Telemonitoring of blood pressure self measurement in the OLMETEL study

Mengden, Thomas; Ewald, S.; Kaufmann, Stefanie; Esche, Johannes vor dem; Uen, Sakir; Vetter, Hans

doi:10.1097/00126097-200412000-00010

Cited by 35 publications

(21 citation statements)

References 16 publications

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“…162 Several studies have demonstrated that effective control of hypertension can be achieved when patients using HBPM can communicate with their providers (either trained nurse clinicians or physicians) to adjust medication as needed to achieve goals for treatment. 125,[163][164][165] The significance of apparent control of hypertension with the use of HBPM with regard to prevention of cardiovascular morbidity and mortality is not established. In the aforementioned study, which compared HBPM with office management for hypertension and used the same BP goal for both office and home assessment, 113 the cost of treatment (medication) was slightly lower for the HBPM group because less medication was required for control, but the target level of BP (a diastolic pressure of 80 to 89 mm Hg) was higher than generally recommended.…”

Section: Costs and Savings Related To Implementation And Use Of Hbpmmentioning

confidence: 99%

Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring

Pickering¹,

Miller

Ogedegbe³

et al. 2008

Hypertension

487

235

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Abstract-Home blood pressure monitoring (HBPM) overcomes many of the limitations of traditional office blood pressure (BP) measurement and is both cheaper and easier to perform than ambulatory BP monitoring. Monitors that use the oscillometric method are currently available that are accurate, reliable, easy to use, and relatively inexpensive. An increasing number of patients are using them regularly to check their BP at home, but although this has been endorsed by national and international guidelines, detailed recommendations for their use have been lacking. There is a rapidly growing literature showing that measurements taken by patients at home are often lower than readings taken in the office and closer to the average BP recorded by 24-hour ambulatory monitors, which is the BP that best predicts cardiovascular risk. Because of the larger numbers of readings that can be taken by HBPM than in the office and the elimination of the white-coat effect (the increase of BP during an office visit), home readings are more reproducible than office readings and show better correlations with measures of target organ damage. In addition, prospective studies that have used multiple home readings to express the true BP have found that home BP predicts risk better than office BP (Class IIa; Level of Evidence A). This call-to-action article makes the following recommendations: (1) It is recommended that HBPM should become a routine component of BP measurement in the majority of patients with known or suspected hypertension; (2) Patients should be advised to purchase oscillometric monitors that measure BP on the upper arm with an appropriate cuff size and that have been shown to be accurate according to standard international protocols. They should be shown how to use them by their healthcare providers; (3) Two to 3 readings should be taken while the subject is resting in the seated position, both in the morning and at night, over a period of 1 week. A total of Ն12 readings are recommended for making clinical decisions; (4) HBPM is indicated in patients with newly diagnosed or suspected hypertension, in whom it may distinguish between white-coat and sustained hypertension. If the results are equivocal, ambulatory BP monitoring may help to establish the diagnosis; (5) In patients with prehypertension, HBPM may be useful for detecting masked hypertension; (6) HBPM is recommended for evaluating the response to any type of antihypertensive treatment and may improve adherence; (7) The target HBPM goal for treatment is Ͻ135/85 mm Hg or Ͻ130/80 mm Hg in high-risk patients; (8) HBPM is useful in the elderly, in whom both BP variability and the white-coat effect are increased; (9) HBPM is of value in patients with diabetes, in whom tight BP control is of paramount importance; (10) Other populations in whom HBPM may be beneficial include pregnant women, children, and patients with kidney disease; and (11) HBPM has the potential to improve the quality of care while reducing costs and should be reimbursed. (Hypertension. 2008;52:10-29.)

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Section: Costs and Savings Related To Implementation And Use Of Hbpmmentioning

confidence: 99%

Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring

Pickering¹,

Miller

Ogedegbe³

et al. 2008

Hypertension

487

235

View full text Add to dashboard Cite

show abstract

“…Además, varios estudios en pacientes hipertensos y cardiópatas han demostrado un alto nivel de cumplimiento de los programas de telemonitorización con una reducción de las cifras de presión arterial sistólica y diastólica (150)(151)(152)(153) .…”

Section: Resultados De Las Redes Inalámbricas Aplicadas a La Medicinaunclassified

