Telemedicine improves diagnosis of essential hypertension compared with usual care

2002 ◽  
Vol 8 (6) ◽  
pp. 344-349 ◽  
Author(s):  
Mary A M Rogers ◽  
Debra A Buchan ◽  
David Small ◽  
Christine M Stewart ◽  
Barbara E Krenzer
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Usual Care ◽  
Blood Pressure Monitoring ◽  
Controlled Trial ◽  
Care Group ◽  
Blood Pressure Monitor ◽  
Hypertension Status ◽  
Pressure Monitor ◽  
Telemedicine Service

A randomized controlled trial was conducted to assess the efficacy of a telemedicine service for the diagnosis of essential hypertension. The telemedicine service consisted of using an automatic home blood pressure monitor connected to an ordinary telephone line for the transmission of the data to a central computer. After use of the home monitor for a week, the results were converted to a report form and faxed to the patient's physician. The gold standard for assessment of true hypertension status was 24 h ambulatory blood pressure monitoring. A total of 74 patients from outpatient clinics were randomized into either the telemedicine service or usual care. Use of the telemedicine service significantly improved the detection of essential hypertension compared with usual care: in the telemedicine group, 64% of patients with essential hypertension were diagnosed; in the usual care group, 26% of patients with essential hypertension were diagnosed. Furthermore, diagnosis occurred earlier in the telemedicine group than in patients receiving usual care. Specificity and positive predictive value were similar in the two groups.

Study on Cuff-Less Blood Pressure Measurement Based on Electrocardiography and Photoplethysmography Signal

2019 ◽  
Vol 2 (3) ◽  
pp. 206-214
Author(s):  
Putri Indes Oktabriani ◽  
Fuad Ughi ◽  
Aulia Arif Iskandar
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Monitoring ◽  
Blood Pressure Measurement ◽  
Ecg Signal ◽  
Optimum Location ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Left Hand ◽  
Measure Blood Pressure

The continuous blood pressure measurement research is widely known for helpingthe development of ambulatory blood pressure monitoring where it measures blood pressureevery 15 to 30 minutes throughout the day. The cuff is a problem for the patient withAmbulatory Blood Pressure Monitor. It can make a person feel uncomfortable and must staystill when the cuff starts to inflate. It is limiting and disturbing their daily activity when thedevice is starting to measure the blood pressure. Blood pressure measurement without cuff isbeing proposed in this research, called cuff-less blood pressure measurement. It will be based onPhotoplethysmography (PPG) and Electrocardiography (ECG) signal analysis. ECG (Lead 1,Lead 2, and Lead 3) with PPG signal produced from index finger on the left hand are comparedand analyzed. Then the relation of PPG and ECG signal and the optimum location for daily usecan be obtained. The optimum location will be based on the electrode’s position that producedthe optimum ECG lead Signal to measure blood pressure. Based on the result, PPG and ECGsignal have a linear relation with Blood Pressure Measurement and Lead 1 is more stable inproducing the ECG signal. The equation from Lead 1 appeared as one of the optimum equationsfor measuring Systolic Blood Pressure (SBP) or Diastolic Blood Pressure (DBP).

The Development Telemedicine System for Blood Pressure Monitoring via Ethernet

2006 ◽  
Vol 321-323 ◽  
pp. 1103-1106
Author(s):  
Yong K. Moon ◽  
Yu H. Song ◽  
Jae H. Kim ◽  
Sang Sik Lee ◽  
Joung H. Mun
Keyword(s):  
Blood Pressure ◽  
Data Transfer ◽  
Blood Pressure Monitoring ◽  
Process Models ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Telemedicine System ◽  
Development Platform ◽  
Process System ◽  
Multi Access

The objective of this study was to develop an Ethernet-based telemedical blood pressure monitor. Although telemedical applications utilizing a variety of media are currently available, present systems do not provide remote signals with regard to integrated vital information, including blood pressure and pulse rate. In addition, the existing systems are largely embedded-structure, single-access, single-process models. Thus, we developed an Ethernet-based blood pressure monitor which includes a client/server structure, and is a real-time multi-access and multi-process system. The client for the developed system uses the Microsoft Comm Control in Microsoft Visual Basic and ODBC to connect Microsoft Chart Control with DB for a user interface. The server is programmed with the J2SE development platform, in a multi-thread structure. The system is capable of receiving data simultaneously. A TCP/IP socket was used for the Ethernet connection. The JDBC was applied to connect with the database for the saving, searching, and sampling of the data. The data transfer failure rate of the developed system was determined to be less than 0.05%.

scholarly journals Effects of Baduanjin on Essential Hypertension: A Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Yuanyuan Guan ◽  
Yang Hao ◽  
Yun Guan ◽  
Dongjun Wang ◽  
Xuan Sun ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Salt Intake ◽  
Controlled Trial ◽  
Trial Registration ◽  
Care Group ◽  
Clinical Trial Registration ◽  
Randomized Controlled ◽  
Incidence And Mortality ◽  
The Impact

Abstract Background: Clinical treatment of hypertension recommends the use of drugs to reduce the incidence and mortality of cardiovascular diseases in hypertensive patients. However, the side effects of long-term medication and economic pressure have increased the medical community's interest in Baduanjin as a method of exercise therapy. Clinical studies have shown that Baduanjin can be used to treat various diseases, and it can also regulate physical and mental factors such as tension and anxiety. This study aims to evaluate the antihypertensive effect of Baduanjin on patients with essential hypertension. Methods/design: In this study, 92 patients with essential hypertension were randomly divided into the Baduanjin group and the routine care group, using a randomized, active control, evaluator blind method, and two parallel control methods, with 46 cases in each group, signed informed Subjects with the consent form will manage their blood pressure by limiting salt intake, losing weight, drinking moderately, exercising, and adjusting dietary intake during the first visit. In addition to self-management, the Baduanjin group will also conduct 30-minute Baduanjin training three times a week for a total of 8 weeks. The main result is the measurement of blood pressure. In addition, body composition will be measured as a secondary result.Discussion: This study is a randomized controlled Baduanjin trial and is not currently widely used. It may provide valuable data on the impact of Baduanjin on essential hypertension, which will inform non-drug treatment options for this disease.Trial registration: Chinese Clinical Trial Registration Center, ChiCTR200003570. Register on August 16, 2020.

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