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Related Concept Videos

Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

573
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...
573
Assessment of blood pressure in brachial artery(one-step method)01:15

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

549
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
549
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

515
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...
515
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

691
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.
691
Assessment of blood pressure in brachial artery(two-step method)01:23

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

629
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...
629
Assessing Blood pressure in the Leg01:11

Assessing Blood pressure in the Leg

1.7K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
1.7K

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Cost-effectiveness of implementing a home blood pressure telemonitoring program.

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Association Between Postprandial Hypotension Determined by Ambulatory Blood Pressure Monitoring and Falls Among Older Adults With Hypertension Who Are Taking Antihypertensive Medication: Results From the AMBROSIA Study.

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Blood Pressure Outcomes Following a Home Blood Pressure Monitoring Program in a Large Integrated US Health System.

Teresa N Harrison1, Rachelle A Juan1, Jaejin An1,2

  • 1Kaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, CA, USA.

American Journal of Hypertension
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PubMed
Summary

Home blood pressure telemonitoring (HBPT) helps patients manage hypertension. A study found that 75% of patients sustained blood pressure control for 12 months after completing the HBPT program.

Keywords:
blood pressurecardiovascular diseasehypertensiontelemonitoring

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Area of Science:

  • Cardiovascular Medicine
  • Health Informatics
  • Digital Health

Background:

  • Home blood pressure telemonitoring (HBPT) empowers patients in self-care and can reduce in-office blood pressure (BP) measurements.
  • Limited evidence exists on the long-term sustainability of BP control achieved through HBPT programs.
  • This study investigated the sustained impact of an HBPT program on patient BP outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of a home blood pressure telemonitoring program in achieving and sustaining blood pressure control.
  • To identify factors associated with sustained blood pressure control after program completion.

Main Methods:

  • Patients with uncontrolled hypertension were enrolled in an HBPT program utilizing a BP device and mobile application.
  • Clinic BP was assessed before and after HBPT enrollment.
  • Sustained clinic BP control was defined as <140/90 mmHg within 12 months post-program graduation (home BP <135/85 mmHg).
  • Multivariable robust Poisson regression analyzed factors linked to sustained BP control.

Main Results:

  • Out of 3574 enrolled patients, 59% consented. Of those who graduated (met home BP control), 75% (396/527) sustained clinic BP control for 12 months.
  • Mean clinic systolic BP and diastolic BP decreased significantly by 16.3 mmHg and 10.0 mmHg, respectively (p<.0001).
  • The program demonstrated potential, though enrollment and scaling require further strategies.

Conclusions:

  • The HBPT program showed promise in improving and sustaining blood pressure control.
  • Effective strategies are needed to enhance patient enrollment, consent, and program scalability.
  • Sustained BP control was achieved by a significant majority of patients who completed the program.