Desarrollo de un sistema de telemetría para el seguimiento postoperatorio de procedimientos en cirugía vascular: modelo in vitro

et al. 2017

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A Kattalin, por tu apoyo incondicional y por la ilusión que me das día a día. Contigo todo es más fácil.A mi familia, gracias por darme todo. A quienes me han enseñado.A quienes me apoyan.Y a quienes disfrutan conmigo.-Y de todo esto, ¿qué sacamos en limpio? -me preguntó en seguida.-¡Bah! -le contesté-, la cosa es matar el tiempo y excitar la imaginación.-¿Para qué?-Para darle carrera y que corra.-¿No será mejor aquietarla y darle reposo? -¡Ay amigo! He aquí mis dos grandes anhelos; el anhelo de acción y el anhelo de reposo. Llevo dentro de mí, y supongo que a usted le ocurrirá lo mismo, dos hombres, uno activo y otro contemplativo, uno guerrero y otro pacífico, uno enamorado de la agitación y otro del sosiego.El uno no tiene deseo ni satisfacción y el otro no tiene miedo ni final. Soliloquios y conversaciones Miguel de UnamunoJulio 1942. AGRADECIMIENTOSCuando todo esto empezó en el mes de Noviembre de 2012, nunca hubiera imaginado todo lo que estos años de esfuerzo, trabajo e ilusión iban a significar para mí. Ahora, cuando acabamos de dar el primer paso en un campo de la ciencia tan novedoso, me siento tremendamente agradecido a todos los que me han enseñado y ayudado en estos años y muy orgulloso de formar parte de un grupo de trabajo como éste. Quiero destacar que no hubiéramos llegado hasta aquí sin el apoyo, conocimiento, ilusión y perseverancia de cada una de las personas que, de una forma u otra, han colaborado en este proyecto.Espero que esto sea sólo el principio de algo más y que todo lo que hemos conseguido no se detenga aquí, sino que sigamos avanzando y descubriendo más cosas acerca de los sensores y de sus aplicaciones en cirugía vascular.En primer lugar, gracias de corazón a Pilar Marín. No tengo palabras para agradecer todo tu esfuerzo, dedicación, paciencia e ilusión en este trabajo.Gracias a Ana Aragón. ¿Recuerdas todas esas horas de laboratorio? Parte de esta tesis es tuya también.Al Dr. Serrano Hernando, por ser un referente profesional y también personal. Por inculcarnos una forma única de ver nuestra profesión. Gracias por el apoyo y las enseñanzas en estos años.Al Profesor Antonio Hernando Grande, por descubrirme el mundo del magnetismo y ayudarme desde el primer día. La ilusión que transmites es una de las piezas clave en todo esto.Gracias a Víctor López por hacer todo un poco más fácil. Tu ayuda, aunque insistas en negarlo, fue fundamental.Al Dr. Moñux, por tu ayuda desinteresada y motivación. Sin palabras, amigo.Al Servicio de Cirugía Vascular del Hospital Clínico San Carlos y, en especial, al Dr.Martínez López. Gracias por enseñarme tanto y dedicarme todo tu tiempo y esfuerzo. Tu labor es simplemente admirable. Gracias al Dr. Muela, por su paciencia y por guiarme muchas veces. Gracias a todos y cada uno de vosotros, los años ahí son inolvidables.A la Dra. Vega y al equipo de Cirugía Vascular del Hospital de Basurto, por acogerme con los brazos abiertos. Gracias por el apoyo y el esfuerzo que ha supuesto para vosotros mi tesis. Hasta dónde llegue este proyecto también depende de vosotr...

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“…A small amount of technical solutions have been tested in a number of application studies ). The virtually Clinic of Hypertension was tested successfully in several pharmacological studies (Ewald S et al, 2006;Mengden T et al, 2004;Möckel V et al, 2009). In all these studies telemetric blood pressure measurement was proved as practicable and was well accepted by the majority of the treated patients.…”

Section: Application Of Telemetric Blood Pressure Measurement In the mentioning

confidence: 99%

Practical Operation of Telemedicine for Diagnostic, Therapy and Long Term Observation of Arterial Hypertension

Sehnert¹

2011

Advances in Telemedicine: Applications in Various Medical Disciplines and Geographical Regions

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Telemonitoring of blood pressure self measurement in the OLMETEL study

Abstract: In a 'real-life' clinical practice setting, telemonitoring of BPSM was an effective technique that was partially affected by patient non-compliance. Olmesartan medoxomil provided effective and reliable BP-lowering, which was maintained throughout the 24-hour period.

Cited by 35 publications

References 16 publications

Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring

Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring

Desarrollo de un sistema de telemetría para el seguimiento postoperatorio de procedimientos en cirugía vascular: modelo in vitro

Practical Operation of Telemedicine for Diagnostic, Therapy and Long Term Observation of Arterial Hypertension

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