Techniques for Self‐Measurement of Blood Pressure: Limitations and Needs for Future Research

Palatini, Paolo; Frick, G

doi:10.1111/j.1751-7176.2011.00586.x

Cited by 23 publications

(16 citation statements)

References 25 publications

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“…The difference of blood pressure levels in the same subject measured by different medical staffs sometimes reaches as high as 17mmHg in our study. As for self-measurement of blood pressure by oscillometric devices, improper sitting position with arm postures and miscuffing are also frequent source of measurement error [10,11]. However, with China as an example, only -5mmHg error for diastolic pressure in the 90-95mmHg range would miss tens of millions of hypertension patients, while erroneous 5mmHg in the range of 85-90mmHg would cause tens of millions of normal people to be misdiagnosed hypertensive.…”

Section: Blood Pressure Measurement In Big Data Researchmentioning

confidence: 99%

MOOC for Medical Big Data Research: An Important Role in Hypertension Big Data Research

Wang¹,

Liu²,

Xu³

et al. 2015

2015 IEEE First International Conference on Big Data Computing Service and Applications

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Due to limited technical and social resources, many physician practices fall short on accurate blood pressure measurement to carry out large-scale hypertension research projects. The accuracy and standard of data acquisition are very important when data sources are diverse in medical big data research. This paper proposes Massive Online Open Course (MOOC) is appropriate approach to teach volunteers necessary knowledge and skills of blood pressure measurement for hypertension research. It introduces a new citizen science "paradigm" to support big data research such as hypertension. MOOC is a new type online course that provides a combination of short video lectures, frequent comprehension quizzes and active participation in discussion forum. The well-trained data collectors by MOOC will be granted to collect and publish data of hypertension research. The process of medical big data research based on MOOC was introduced.

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Section: Blood Pressure Measurement In Big Data Researchmentioning

confidence: 99%

MOOC for Medical Big Data Research: An Important Role in Hypertension Big Data Research

Wang¹,

Liu²,

Xu³

et al. 2015

2015 IEEE First International Conference on Big Data Computing Service and Applications

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“…Self-BP monitoring presents many advantages compared with office BP measurement as it provides multiple readings in standardized conditions and avoids the whitecoat effect [1,2]. The accuracy of a BP-measuring device is of prime importance and all of them should be validated according to agreed criteria [2,3]. To provide accurate BP measurements, cuffs of appropriate size should be used, but this requirement is often disregarded by patients and doctors.…”

Section: Introductionmentioning

confidence: 99%

Validation of the A&D BP UA-651 device with a wide-range cuff for home blood pressure measurement according to the European Society of Hypertension International Protocol revision 2010

Benetti

Fania

Palatini

2015

Blood Pressure Monitoring

Self Cite

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The aim of this study was to determine the accuracy of the A&D BP UA-651 device coupled to a wide-range cuff for home blood pressure (BP) measurement according to the International Protocol of the European Society of Hypertension. The device was evaluated in 33 patients. The mean age of the patients was 56.5±15.1 years. The mean systolic BP was 144.3±23.8 mmHg (range 88 : 196), the mean diastolic BP was 87.5±15.8 mmHg (range 38 : 132), and the mean arm circumference was 29.0±3.4 cm (range 22 : 36). The protocol requirements were followed precisely. The device passed all requirements, fulfilling the standards of the protocol. On average, the device overestimated the systolic BP by 0.7±3.4 mmHg and underestimated the diastolic BP by 0.8±3.6 mmHg. The measurement error was unrelated to the patient's arm circumference. These data show that the A&D BP UA-651 device coupled to a wide-range cuff fulfilled the requirements for validation by the International Protocol over a wide range of arm circumferences and can be recommended for clinical use in the adult population.

