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Related Concept Videos

Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

574
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
574
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

517
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
517
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

693
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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.
693
Equipments Used To Measure Blood Pressure01:30

Equipments Used To Measure Blood Pressure

769
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
769
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

712
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
712
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

633
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
633

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Related Experiment Video

Updated: May 17, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Prerequisites for Cost-Effective Home Blood Pressure Telemonitoring: Early Health Economic Analysis.

Job van Steenkiste1,2,3, Pim van Dorst4,5, Daan Dohmen3

  • 1Department of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.

JMIR Cardio
|May 9, 2025
PubMed
Summary

Home blood pressure telemonitoring (HBPT) can be cost-effective for hypertension management with minor reductions in in-person visits. Optimizing HBPT implementation through fewer consultations or targeted patient groups enhances its economic viability.

Keywords:
cardiovascular diseaseadherenceblood pressureclinical trialscostcost-effectivecost-effectivenesseconomic evaluationhealth economicshypertensioninterventionlifestylemanagementmonitoringtelemonitoring

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Area of Science:

  • Health Economics
  • Cardiovascular Disease Management
  • Digital Health

Background:

  • Home blood pressure telemonitoring (HBPT) offers potential for improved adherence and healthcare delivery in hypertension management.
  • Prerequisites for the cost-effective implementation of HBPT remain unclear.

Purpose of the Study:

  • To quantify the potential cost-effectiveness of HBPT compared to standard hypertension management.
  • To identify key factors for cost-effective HBPT implementation from a societal perspective.

Main Methods:

  • A decision-analytic Markov model with a 30-year horizon and a willingness-to-pay threshold of €20,000 per QALY was developed.
  • The model simulated 1000 patients across 12 health states, comparing HBPT to standard of care (SOC) with differing outpatient department (OPD) consultation frequencies.
  • Extensive sensitivity and scenario analyses were conducted to identify critical variables for cost-effectiveness.

Main Results:

  • In the base-case analysis, HBPT was not cost-effective (ICER €20,386/QALY).
  • Sensitivity analyses showed HBPT becomes cost-effective with reductions in in-person OPD consultations to 1.48/year and cost-saving at 1.18/year.
  • Extended clinical effect duration and targeting younger patients (≤64 years) significantly improved HBPT's ICER.

Conclusions:

  • HBPT can achieve cost-effective or cost-saving outcomes with modest decreases in in-person OPD consultations.
  • These findings suggest HBPT can optimize hypertension care through efficient remote patient monitoring, transforming traditional management approaches.