THE ANALYSIS OF THE VASCULAR REACTION IN THE ORGANISM IN OCCLUSAL BLOOD PRESSURE MEASUREMENT PROCEDURES

2020 ◽  
pp. 108-113
Author(s):  
Александр Васильевич Чащин
Keyword(s):  
Blood Pressure ◽  
Vascular System ◽  
Negative Impact ◽  
Blood Pressure Measurement ◽  
The State ◽  
Actual Problem ◽  
Vascular Reaction ◽  
Technical Requirements ◽  
Reaction Processes ◽  
Different Parts

В статье приведён критический анализ актуальной в практической медицине проблемы бесконтрольного влияния окклюзионных процедур измерения АД на процессы в организме и последствия влияния. Для этого представлен анализ множественных эффектов сосудистой реакции организма, инициируемых в процедуре измерения АД окклюзионными методами. Внешнее воздействие на систему сосудов верхней конечности нарушает условие беспрепятственного кроволимфотока, затрагивая сосудистое русло в разных участках конечности и магистральных сосудов. Представлены механизмы сосудистой реакции, отражающей комплекс изменений в процессах жидкостного обмена в разных участках сосудистой системы, разных по функциональному назначению и по уровню внутрисосудистого давления бассейнах. Проявления ответной реакции на окклюзионное действие на сосудистую сеть свидетельствуют об изменении состояния организма, отмечаемое и пациентами в результате проведения измерительных процедур. Происходящие в сосудистой системе изменения относятся к причинам возникновения ряда составляющих методической погрешности, снижающих точность и достоверность результатов измерений. Они представляются в основе критики современного положения при использовании окклюзионных методов измерения. Обосновывается необходимость учёта не предусматриваемых в методике измерения проявлений процессов реакции и нарушений состояния организма. Обсуждаются медико-технические требования к перспективным разработкам, обеспечивающим: контроль изменений состояния в процедурах, снижение риска негативного влияния на организм и повышение достоверности результатов A critical analysis of the actual problem in practical medicine of the uncontrolled effect of occlusion procedures of measurement of blood pressure on the processes in the organism and the consequences of influence are presented in this article. To do this, the analysis of the multiple effects of the organism's vascular response, initiated in the procedure of measurement of blood pressure by occlusion methods are presented. External effect on the system of vessels of the upper limb violates the condition of unhindered blood flow, affecting the vascular channel in different parts of the limbs and trunk vessels. The mechanisms of vascular reaction, reflecting a set of changes in the processes of liquid metabolism in different parts of the vascular system, different in functional purpose and in the level of intravascular pressure of the pools are presented. The manifestations of the response to the occlusion action on the vascular network indicate a change in the state of the organism, noted by patients as a result of measurement procedures. Changes in the vascular system are the causes of a number of components of methodical error, which reduce the accuracy and reliability of the measurements. They are at the base of criticism of the current situation when using occlusion measurement methods. The need to take into account the non-specific methods of measuring the manifestations of reaction processes and disturbances of the organism's condition is substantiated. Medical and technical requirements for promising developments are discussed, ensuring: monitoring changes in the state of procedures, reducing the risk of negative impact on the organism and increasing the reliability of results

scholarly journals May Measurement Month 2018: an analysis of blood pressure screening results from Slovenia

2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H112-H114
Author(s):  
Nina Božič ◽  
Judita Knez ◽  
Primož Dolenc ◽  
Barbara Salobir ◽  
Andrej Erhartič ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Medication ◽  
Online Survey ◽  
Blood Pressure Measurement ◽  
Newly Diagnosed ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Global Initiative ◽  
Number Of Individuals ◽  
Different Parts

Abstract Elevated blood pressure (BP) is a growing burden worldwide, contributing to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative organized by the International Society of Hypertension aimed to raise awareness of high BP. In May 2018, we carried out an opportunistic cross-sectional survey of volunteers from different parts of the country aged ≥18 years. Blood pressure measurement followed the standard MMM protocol and statistical analysis mean of the last 2 of 3 readings was used, where these were unavailable additional imputations were performed. In total, 4883 individuals (61.0% female) were screened during the whole month of May in 91 primary and secondary health facilities, pharmacies and through an online survey. After multiple imputation, 2841 (58.2%) had HTN. Of individuals not receiving antihypertensive medication, 850 (29.4%) were hypertensive. Of those receiving antihypertensive medication, 1025 (51.5%) had uncontrolled BP. MMM18 was the largest BP screening campaign undertaken in Slovenia. A substantial number of people with possible HTN were identified and referred to general practitioners for further management. The high number of individuals with HTN, with newly diagnosed HTN and with uncontrolled BP despite medication, confirms a real need for such screening programmes in our country.

scholarly journals Management of Hypertension in the Digital Era

Hypertension ◽  
2020 ◽  
Vol 76 (3) ◽  
pp. 640-650
Author(s):  
Kazuomi Kario
Keyword(s):  
Blood Pressure ◽  
Negative Impact ◽  
Blood Pressure Monitoring ◽  
Digital Health ◽  
Blood Pressure Measurement ◽  
Wearable Devices ◽  
Home Blood Pressure ◽  
Masked Hypertension ◽  
Pressure Measurements ◽  
Pressure Monitoring

Out-of-office blood pressure measurement is an essential part of diagnosing and managing hypertension. In the era of advanced digital health information technology, the approach to achieving this is shifting from traditional methods (ambulatory and home blood pressure monitoring) to wearable devices and technology. Wearable blood pressure monitors allow frequent blood pressure measurements (ideally continuous beat-by-beat monitoring of blood pressure) with minimal stress on the patient. It is expected that wearable devices will dramatically change the quality of detection and management of hypertension by increasing the number of measurements in different situations, allowing accurate detection of phenotypes that have a negative impact on cardiovascular prognosis, such as masked hypertension and abnormal blood pressure variability. Frequent blood pressure measurements and the addition of new features such as monitoring of environmental conditions allows interpretation of blood pressure data in the context of daily stressors and different situations. This new digital approach to hypertension contributes to anticipation medicine, which refers to strategies designed to identify increasing risk and predict the onset of cardiovascular events based on a series of data collected over time, allowing proactive interventions to reduce risk. To achieve this, further research and validation is required to develop wearable blood pressure monitoring devices that provide the same accuracy as current approaches and can effectively contribute to personalized medicine.

