Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting
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Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting
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Author :
language : en
Publisher:
Release Date : 2002
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with categories.
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting
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Author :
language : en
Publisher:
Release Date : 2002
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Blood pressure categories.
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting
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Author : Lawrence J. Appel
language : en
Publisher:
Release Date : 2002
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting written by Lawrence J. Appel and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Blood pressure categories.
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting
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Author : Lawrence J. Appel
language : en
Publisher:
Release Date : 2002
Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting written by Lawrence J. Appel and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Blood pressure categories.
Self Measured Blood Pressure Monitoring Comparative Effectiveness
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Author : U. S. Department of Health and Human Services
language : en
Publisher: CreateSpace
Release Date : 2013-04-10
Self Measured Blood Pressure Monitoring Comparative Effectiveness written by U. S. Department of Health and Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-04-10 with Medical categories.
High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. Untreated or ineffectively treated hypertension leads to increased cardiovascular morbidity and mortality, and increased consumption of health care resources, thus levying high human and financial costs to society. In adults, hypertension is defined as a persistently elevated BP equal to or greater than 140/90 mmHg. In children, the diagnosis is made from an average of three or more BP readings greater than the 95th percentile for age, sex, and height. The Seventh Joint National Committee (JNC 7) guideline recommends a BP goal of 140/90 mmHg or less in the general population and a lower threshold of 130/80 mmHg or less in patients with diabetes mellitus or chronic kidney disease. The World Health Report 2002 estimates that over 1 billion people have high BP and that hypertension is responsible for 4.5 percent of the global disease burden. Within the U.S., about 76.4 million adults are affected. Despite improvements in the quality of health care and life expectancy, it is expected that the prevalence of hypertension will continue to rise worldwide. The World Health Organization ranks high BP as the third highest risk factor for burden of disease, highlighting the contribution of hypertension directly and indirectly to the development of numerous diseases. Hypertension has been identified as a major risk factor for cardiovascular disease, and is an important modifiable risk factor for coronary artery disease, stroke, peripheral vascular disease, congestive heart failure, and chronic kidney disease. High BP directly results in 7 million deaths every year. Effective management of BP has been shown to dramatically decrease the incidence of stroke, heart attack, and heart failure. However, hypertension is usually a lifelong condition, and long-term adherence to lifestyle modification and medication treatment remains a challenge in the management of hypertension. Thus an increasing focus has been placed on developing strategies that can improve adherence and result in satisfactory BP control with the goal of improving health outcomes for hypertensive patients. One such proposed method is self-measured blood pressure (SMBP) monitoring. SMBP refers to the regular self-measurement of a patient's BP at home or elsewhere outside the office or clinic setting. However, while patient self-participation in chronic disease management appears promising, the sustainability and clinical impact of this strategy remain uncertain. The primary objective of this review is to evaluate whether the use of SMBP monitoring influences outcomes in adults and children with hypertension, and to what extent these changes in outcomes can be attributable to the use of self-monitoring devices alone or the use of SMBP plus additional support or attention. The intention of this report is to inform physicians' decisionmaking as to whether to encourage the use of SMBP monitoring alone or along with additional support, and to assist health care policymakers and payers with decisions regarding coverage and promotion of SMBP monitoring. Key Questions include: 1. In people with hypertension (adults and children), does self-measured blood pressure (SMBP) monitoring, compared with usual care or other interventions without SMBP, have an effect on clinically important outcomes? 2. In trials of SMBP monitoring, how do clinical, surrogate, and intermediate outcomes (including SMBP monitoring adherence) vary by the type of additional support provided? 3. How do different devices for SMBP monitoring compare with each other (specifically semiautomatic or automatic vs. manual) in their effects on clinical, surrogate, and intermediate outcomes (including SMBP monitoring adherence)? 4. In trials of SMBP monitoring, how does achieving BP control relate to clinical and surrogate outcomes? 5. How does adherence with SMBP monitoring vary by patient factors?
Home Blood Pressure Monitoring
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Author : George S. Stergiou
language : en
Publisher: Springer Nature
Release Date : 2019-10-31
Home Blood Pressure Monitoring written by George S. Stergiou and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-31 with Medical categories.
Hypertension remains a leading cause of disability and death worldwide. Self-monitoring of blood pressure by patients at home is currently recommended as a valuable tool for the diagnosis and management of hypertension. Unfortunately, in clinical practice, home blood pressure monitoring is often inadequately implemented, mostly due to the use of inaccurate devices and inappropriate methodologies. Thus, the potential of the method to improve the management of hypertension and cardiovascular disease prevention has not yet been exhausted. This volume presents the available evidence on home blood pressure monitoring, discusses its strengths and limitations, and presents strategies for its optimal implementation in clinical practice. Written by distinguished international experts, it offers a complete source of information and guide for practitioners and researchers dealing with the management of hypertension.
Fully Automated Ambulatory Blood Pressure Monitoring Ofhypertension
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Author : R. Bodaness
language : en
Publisher:
Release Date : 1986
Fully Automated Ambulatory Blood Pressure Monitoring Ofhypertension written by R. Bodaness and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with categories.
ABPM devices are considered in general to be safe and accurate for obtaining multiple blood pressures away from the physician's office or clinic. Caution should be exercised and the risk-benefit ratio weighed if use is contemplated in a patient with a history of or a predisposition to thrombophlebitis. The primary clinical situation in which ABPM is advocated, is the patient Who is suspected of having office BP measurements not representative of the BP readings outside the office environment. While the workshop recommendations provide guidelines as to areas and clinical circumstanses in which ABPM might ultimately prove useful, data are lacking that would validate those assertions or otherwise demonstrate the optimal role of or the ultimate benefits to be expected in the clinical setting.
