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G U I D E L I N E S

HOME BP MONITORING. JNC 7 2003. ESH 2003. CHEP 2004. HSSH 2005. G U I D E L I N E S. JSH 2004. BHS 2004. Home BP Monitoring Clinical Benefits. Diagnosis (hypertension, white coat hypertension, masked hypertension) Prognosis (Ohasama, Pamela, Sheaf, Didima) Long-term follow-up

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G U I D E L I N E S

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  1. HOME BP MONITORING JNC 7 2003 ESH 2003 CHEP 2004 HSSH 2005 GUIDELINES JSH 2004 BHS 2004

  2. Home BP Monitoring Clinical Benefits • Diagnosis(hypertension, white coat hypertension, masked hypertension) • Prognosis(Ohasama, Pamela, Sheaf, Didima) • Long-term follow-up • Improvement of patients’ compliance • Improvement of hypertension control

  3. Home BP Monitoring Current Problems • Device accuracy • Observer bias • Observer misreporting • Variable monitoring schedule • Data summarizing 1. 2. 3. 4. 5.

  4. Journal of Hypertension2003;21:821-848 Journal of Hypertension2005;23:697-701

  5. European Society of Hypertension Recommendations Journal of Hypertension 2003;21:821-848 • Oscillometric arm measuring devices. • Independently validated using established protocols. • Correct cuffs for individual arms. • Storage, transmission or printing capacity.

  6. European Society of Hypertension Recommendations Journal of Hypertension 2003;21:821-848 • 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. Treatment Phase • As in diagnostic phase (trough measurements). Long-Term Observation • 1 week SBPM every 3 months (discard 1st day).

  7. European Society of Hypertension Recommendations Home Blood Pressure Monitoring Validated electronic devices (arm) 7days 2 morning (6-9 am)and 2 evening(6-9 pm) Average blood pressure (exclude 1st day) Storage, transmission or printing capacity.

  8. European Society of Hypertension Recommendations Home Blood Pressure Monitoring Validated electronic devices (arm) 7days 2 morning (6-9 am)and 2 evening(6-9 pm) Average blood pressure (exclude 1st day) Storage, transmission or printing capacity.

  9. Microlife WatchBP Home Monitor

  10. Microlife WatchBP Home A home BP monitor designed according to European Society of Hypertension Working Group on BP Monitoring recommendations

  11. Microlife WatchBP 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

  12. Stergiou G, Giovas P, Gkinos C, Patouras J. Hypertension Center, 3rd University Department of Medicine Sotiria Hospital, Athens, Greece Blood Pressure Monitoring 2006, in press Validation of the Microlife WatchBP Home device for self-home BP measurement according to the International Protocol

  13. Microlife WatchBP Home Design Automated oscillometric BP monitor for self-home measurement / arm • Dual-function (USUAL / DIAG). • Embedded ESH home BP monitoring schedule. • Memory - PC link capacity.

  14. Microlife WatchBP Home

  15. Microlife WatchBP Home Design USUAL mode Casual home BP measurements Home BP monitoring schedule strictly according to European Society of Hypertension (duplicate morning and evening measurements for 7 days) DIAG mode Average home BP is displayed, as well as the individual readings

  16. Microlife WatchBP Home

  17. Microlife WatchBP Home

  18. Microlife WatchBP Home

  19. USB Microlife WatchBP Home

  20. Microlife WatchBP Home

  21. Microlife WatchBP Home

  22. Stergiou, George Microlife WatchBP Home

  23. Microlife WatchBP Home Monitor Unique Solution Unique Design Unique Function

  24. Microlife WatchBP Home Pilot Study Users’ Acceptance - Performance • 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.

  25. Tuesday 17 Oct. 2006 Abstract 10573 Blood Pressure Monitoring (in press) Microlife Watch BP Monitor A tool for reliable home BP monitoring designed according to the European Society of Hypertensionrecommendations

  26. Microlife WatchBP Home 95% Effectively used the DIAG mode (19/20). Used the USUAL mode (4 used only the DIAG mode - 1 did not use the device). 70% “Easy” or “very easy” to understand the dual function and to use the device. 90% 90% Dual mode “useful” or “very useful”. Pilot Study Users’ Acceptance - Performance

  27. Microlife WatchBP Home Monitor • Accurate BP measurement • Reliable assessment (no observer bias, no reporting bias) • Strictly adhering to European Society of Hypertension recommendations (measurement schedule - BP summary) • Convenient for patient - physician • Reasonable cost

  28. Microlife WatchBP Home Monitor A unique tool for optimal application of self-home BP monitoring in clinical practice strictly adhering to the European Society of Hypertensionrecommendations

  29. Microlife WatchBP Home Monitor In press, Blood Pressure Monitoring

  30. Watch BP Pro for the doctor’s office • doctor initiates Watch BP concept byWatch BPPro measurement in his office • Watch BPPro supplies the office readings next to the home readings obtained by Watch BPHome • 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

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