Home Blood Pressure Monitoring
Home Blood Pressure Monitoring
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DOI：
10.15420/ecr.2015.10.2.95
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发表时间：
2015-12-01
影响因子：
3
通讯作者：
MacDonald, Thomas
中科院分区：
文献类型：
--
作者：
George, Jacob;MacDonald, Thomas
高血压是最常见的可预防的心血管疾病。家庭血压监测（HBPM）是一种自我监测工具，可纳入高血压患者的护理，并被主要指南推荐。越来越多的证据支持与基于办公室的监测相比，患者HBPM的益处：包括改善血压控制、诊断白大褂高血压和预测心血管风险。此外，HBPM比24小时动态血压监测（ABPM）更便宜，更容易执行。然而，所有HBPM设备都需要验证，因为在很大比例的监视器中发现了不准确的读数。新技术的特点是在袖带内有一个更长的充气区域，一直包裹在手臂上，增加了放置的“可接受范围”，从而减少了袖带放置对读取精度的影响，从而克服了当前设备的局限性。
Hypertension is the most common preventable cause of cardiovascular disease. Home blood pressure monitoring (HBPM) is a self-monitoring tool that can be incorporated into the care for patients with hypertension and is recommended by major guidelines. A growing body of evidence supports the benefits of patient HBPM compared with office-based monitoring: these include improved control of BP, diagnosis of white-coat hypertension and prediction of cardiovascular risk. Furthermore, HBPM is cheaper and easier to perform than 24-hour ambulatory BP monitoring (ABPM). All HBPM devices require validation, however, as inaccurate readings have been found in a high proportion of monitors. New technology features a longer inflatable area within the cuff that wraps all the way round the arm, increasing the 'acceptable range' of placement and thus reducing the impact of cuff placement on reading accuracy, thereby overcoming the limitations of current devices.