G G U U I I D D E E L L I I N N E E S S JNC 7 2003 ESH 2003 BHS 2004 CHEP 2004 JSH 2004 HSSH 2005 HOME BP MONITORING
Jan 12, 2016
GG UU II DD EE LL II NN EE SS
JNC 7 2003
ESH 2003
BHS 2004
CHEP 2004
JSH 2004
HSSH 2005
HOME BP MONITORING
Home BP MonitoringHome BP MonitoringClinical BenefitsClinical Benefits
1. Diagnosis (hypertension, white coat hypertension, masked hypertension)
2. Prognosis (Ohasama, Pamela, Sheaf, Didima)
3. Long-term follow-up
4. Improvement of patients’ compliance
5. Improvement of hypertension control
Home BP MonitoringHome BP Monitoring Current ProblemsCurrent Problems
1. Device accuracy
2. Observer bias
3. Observer misreporting
4. Variable monitoring schedule
5. Data summarizing
1.
2.
3.
4.
5.
JJournal ofournal of Hypertens Hypertensionion 20032003;;21:82121:821-8-84848
JJournal ofournal of Hypertens Hypertensionion 20020055;;2233::697-701697-701
European Society of Hypertension RecommendationsJournal of Hypertension 2003;21:821-848
1. Oscillometric arm measuring devices.
2. Independently validated using established protocols.
3. Correct cuffs for individual arms.
4. Storage, transmission or printing capacity.
European Society of Hypertension Recommendations
Diagnosis - Treatment Initiation Duplicate morning (6-9 am) and evening (6-9
pm) measurements for 7 working days. Exclude 1st day measurements. Minimum of 12 readings in 7 days. Average blood pressure taken as reference.
Journal of Hypertension 2003;21:821-848
Long-Term Observation 1 week SBPM every 3 months (discard 1st day).
Treatment Phase As in diagnostic phase (trough measurements).
Home Blood Pressure Monitoring
European Society of Hypertension Recommendations
Validated electronic devices (arm)
7 days
2 morning (6-9 am) and 2 evening (6-9 pm)
Average blood pressure (exclude 1st day)
Storage, transmission or printing capacity.
Home Blood Pressure Monitoring
European Society of Hypertension Recommendations
Validated electronic devices (arm)
7 days
2 morning (6-9 am) and 2 evening (6-9 pm)
Average blood pressure (exclude 1st day)
Storage, transmission or printing capacity.
Microlife WatchBP Home Monitor
A home BP monitor designed according to
European Society of Hypertension Working Group on BP Monitoring
recommendations
Microlife Microlife WatchBP HomeWatchBP Home
Stergiou GS, Giovas P.Hypertension Center, 3rd University Dept. of Medicine, Sotiria Hospital, Athens, Greece
Jaenecke B, Tan T.Microlife AG, Heerbrugg, Switzerland
Chang A, Yen C.Microlife Corporation, Taipei, Taiwan
Microlife WatchBP HomeMicrolife WatchBP Home
Validation of the Microlife WatchBP Home device
for self-home BP measurement according
to the International Protocol
Stergiou G, Giovas P, Gkinos C, Patouras J.
Hypertension Center, 3rd University Department of MedicineSotiria Hospital, Athens, Greece
Blood Pressure Monitoring 2006, in press
1. Dual-function (USUAL / DIAG).
2. Embedded ESH home BP monitoring schedule.
3. Memory - PC link capacity.
DesignDesignAutomated oscillometric BP monitor
for self-home measurement / arm
Microlife Microlife WatchBP HomeWatchBP Home
Microlife WatchBP Home
Home BP monitoring schedule strictly according to European Society of Hypertension (duplicate morning and evening measurements for 7 days)
USUAL USUAL modemode
DIAG DIAG modemode
DesignDesign
Casual home BP measurements
Average home BP is displayed, as well as the
individual readings
Microlife Microlife WatchBP HomeWatchBP Home
Microlife WatchBP Home
Microlife WatchBP Home
Microlife WatchBP Home
USB
Microlife WatchBP Home
Microlife WatchBP Home
Microlife WatchBP Home
Stergiou, George
Microlife WatchBP Home
Microlife Microlife WatchBP Home MonitorWatchBP Home Monitor
Unique Unique DesignDesign
Unique Unique FunctionFunction
Unique Solution
20 consecutive hypertensives.
Age 34-78 years, 13/7 men/women, low-high level of education.
7 days self-home Watch-BP use.
Brief instructions (5 min) - single-page handout.
Pilot StudyPilot Study
Users’ Acceptance - PerformanceUsers’ Acceptance - Performance
Microlife Microlife WatchBP HomeWatchBP Home
Microlife Watch BP Monitor
A tool for reliable home BP monitoring designed according to the European Society of Hypertension
recommendations
Abstract 10573
Tuesday 17 Oct.
2006
Blood Pressure Monitoring (in press)
Users’ Acceptance - PerformanceUsers’ Acceptance - Performance
95%95% Effectively used the DIAG mode (19/20).
70%70% Used the USUAL mode (4 used only the DIAG mode - 1 did not use the device).
90%90% “Easy” or “very easy” to understand the dual function and to use the device.
90%90% Dual mode “useful” or “very useful”.
Pilot StudyPilot StudyMicrolife Microlife WatchBP HomeWatchBP Home
1. Accurate BP measurement
2. Reliable assessment (no observer bias, no reporting bias)
3. Strictly adhering to European Society of Hypertension recommendations (measurement schedule - BP summary)
4. Convenient for patient - physician
5. Reasonable cost
Microlife Microlife WatchBP Home MonitorWatchBP Home Monitor
A unique tool for optimal application of self-home
BP monitoring in clinical practice strictly adhering to the
European Society of Hypertension recommendations
Microlife Microlife WatchBP Home MonitorWatchBP Home Monitor
Microlife WatchBP Home Monitor
In press,Blood Pressure Monitoring
Watch BP Pro for the doctor’s office
• doctor initiates Watch BP concept byWatch BP Pro measurement in his office
• Watch BP Pro supplies the office readings next to the home readings obtained by Watch BP Home
• can do simultaneous left right arm measurements to find out which arm shows higher readings
• can transfer data to Watch BP.net software via bluetooth
• 3 modes: 1st visit mode, further visit mode and also an auscultation mode
• LCD backlight • Fully automatic measurement procedure• Oscillometric method• equipped with S, M and L cuffs (2 each)• last reading memory, only