连续与偶尔血压 (COOL-BP) 在远程高血压管理中
Ozan Unlu1,2,3,4, Christopher P Cannon1,2,4, Simin Lee2,4
1Accelerator for Clinical Transformation, Mass General Brigham, Boston, MA, USA.
American journal of hypertension
|January 9, 2025
概括
无袖式血压 (BP) 监测器显示出远程高血压管理的前景,与传统方法相对相关,并且患者更喜欢方便. 为了广泛的临床使用,需要进一步的研究.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 数字健康数字健康
背景情况:
- 远程高血压管理计划旨在改善血压 (BP) 控制.
- 不良的血压控制仍然是一个重大的公共卫生挑战.
- 无袖式血压监测为远程护理提供了潜在的进步.
研究的目的:
- 在远程高血压 (HTN) 计划中评估无袖手腕血压监测器的可行性和有效性.
- 评估无袖和传统设备之间的血压测量的相关性和一致性.
- 为了衡量患者对无袖血压监测技术的满意度.
主要方法:
- 在一个更大的远程HTN计划中进行前性单臂研究 (COOL-BP).
- 患有不受控制的HTN的参与者使用基于智能手机的无袖手腕BP监测器与传统的家庭BP监测 (HBPM) 一起使用.
- 主要终点:血压测量的相关性;次要终点:药物后定位和患者满意度的一致性.
主要成果:
- 在无袖和HBPM白天心缩 (r=0.57) 和心缩 (r=0.64) 血压之间发现了适度的相关性.
- 在药物定位后检测缩血压变化时,一致性高 (87.5%).
- 超过91%的患者更喜欢无袖设备,因为它易于使用和方便.
结论:
- 无袖高血压装置显示出改善患者的血压控制能力和高血压管理的有效性.
- 这些设备为血压监测提供了一种更为患者友好的方法.
- 进一步的研究是有必要的,以确定在更大的人群中无袖BP设备的实用性.
相关概念视频
01:25Errors occurring during blood pressure monitoring
591
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...
Several factors...
591
01:18Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
01:28Special considerations while measuring blood pressure
703
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.
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.
703
01:30Blood Pressure
986
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
986
01:30Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
520
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...
520