword(s):  
Blood Pressure ◽  
Autonomic Dysfunction ◽  
Autonomic Function ◽  
Point Of View ◽  
Clinical Entity ◽  
Excessive Sweating ◽  
Common Features ◽  
The Common

Five cases have been reported with symptoms and findings so similar as to constitute a clinical entity. The common features in this group are: 1. a deficiency of lacrimation; 2. an abnormal reaction to mild anxiety characterized by transient extreme elevation of blood pressure, excessive sweating, salivation to the point of drooling, and the development of sharply demarcated erythematous blotches on the skin, biliterally symmetric, and tending to recur in the same or similar configurations. The findings seem best interpreted as a central, possibly congenital, disturbance of autonomic function. An origin in the diencephalon has been suggested. The most difficult feature to interpret from a neurophysiologic point of view is diminished rather than excessive lacrimation.

Development and Evaluation of a Low Cost Cuffless Systolic Blood Pressure Device

2017 ◽  
Vol 29 (2) ◽  
pp. 317-326 ◽  
Author(s):  
Jörg Güttler ◽  
◽  
Muhammad Karim ◽  
Christos Georgoulas ◽  
Thomas Bock
Keyword(s):  
Blood Pressure ◽  
Wireless Communication ◽  
Mental Stress ◽  
Low Cost ◽  
Blood Pressure Measurement ◽  
Care Staff ◽  
Pressure Meter ◽  
Blood Pressure Device ◽  
Cuffless Blood Pressure

[abstFig src='/00290002/05.jpg' width='300' text='A cuffless blood pressure device implemented in a chair' ] In this paper, the authors describe the cuffless blood pressure meter prototype, which is targeting at potential long-term automated blood pressure screening. By the proposed cuffless approach, mental stress is reduced, which increases the reliability of measurement. By using a wireless communication medium to transmit data, care staff can store and access readings more easily. The proposed system was developed using low-cost off-the-shelf parts such as Arduino/Wattuino Uno boards and single-board computers. This enables thereby an unobtrusive implementation of such a compact system into furniture, for example. Its intuitive measurement enables care staff to devote more attention to the patient and less to the blood pressure measurement. The proposed system is described in its hard- and software functionality. Furthermore, experimental results confirm the proposed system’s reliability.

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