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“…It is becoming increasingly necessary that scientific societies, standardization bodies, and manufacturers address and work to improve this issue. 24 As this development is taking place, community pharmacists should take into account the use of other types of devices to measure the CPBP (e.g., aneroid sphygmomanometers).…”

Section: Usefulness Of Blood Pressure Measurement By Community Pharmamentioning

confidence: 99%

“…In addition, current medical practice is moving away from using conventional mercury sphygmomanometers, and automated oscillometric devices are becoming very popular and are being used in many medical centers in developed countries, including Spain. 23,24 All pharmacists, physicians, and patients were previously instructed on how to properly perform BP measurements according to international guidelines. 6 ABPM was performed on a working day.…”

Section: Usefulness Of Blood Pressure Measurement By Community Pharmamentioning

confidence: 99%

Usefulness of Blood Pressure Measurement by Community Pharmacists in the Management of Hypertension

Sabater‐Hernández

Sendra-Lillo²,

Faus³

et al. 2012

JMCP

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F or decades, blood pressure (BP) measurement at a physician's office has been considered the cornerstone in the diagnosis and management of hypertension. However, BP measurement by a physician may induce an alerting reaction in the patient, which is manifest by a transient increase in BP, usually called the "white-coat effect" (WCE).1 WCE could possibly impair the appropriateness of clinical evaluations and decision making (e.g., overdiagnosis, underestimate of effectiveness, use of unnecessary medication).It is important to differentiate between the WCE (isolated increase in BP, expressed in millimeters mercury [mm Hg]) and white-coat hypertension (WCH), defined as a condition in which office BP is persistently elevated (equal to or greater than 140/90 mm Hg), while out-of-office BP is within the normal range (less than 135/85 mm Hg). Thus, the WCE and WCH are different entities.The problem of the WCE can be overcome with the use of out-of-office BP measurements, such as either ambulatory BP monitoring (ABPM) or home BP monitoring (HBPM). 2Compared with BP measurement at a physician's office, both ABPM and HBPM provide a greater number of BP readings in more realistic circumstances and may lead to an improved assessment of patients' ''true'' BP levels. Additionally, these approaches show a better correlation with target organ damage (e.g., carotid atherosclerosis) and better predict cardiovascular events, such as nonfatal myocardial infarction, nonfatal stroke, or death.3-5 Moreover, the ABPM register provides extensive information on several BP parameters, including average BP (daytime, nighttime, 24 hours), BP variability, morning BP surge, or nocturnal fall in BP, among others. For these reasons, ABPM, as the reference, and HBPM, as a complement, are currently considered valuable methods in the diagnosis and management of hypertension. 2,[6][7][8][9] Despite its usefulness, ABPM is not available for the entire hypertensive population. On the other hand, although HBPM is cheaper and more widely available than ABPM, this method may not be recommended in some situations, such as learning disability, risk of anxiety and excessive monitoring, risk of treatment changes without doctor's guidance, or questionable reliability of BP values reported by patients. In these cases, it would be desirable to have an alternative that can provide valuable information for clinical decision making.Theoretically, BP measurement by community pharmacists presents certain key advantages, making it of particular interest. These advantages include (a) the availability of multiple BP readings due to the accessibility of the pharmacy and (b) the presence of a health care professional, who can select appropriate (clinically validated) measurement devices and supervise the measurement conditions. Moreover, patients commonly check BP at community pharmacies, 10 and taking BP measurements in this setting is recommended by some scientific hypertension societies, such as those in Canada (Canadian Hypertension Education Program Implementation...

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Techniques for Self‐Measurement of Blood Pressure: Limitations and Needs for Future Research

Cited by 23 publications

References 25 publications

MOOC for Medical Big Data Research: An Important Role in Hypertension Big Data Research

MOOC for Medical Big Data Research: An Important Role in Hypertension Big Data Research

Validation of the A&D BP UA-651 device with a wide-range cuff for home blood pressure measurement according to the European Society of Hypertension International Protocol revision 2010

Usefulness of Blood Pressure Measurement by Community Pharmacists in the Management of Hypertension

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