Self Measured Blood Pressure
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Author : Katrin Uhlig
language : en
Publisher:
Release Date : 2012
Self Measured Blood Pressure written by Katrin Uhlig and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with categories.
BACKGROUND: Hypertension is an important public health issue. Self Measured Blood Pressure Monitoring (SMBP), the self measurement of blood pressure (BP) outside of the health care setting may be an effective tool to facilitate BP control. PURPOSE: Generate prioritized topics for future research on SMBP, building on evidence gaps identified in a prior comparative effectiveness review and following an explicit a stakeholder-driven nomination and prioritization process. METHODS: Building on evidence gaps identified in a previous CER on SMBP, a preliminary list of future research needs (FRN) was supplemented and refined through input from stakeholders. Stakeholders were asked to indicate their top five priority topics considering the following dimensions in prioritization: (1) importance, (2) desirability of research/avoidance of unnecessary duplication, (3) feasibility, and (4) potential impact. The five topics with the highest number of stakeholder endorsements were identified as the prioritized FRN topics. FUTURE RESEARCH NEEDS TOPICS: Four priority topics pertain to interrelated evidence gaps such as the lack of longer term studies which show persistence of BP control or clinical benefit from SMBP, uncertainty regarding who is likely to benefit from SMBP, lack of standardization in prescription of SMBP, and uncertainty regarding the most effective additional support. The fifth topic relates to the inability to assess cost-effectiveness of SMBP, due to the deficiencies in evidence identified in the first four gaps. To address these gaps, longer term randomized controlled trials are needed to examine clinical outcomes; exploration of treatment heterogeneity may identify those groups more likely to benefit from SMPB. Different prescriptions of SMBP should be compared in trials examining SMBP adherence and BP control. Additional support that shows promise for future study should be further refined by expert panels. Filling these evidence gaps will inform future modeling of cost-effectiveness.
Blood Pressure Monitoring In Cardiovascular Medicine And Therapeutics
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Author : William B. White
language : en
Publisher: Springer Science & Business Media
Release Date : 2000-11-01
Blood Pressure Monitoring In Cardiovascular Medicine And Therapeutics written by William B. White and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-11-01 with Medical categories.
Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics provides information that will be especially useful to all who care for hyperten sive patients. The various chapters provide a full account of the mounting sci entific evidence that blood pressure recordings need to be obtained for proper diagnosis, prognosis, and therapy for these patients. The contributors are each directly involved in clinical studies ofhome and ambulatory blood pressure moni toring, as well as of the relationship of circadian variations in heart rate and blood pressure to cardiovascular events. As a longtime observer of the multiple facets of clinical hypertension, I have been greatly impressed with the rapid advances in this area over the last two decades. Out-of-office blood pressure monitoring has grown from a curi osity to a necessity. In order to improve the currently inadequate control of hypertension throughout the world, such monitoring should become routine in the diagnosis and treatment of every patient. The evidence for the role of out-of-office monitoring that is so well described in Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics should serve as a stimulus for the more widespread adoption of the procedure. Once this is understood, the constraints on the broader clinical use of ambulatory monitoring that now exist in the United States will be lifted as the value of such information becomes more generally recognized. In the meantime, self-recorded home measurements should be more widely utilized.
Self Measured Blood Pressure Future Research Needs
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Author : U. S. Department of Health and Human Services
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-05-23
Self Measured Blood Pressure Future Research Needs written by U. S. Department of Health and Human Services and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-23 with Medical categories.
Hypertension is a common, long-term health condition, particularly prevalent among older adults. Untreated or undertreated hypertension leads to increased cardiovascular morbidity and mortality, as well as increased consumption of health care resources; however, long-term adherence to lifestyle modification and medication remains a challenge. Self-measured blood pressure monitoring (SMBP) has been suggested as one method that may improve adherence to blood pressure (BP) treatment and consequently improve outcomes. SMBP refers to the regular self-measurement of a patient's BP at home or otherwise outside the office or clinic, as a supplement or alternative to those obtained in a health care setting. While patient self participation in chronic disease management appears to be a promising means of improving adherence, the sustainability and clinical effect of this strategy, as well as its impact on health care utilization, remain uncertain. The current Future Research Needs (FRN) project was launched upon the completion of an Agency for Healthcare Research and Quality (AHRQ) Comparative Effectiveness Review (CER) on SMBP, and builds on the evidence gaps identified in that review. The present report describes the development of a stakeholder-prioritized list of research needs for that topic, along with a measured consideration of the advantages and disadvantages of various potential research designs, in order to help researchers and funders develop future research proposals or solicitations. This report identifies five high-priority future research needs with regards to SMBP, as determined by a stakeholder panel. They are: 1. What are the effects of SMBP on BP, medication adherence rates, satisfaction, and clinical event outcomes, after longer followup periods of 2 to 5 years or longer? 2. Which patients may be more likely to benefit from using SMBP? 3. What is the best prescription or protocol for SMBP (when, how often, and how frequently)? How do different prescriptions for SMBP compare regarding acceptance by patients, adherence with SMBP, and effect on BP control? 4. What is the role of additional support? What particular components of additional support should be further evaluated? 5. What is the effect of SMBP on resource utilization? What is the cost-effectiveness of SMBP?