Strict Blood Pressure Control Achieved Using an <scp>ICT</scp>‐Based Home Blood Pressure Monitoring System in a Catastrophically Damaged Area After a Disaster

Nishizawa, Masafumi; Hoshide, Satoshi; Okawara, Yukie; Matsuo, Takefumi

doi:10.1111/jch.12864

Cited by 51 publications

(42 citation statements)

References 17 publications

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“…The telemonitoring system reduced the frequency of patients' visits during the immediate time following the disaster, but did not miss the high-risk patients confined at home. In a stable situation after the acute phase, this system was effective for proactive BP control [97].…”

Section: Disastersmentioning

confidence: 97%

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

et al. 2020

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Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients’ access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.

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Section: Disastersmentioning

confidence: 97%

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

et al. 2020

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“…18 The DCAP network is still in use, and strict home BP control has been achieved in most of the 321 eligible patients. 19 Having confirmed that the home BP levels were under control, we have continued to regularly perform 24-hour ambulatory BP monitoring (ABPM) twice-yearly (summer and winter) since the winter of 2012 in the same study population in order to achieve perfect control of not only home BP levels but also 24-hour ambulatory BP levels. 20 The protocol of this study was approved by the ethics committee of the Jichi Medical University School of Medicine.…”

Section: The Minamisanriku Studymentioning

confidence: 97%

Winter morning surge in blood pressure after the Great East Japan Earthquake

Nishizawa

Fujiwara

Hoshide

et al. 2018

J of Clinical Hypertension

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The great earthquake triggered a powerful tsunami, which provoked catastrophic damage, especially in coastal regions. Almost all buildings were completely destroyed, and thousands of residents in the affected areas were forced to move from their own homes or apartments to temporary housing. Even today, more than 7 years after the disaster, many of the displaced victims continued to live in temporary housing. The quality of life in such housing may affect the health of evacuees, since temporary housing tends to be simpler, less spacious, and less comfortable than occupant-owned housing.Blood pressure (BP), including 24-hour ambulatory BP, fluctuates with the seasons and is generally higher in winter and lower in summer. [1][2][3][4][5][6][7] Previous studies have also demonstrated that seasonal BP variations are more highly associated with indoor temperature than outdoor temperature 8,9 and that indoor temperature is mainly determined by the temperature or permanent nature of residential housing. 4,10 Therefore, housing conditions may be one of the greatest determinants of the seasonal BP variations. However, there have been no studies investigating the association between seasonal BP variations and the nature of the residential housing in areas damaged by the Great East Japan Earthquake.Elderly individuals show more highly exaggerated BP variability than younger people, mainly due to the autonomic nervous dysfunction in the former. [11][12][13][14] The elderly also show higher BP levels in the winter than in the summer, while younger individuals do not exhibit this seasonal BP difference. [15][16][17] Therefore, compared to the BP levels of young people, those of the elderly would be more likely to be changed due to differences in housing conditions; however, information is limited regarding the association between seasonal BP variations and housing conditions in the elderly.To investigate this association, we used data from the Minamisanriku study, a prospective observational study of outpatients of the Minamisanriku hospital who experienced changes in their housing status, to test our hypothesis that seasonal BP variations would be associated with housing conditions (especially This study investigated the association between winter morning surge in systolic blood pressure (SBP) as measured by ambulatory BP monitoring and the housing conditions of subjects in an area damaged by the Great East Japan Earthquake. In 2013, 2 years after disaster, hypertensives who lived in homes that they had purchased before the disaster (n = 299, 74.6 ± 8.1 years) showed significant winter morning surge in SBP (+5.0 ± 20.8 mmHg, P < 0.001), while those who lived in temporary housing (n = 113, 76.2 ± 7.6 years) did not. When we divided the winter morning surge in SBP into quintiles, the factors of age ≥75 years and occupant-owned housing were significant determinants for the highest quintile (≥20 mmHg) after adjustment for covariates. The hypertensives aged ≥75 years who lived in their own homes showed a significant risk for the hi...

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“…Seasonal variation in BP could be minimized to around 120 mm Hg in the summer and 125 mm Hg in the winter via anticipation medicine, with the up‐titration of antihypertensive drugs in the autumn months, before the onset of winter (Figure ) . At the time of the Great East Japan earthquake and tsunami (March 2011), the authors developed a web‐based, ICT‐based BP monitoring system (the Disaster CArdiovascular Prevention [DCAP] Network) and introduced it in an area that was catastrophically damaged (Minamisanriku town), in an effort to help control the survivors' BP.…”

Section: Information and Communication Technology (Ict)–based Home Bpmentioning

confidence: 99%

The influence of the ambient temperature on blood pressure and how it will affect the epidemiology of hypertension in Asia

Park

Kario

Chia

et al. 2019

J of Clinical Hypertension

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Strict Blood Pressure Control Achieved Using an ICT‐Based Home Blood Pressure Monitoring System in a Catastrophically Damaged Area After a Disaster

Cited by 51 publications

References 17 publications

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

Winter morning surge in blood pressure after the Great East Japan Earthquake

The influence of the ambient temperature on blood pressure and how it will affect the epidemiology of hypertension in Asia

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