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Related Concept Videos

Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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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...
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Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
343
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
443
Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

1.9K
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

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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.
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Implementing Equitable Hypertension Care Using a Remote Patient Monitoring Program: A Mixed Methods Study.

Amber E Johnson1, Kevin Pearlman2, Ria Sood3

  • 1The University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA; Section of Cardiology, Department of Medicine, Biological Sciences Division, University of Chicago, Chicago, Illinois, USA.

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|December 5, 2025
PubMed
Summary
This summary is machine-generated.

Remote patient monitoring (RPM) improved hypertension care, particularly for highly engaged patients. This highlights opportunities for achieving equitable blood pressure outcomes through effective RPM implementation strategies.

Keywords:
blood pressuredigital equityhealth disparitiesmixed methods researchtechnology use

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Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Digital Health

Background:

  • Remote patient monitoring (RPM) offers a patient-centered approach to hypertension management.
  • Successful RPM implementation requires understanding social and institutional factors.
  • Equitable hypertension outcomes can be advanced through systems-level strategies.

Purpose of the Study:

  • To determine social and institutional factors influencing RPM utilization.
  • To assess the relationship between RPM engagement and hypertension control.
  • To identify barriers and facilitators for RPM program implementation.

Main Methods:

  • Mixed methods design combining quantitative and qualitative data.
  • Retrospective analysis of sociodemographic variables and RPM engagement using logistic and Cox regression.
  • Qualitative interviews with RPM staff to explore implementation themes using a validated framework.

Main Results:

  • 1744 participants analyzed (mean age 63.1, 64.7% female, 82.6% Black).
  • Higher RPM engagement associated with older age and greater representation of Black patients.
  • High engagement significantly increased likelihood of normotension (OR: 2.06) and shortened time to normotension (HR: 2.52).

Conclusions:

  • RPM program effectively improved blood pressure control, especially in highly engaged patients.
  • Findings underscore the potential of RPM to enhance hypertension care equity.
  • Identified implementation factors can guide future RPM program development.