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Search Results: 1 - 10 of 18300 matches for " blood pressure monitoring "
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How hypertensive patients in the rural areas use home blood pressure monitoring and its relationship with medication adherence: A primary care survey in China  [PDF]
Huanhuan Hu, Gang Li, Takashi Arao
Open Journal of Preventive Medicine (OJPM) , 2013, DOI: 10.4236/ojpm.2013.39069
Abstract:

Despite an increasing popularity of home blood pressure monitoring (HBPM) over the last few decades, little is known about HBPM use among hypertensive patients in the rural areas. A cross-sectional survey including 318 hypertensive patients was conducted in a rural community in Beijing, China, in 2012. Participants were mainly recruited from a community health clinic and completed the questionnaires assessing HBPM usage. Binary logistic regression models were used for the analysis of medication adherence with age, gender, level of education marital status, perceived health status, duration of hypertension, HBPM use, and frequency of performing BP measurement. Among the total population, 78 (24.5%) reported currently use of HBPM. Only 5.1% of the HBPM users cited doctor’s advice as the reason for using HBPM. Analysis of the risk factors of poor medication adherence by multivariable modeling indicated significant associations between the duration of hypertension (adjusted OR, 3.31; 95% CI, 1.91-5.72; P < 0.001), frequency of performing BP measurements (adjusted OR, 2.33; 95% CI, 1.42-3.83; P < 0.001) and medication adherence. We found that most use of HBPM was without the involvement of a doctor or nurse. Further study is required to understand if HBPM is effective and the role of health professionals in its use for improved hypertension control.

 

Manual clínico del monitoreo ambulatorio de la presión arterial
álvarez Batard,Germinal; Ruso,Raúl; Pérez Caballero,Manuel Delfín; Fernández Arias,Manuel Antonio;
Revista Cubana de Medicina , 2006,
Abstract: the present manual, offers a detailed and practical information of the applications, advantages, contribution to the diagnosis of high blood pressure, prognostic variables, and other interesting data. the bases giving rise to this hypermax equipment, and the study and interpretation method - hypermap - for patients with high blood pressure or with suspicion of it, are dealt with. the values and figures accepted to consider a person as hypertensive, as well as the different conditions that can be detected using this method, on collecting the variations in the daily cycle or circadian rhythm of blood pressure, are exposed. with this special paper we hope to contribute to a better knowledge of the medicine professionals, and to make them understand the practical usefulness of the study of this manual for the care of patients with high blood pressure
Monitoriza??o ambulatorial da press?o arterial em pacientes normotensos com hipotireoidismo subclínico
Ferreira, Marcia Martins;Teixeira, Patricia de Fatima dos Santos;Mansur, Vera Aleta R.;Reuters, Vaneska Spinelli;Almeida, Cloyra Paiva;Vaisman, Mario;
Arquivos Brasileiros de Cardiologia , 2010, DOI: 10.1590/S0066-782X2010005000040
Abstract: background: overt hypothyroidism is associated with elevation of diastolic blood pressure; however the association of subclinical hypothyroidism (sh) with arterial blood pressure (abp) alteration is unknown. objective: the aim of the present study was to evaluate ambulatory blood pressure monitoring (abpm), over 24 hours, in normotensive patients with sh in comparison to euthyroid (eu) normotensive individuals. methods: a cross-sectional study was performed with 50 participants (sh = 30 and eu = 20) that did not differ regarding risk factors for hypertension. the abpm was carried out with a dinamapatm monitor, using the oscillometric method validated by aami (association for the advancement of medical instrumentation) and by the bhs (british hypertension society). results: the mean serum tsh and ft4 were respectively 6.9 ± 2.2 μui/ml and 1.1 ± 0.2 ng/dl in sh patients. although there was no difference in the mean values of systolic and diastolic blood pressure between the two groups, there was a positive correlation between the mean values of diastolic blood pressure (dbp) and serum tsh levels in sh patients (r:0.477; p = 0.004). these correlations were detected at daytime (r:0.498; p = 0.002) and sleep-time (r:0.322; p = 0.032) measurements. conclusion: the blood pressure was not different between patients with or without sh; however, the results suggest that the progression of subclinical hypothyroidism to higher levels of tsh may increase the cardiovascular risk by increasing diastolic blood pressure.