Evaluation of two methods of teaching blood pressure measurement

1988 ◽  
Vol 52 (9) ◽  
pp. 519-521
Author(s):  
NK Nordstrom ◽  
S Longenecker ◽  
HL Whitacre ◽  
FM Beck
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement

EFEKTIVITAS PEMBERIAN HYDROTHERAPI RENDAM KAKI PADA PENDERITA HIPERTENSI DI BANJAR SRI MANDALA, KELURAHAN DAUHWARU KABUPATEN JEMBRANA

2019 ◽  
Vol 10 (01) ◽  
pp. 33-44
Author(s):  
N.L.G. Sudaryati ◽  
I P. Sudiartawan ◽  
Dwi Mertha Adnyana
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Reduce Blood Pressure ◽  
Second Grade ◽  
Control Group ◽  
Hypertensive Patients ◽  
First Category

The aim of the study was to determine the effectiveness of giving hydrotherapi foot soak in hypertensive patients. The study was conducted with one group pretestposttest design without a control group by measuring blood pressure (pretest) before being given an intervention in the form of foot soak hydrotherm against 15 people with hypertension in Banjar Sri Mandala, Dauhwaru Village, Jembrana Subregency. Then do the blood pressure measurement again (posttest) after finishing the intervention. After the study was completed, the results showed that before the hydrotherapi foot bath intervention, there were 0% of patients classified as normal, 13.32% in prehypertension category, 60.08% in hypertension category I and 26.60% in hypertension category II. After the intervention was given, there were 13.32% of the patients classified as normal, 66.68% in the prehypertension category, 20.00% in the first category of hypertension and no patients belonging to the second grade hypertension category. There is a decrease of 20-30 mmHg for systolic blood pressure and 0-10 mmHg for diastolic blood pressure after intervention. Based on the results of the study it can be concluded that the hydrotherapi foot bath is effectively used to reduce blood pressure in hypertensive patients in the Banjar Sri Mandala, Dauhwaru Village, Jembrana District.

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).

ANALYSIS OF MEASURES TO REDUCE ECOLOGICAL AND ECONOMIC DAMAGE FROM AUTOMOBILE TRANSPORT

2020 ◽  
Author(s):  
V.N. Kurdyukov ◽  
◽  
T.V. Lebedeva ◽  
Keyword(s):  
Resource Allocation ◽  
Negative Impact ◽  
The State ◽  
Point Of View ◽  
Motor Vehicles ◽  
Economic Damage ◽  
Agriculture Education

The article considers common classifications of measures to reduce environmentaleconomic damage from motor vehicles. Classification from the point of view of control impact is proposed, which allows to take into account relations between the state and citizens in the field of reduction of negative impact of motor vehicles on the environment. The analysis of the classification made it possible to identify areas of activity for improving the efficiency of management impacts, taking into account the incentives of citizens to comply with the requirements of the legislation and to create conditions for their exceeding. Increasing the efficiency of resource allocation in the Territory will allow the released funds to be allocated to the development of industry, agriculture, education and science.

The Effects of Passive and Active Smoking on Brachial and radial Blood Pressure and Some Other Physical Factors in Healthy Young Adults

2017 ◽  
Vol 5 (3) ◽  
pp. 259
Author(s):  
Shireen H. Ramadhan ◽  
Shamil K. Talal ◽  
Wasfiya A. Moner
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Saturation ◽  
Oxygen Concentration ◽  
Tobacco Smoke ◽  
Blood Pressure Measurement ◽  
Reference Level ◽  
Physical Factors ◽  
New Device ◽  
Active Smoker

Tobacco smoke is enormously harmful to human health, there’s no safe way to smoke. The primary objective of this study is to analyze the role of tobacco smoke compounds and their ability to damage the cardiovascular system and, in particular, to interfere with blood pressure (Brachial and radial pressure), heart rate and partly on the percentage blood Oxygen saturation. A new device has been manufactured which is unique for measuring the level of smoke, to obtained privies readings, the device had fixed to the first reference level آ and starting up from it. The effect of smoking has been studied on (26) male passive (26) active smoker volunteer, (14) female passive and (14) female active smoker participants. The results has been showed that the blood pressure and heart rate has been increased with increasing the number of cigarettes in both genders for passive and active smokers. However, this effect for male was more pronounced comparing with females for passive and active smokers. In the case of oxygen saturation concentration percentage, for males the change of oxygen concentration percentage was not stable. In other words, it was fluctuated with the number of cigarettes. But for females the oxygen concentration was decreased but not too much. This means that this effect was not pronounced. this study found آ that the most pronounced effect has been shown by male’s comparison to females for both passive and active smokers. As well as in nonsmoker’s males, the relation between heart rate and smoke level is inversely proportional. While in male and female smokers and female nonsmokers the relation is proportional. In all cases the relation between the smoke level and time of smoking is inversely proportional. Finally males& females are affected differently by tobacco use; the sensitivities to smoke for males are higher than in females for passive and active smokers in both brachial and radial blood pressure measurement.

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