Folie 1

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HOME BP MONITORING
JNC 7 2003
ESH 2003
CHEP 2004
HSSH 2005
G U I D E L I N E S
JSH 2004
BHS 2004
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Home BP Monitoring Clinical Benefits

1. Diagnosis (hypertension, white coat hypertension,
   masked hypertension)
2. Prognosis (Ohasama, Pamela, Sheaf, Didima)
3. Long-term follow-up
4. Improvement of patients compliance
5. Improvement of hypertension control

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Home BP Monitoring Current Problems

1. Device accuracy
2. Observer bias
3. Observer misreporting
4. Variable monitoring schedule
5. Data summarizing

1. 2. 3. 4. 5.
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Journal of Hypertension 200321821-848
Journal of Hypertension 200523697-701
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European Society of Hypertension Recommendations
Journal of Hypertension 200321821-848

1. Oscillometric arm measuring devices.
2. Independently validated using established
   protocols.
3. Correct cuffs for individual arms.
4. Storage, transmission or printing capacity.

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European Society of Hypertension Recommendations
Journal of Hypertension 200321821-848

• Diagnosis - Treatment Initiation
• Duplicate morning (6-9 am) and evening (6-9 pm)
  measurements for 7 working days.
• Exclude 1st day measurements.
• Minimum of 12 readings in 7 days.
• Average blood pressure taken as reference.

• Treatment Phase
• As in diagnostic phase (trough measurements).

• Long-Term Observation
• 1 week SBPM every 3 months (discard 1st day).

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European Society of Hypertension Recommendations
Home Blood Pressure Monitoring
Validated electronic devices (arm) 7 days 2
morning (6-9 am) and 2 evening (6-9 pm) Average
blood pressure
(exclude 1st day) Storage, transmission or
printing capacity.
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European Society of Hypertension Recommendations
Home Blood Pressure Monitoring
Validated electronic devices (arm) 7 days 2
morning (6-9 am) and 2 evening (6-9 pm) Average
blood pressure
(exclude 1st day) Storage, transmission or
printing capacity.
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Microlife WatchBP Home Monitor
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Microlife WatchBP Home
A home BP monitor designed
according to European Society of
Hypertension Working Group on BP Monitoring
recommendations
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Microlife WatchBP Home
Stergiou GS, Giovas P. Hypertension Center, 3rd
University Dept. of Medicine,
Sotiria Hospital, Athens, Greece Jaenecke B, Tan
T. Microlife AG, Heerbrugg, Switzerland Chang A,
Yen C. Microlife Corporation, Taipei, Taiwan
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Validation of the Microlife WatchBP Home device
for self-home BP measurement according
to the International Protocol
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Design
Microlife WatchBP Home
Automated oscillometric BP monitor for self-home
measurement / arm

1. Dual-function (USUAL / DIAG).
2. Embedded ESH home BP monitoring schedule.
3. Memory - PC link capacity.

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Microlife WatchBP Home
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Microlife WatchBP Home
Design
USUAL mode
Casual home BP measurements
Home BP monitoring schedule strictly according to
European Society of Hypertension (duplicate
morning and evening measurements for 7 days)
DIAG mode
Average home BP is displayed,
as well as the individual readings
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Microlife WatchBP Home
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Microlife WatchBP Home
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Microlife WatchBP Home
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USB
Microlife WatchBP Home
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Microlife WatchBP Home
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Microlife WatchBP Home
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Stergiou, George
Microlife WatchBP Home
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Microlife WatchBP Home Monitor
Unique Design
Unique Function
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Microlife WatchBP Home
Pilot Study
Users Acceptance - Performance

• 20 consecutive hypertensives.
• Age 34-78 years, 13/7 men/women, low-high level
  of education.
• 7 days self-home Watch-BP use.
• Brief instructions (5 min) -
  single-page handout.

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Blood Pressure Monitoring
(in press)
Microlife Watch BP Monitor A tool for reliable
home BP monitoring
designed according to the
European Society of
Hypertension recommendations
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Microlife WatchBP Home
Pilot Study
Users Acceptance - Performance

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Microlife WatchBP Home Monitor

1. Accurate BP measurement
2. Reliable assessment
   (no observer bias, no reporting bias)
3. Strictly adhering to European Society of
   Hypertension recommendations (measurement
   schedule - BP summary)
4. Convenient for patient - physician
5. Reasonable cost

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Microlife WatchBP Home Monitor
A unique tool
for optimal application of self-home BP
monitoring in clinical practice strictly adhering
to the European Society of
Hypertension recommendations
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Microlife WatchBP Home Monitor
In press, Blood Pressure Monitoring
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Watch BP Pro for the doctors office

• doctor initiates Watch BP concept byWatch BP Pro
  measurement in his office
• Watch BP Pro supplies the office readings next to
  the home readings obtained by Watch BP Home
• can do simultaneous left right arm measurements
  to find out which arm shows higher readings
• can transfer data to Watch BP.net software via
  bluetooth
• 3 modes 1st visit mode, further visit mode and
  also an auscultation mode
• LCD backlight
• Fully automatic measurement procedure
• Oscillometric method
• equipped with S, M and L cuffs (2 each)
• last reading memory, only