Monitoriza??o ambulatorial da press?o arterial em adolescentes normais
Koch, Vera H.;Colli, Anita;Saito, Maria Ignez;Ruffo, Patricia;Cardoso, Rita;Ignes, Edna C.;Okay, Yassuhiko;Mion Jr, Décio;
Arquivos Brasileiros de Cardiologia , 1997, DOI: 10.1590/S0066-782X1997000700007
Abstract: purpose: to evaluate technical aspects of ambulatory blood pressure monitoring (abpm) in normal adolescents. methods: forty five normal adolescents (27 female), 10-18 years old. results: abpm recordings showed a mean of 90% successful readings; 30% of the patients complained of sleep disruption related to the functioning of the abpm monitor; the mean systolic, diastolic and heart rate fall during sleep was 13%, 23% and 24% respectively; the mean systolic and diastolic blood pressure load, while awake, was in male adolescents 25.4±27.7% and 11.8±14.6%, and in female adolescents, 17.5±18.7% and 11.8±11.4%, respectively; the mean systolic and diastolic blood pressure load, while asleep, was in male adolescents 15.4±22.9% and 2.8±4.9% and, in female adolescents, 10.5±18.2% and 1.8±2.7%, respectively; the mean diastolic values of the first two hours of recording were higher than the ones obtained during the rest of the hours of recording while awake; different mean systolic, diastolic and heart rate values were found during the afternoon and nocturnal sleep periods. conclusion: abpm was well accepted by the adolescent population, with good technical results.
Registro de 24 horas da press?o arterial em tabagistas e n?o-tabagistas
Morillo, Marcos Galan;Amato, Marisa Campos Moraes;Cendon Filha, Sonia Perez;
Arquivos Brasileiros de Cardiologia , 2006, DOI: 10.1590/S0066-782X2006001700016
Abstract: objective: to evaluate the effect of smoking on blood pressure trends during a 24-hour period, by analyzing the parameters of the ambulatory blood pressure monitoring (abpm). methods: the results of 289 abpm tests conducted on patients classified as smokers or nonsmokers were studied. the parameters analyzed were: mean 24-hour, daytime and nighttime systolic and diastolic blood pressure readings; nocturnal dipping of systolic and diastolic pressures and blood pressure load. the patients were classified in four groups according to whether or not they used antihypertensive medication: 1a - nonsmokers using medication; 1b - smokers using medication; 2a - nonsmokers not using medication; and 2b - smokers not using medication. variables were expressed as minimum, maximum, median, mean and standard deviation values. univariate analysis was used for comparing the smoking and nonsmoking groups. the significantly different variables from the groups were selected using multivariate analysis. the significance level adopted was 5%. results: mean daytime systolic and diastolic blood pressures were significantly higher in the smokers, regardless of whether or not they used antihypertensive medication. mean nocturnal blood pressure readings were similar between smokers and nonsmokers. mean 24-hour systolic blood pressure readings were significantly higher in the smokers, regardless of whether or not they used antihypertensive medication. nocturnal dipping was similar for all groups. blood pressure loads were consistently and significantly higher in the smokers regardless of medication use. conclusion: mean daytime systolic and diastolic blood pressure readings were consistently higher in the smokers when compared to nonsmokers regardless of antihypertension medication use. nocturnal dipping was similar for smokers and nonsmokers.
Recomendaciones sobre el uso de la monitorización ambulatoria de presión arterial.: Documento de consenso de la Sociedad Chilena de Hipertensión
Prat M,Hernán; Valdés S,Gloria; Román A,Oscar; Zárate M,L Hernán; Jalil M,Jorge;
Revista médica de Chile , 1999, DOI: 10.4067/S0034-98871999001000016
Abstract: continuous ambulatory blood pressure monitoring is a diagnostic technique devised as a consequence of the great variations in blood pressure measurements. it allows multiple daily measurements, nocturnal monitoring, avoids the stress of blood pressure measurements, gives a picture of pressure behavior during 24 hours and reduces observer related errors. the equipment used must be accurate and validated using international protocols. accepted indications for continuous ambulatory blood pressure monitoring are white coat hypertension, episodic hypertension, resistance to medications and assessment of symptoms or autonomic dysfunction. other indications with less clear cut usefulness, are high risk cardiac, renal or pregnant patients and an accurate blood pressure control. we describe equipment calibration, elements that must be considered in the reports, result interpretation and conclusions. normal blood pressure ranges for children and pregnant women are also reported.
