Blood pressure and self-monitoring: Is it necessary?

1

Over the counter medicine, publicly available diagnostic kits, readily available (mis)information on the internet about every sort of medical ailment and how to "cure it"; never has it been so easy for the lay person to try to take control of their own health. Whether this helps or hinders the trained physician is not always clear, however, one readily available health device that could make a difference is the home monitor for blood pressure.

Hypertension (high blood pressure) is the most important risk factor for cardiovascular disease, and lowering blood pressure has beenistockphotoshown to reduce this risk. Doctors use blood pressure measurements to help inform management of hypertension, and the methods used to measure blood pressure have changed very little in the last 100 years. InBMC Medicinethis month, Paul Padfield discusses "The case for home monitoring in hypertension". As well as outlining some of the history surrounding blood pressure measurements, he describes the merits of the readily available self-monitoring devices, although he clearly cautions that they are not necessarily appropriate for use in all patients. In addition, there are currently few quality control measures in place to ensure that commercial products actually function at an acceptable level. However, taking into account these caveats, Padfield calls for doctors to become more familiar with this common technology and suggests how it can improve the management of this serious condition.

Visit theBMC Medicinewebsite and check out the full commentary to read the insights Padfield has to offer with regard to this topic.

View the latest posts on the On Medicine homepage

OneComment

wesley t. frazier md

我是使用家用NIBP显示器(OMRON)的退休医师(麻醉剂)。我还对测量BP的各种方法进行了一些临床研究(各种类型的超声,在各个部位的直接压力,包括主动脉,径向动脉,臂动脉等)。一致使用家用设备可能比大多数M.D.办公室中使用的许多过程都更好,并且会揭示有多少可变性,具体取决于一天中的时间,重复的数量等。现在可以自动使用三个设备连续的NIBP读数并给出平均值。一名骚扰护士的一个办公室测量(通常是通过衣服)
(with questionable hearing) may be a poor baseline for hypertension treatment. Also, few office BP devices are themselves calibrated and subject to quality control checks. More education and quality control are needed. Properly used home devices
(excluding finger devices) can play an important role is better hypertension management.

Comments are closed.