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Published on: April 19, 2019
Self-Measured Blood Pressure Telemonitoring Programs: A Pragmatic How-to Guide
Debra McGrath1, Margaret Meador2, Hilary K Wall3
1The Health Federation of Philadelphia, Philadelphia, Pennsylvania, USA.
Self-measured blood pressure (SMBP) telemonitoring improves hypertension management by enabling secure data transmission to healthcare teams. This guide offers resources for practical implementation, overcoming barriers to adoption for better patient outcomes.
Area of Science:
- Cardiology
- Health Informatics
- Telemedicine
Background:
- Hypertension control strategies benefit from robust blood pressure monitoring.
- Self-measured blood pressure (SMBP) telemonitoring enhances data accessibility for clinical teams.
Purpose of the Study:
- To provide a practical guide for implementing SMBP telemonitoring in clinical settings.
- To offer resources for healthcare professionals to facilitate SMBP program adoption.
- To address challenges and anticipate future growth of SMBP telemonitoring.
Main Methods:
- Defining program goals, scope, and target populations.
- Selecting validated blood pressure devices and telemonitoring platforms.
- Establishing protocols for patient enrollment, training, and data review.
Main Results:
- SMBP telemonitoring requires attention to data security, privacy, and clinical actionability.
- Team-based care and accurate BP averaging are crucial for effective hypertension management.
- Barriers to adoption include cost, reimbursement, technology, interoperability, and workload.
Conclusions:
- SMBP telemonitoring is a key component of hypertension control, with growing potential.
- Overcoming implementation challenges will drive wider adoption and innovation.
- Increased clinician familiarity and platform improvements are expected to propel its use globally.
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Pre-Procedural Guidelines for Assessing Blood Pressure
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Measurement of Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.