Recomendaciones sobre el uso de la monitorización ambulatoria de presión arterial.: Documento de consenso de la Sociedad Chilena de Hipertensión Consensus recommendations for the use of continuous ambulatory blood pressure monitoring.: Chilean Hypertension Society
Hernán Prat M,Gloria Valdés S,Oscar Román A,L Hernán Zárate M
Revista médica de Chile , 1999,
Abstract: Continuous ambulatory blood pressure monitoring is a diagnostic technique devised as a consequence of the great variations in blood pressure measurements. It allows multiple daily measurements, nocturnal monitoring, avoids the stress of blood pressure measurements, gives a picture of pressure behavior during 24 hours and reduces observer related errors. The equipment used must be accurate and validated using international protocols. Accepted indications for continuous ambulatory blood pressure monitoring are white coat hypertension, episodic hypertension, resistance to medications and assessment of symptoms or autonomic dysfunction. Other indications with less clear cut usefulness, are high risk cardiac, renal or pregnant patients and an accurate blood pressure control. We describe equipment calibration, elements that must be considered in the reports, result interpretation and conclusions. Normal blood pressure ranges for children and pregnant women are also reported.
A Survey of the Incidence and Consequences of Invasive Blood Pressure Measuring Errors Caused by Arterial Line Occlusion  [PDF]
Zhinan Zheng, Xiang Liu, Jing Li, Yi Wen, Xiaofei Mo, Sanqing Jin
Open Journal of Anesthesiology (OJAnes) , 2016, DOI: 10.4236/ojanes.2016.67018
Abstract: Objective: The objective is to investigate the incidence and consequences of arterial line occlusion during invasive blood pressure monitoring in the form of questionnaire survey. Methods: The questionnaires were randomly distributed to the anesthesiologists who participated the 22nd annual meeting of Chinese society of anesthesiology. The main contents of this survey included the arterial line managing status, the incidence of arterial line occlusion, the effects of arterial line occlusion on the anesthesiologists’ therapy and consequences caused by arterial line occlusion. Results: Totally 294 questionnaires were collected, in which 261 questionnaires were valid. In all respondents, 28.3% expressed that they could not flush arterial line on time, and 95.4% had experienced flushing arterial line only or sometimes or occasionally when the arterial waveform was not normal. Furthermore, 93.9% had experienced partial occlusion of the arterial line, and 79.3% had experienced complete occlusion. According to the serious recall of the respondents, the incidence of partial arterial line occlusion was 17.7% ± 22.0%, and the incidence of complete arterial line occlusion was 3.6% ± 8.1%. For all the respondents, 89.7% had experienced suspecting arterial line occlusion while real hypotension occurred, 65.1% had experienced not treating hypotension timely due to this suspicion, and 31% had experienced serious consequences caused by this suspicion. Conclusion: The incidence of arterial line occlusion is high during invasive blood pressure monitoring, which is a threat to the patients’ safety. So, intensive attention should be paid to the arterial line management.
Monitorización ambulatoria de presión arterial (MAPA) en enfermos jóvenes
Robles,N. R.; Domínguez Tristancho,M.I.; Cancho,B.; Sánchez Casado,E.;
Anales de Medicina Interna , 2001, DOI: 10.4321/S0212-71992001000600004
Abstract: objective: to defining the criteria for performing ambulatory blood pressure monitoring (abpm) in young patients. method: it is reported the experience with abpm on 52 consecutive patients (younger than 30 years old) consulting for hypertension (mean age 23.4±4.9 years). the ambulatory bp was measured noninvasively for twenty-seven hours by the spacelabs 90207 device programmed to measure bp every fifteen minutes during daytime and every 20 minutes during nighttime. the definition of daytime and nighttime was made on the basis of wakefulness and sleep or bed rest periods, obtained from a diary kept by the subject, normal nocturnal bp drop was defined as a decrease higher of 10% versus daytime values. it was defined normal bp an 24 hours ambulatory bp < 130/80 mmhg. results: thirty seven patients (71%) were normotensives. there were not differences between normotensive and hypertensive patients neither by age (normotensive 23.9±12.5, hypertensive 23.3±4.0 years), nor by sex (normotensive, 21 men and 16 women; hypertensive, 10 men and 3 women). mean 24 h bp of normotensive patients was 119/72 mmhg (p < 0.001 vs. hypertensive, 135/89 mmhg). there were not differences in nocturnal bp drop. white-coat reaction was more intense in normotensive patients (1.17±0.12, vs. hypertensive 1.04±0.08, p < 0.001). four hypertensives showed white-coat reaction (1.11±0.05). conclusion: abpm is a helpful diagnostic tool in young patients. it should be routinely performed as first exploration in all patients younger than 30 years consulting for hypertension.
Impact of telemetry supported home blood pressure monitoring: experiences of patients and professionals participating in the HITS randomised controlled trial of telemetry enabled home blood pressure (BP)
Janet Hanley,Jenny Ure,Mary Paterson,Sarah Wild
International Journal of Integrated Care , 2012,
Abstract:
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