George Jacob, MacDonald Thomas
Senior Clinical Lecturer, Honorary Consultant Physician, Clinical Pharmacology/Acute Medicine, University of Dundee Medical School/NHS Tayside, Dundee, Scotland.
Professor of Clinical Pharmacology, Medicines Monitoring Unit and Hypertension Research Centre, Division of Medical Sciences, University of Dundee, Ninewells Hospital & Medical School, Dundee, Scotland.
Eur Cardiol. 2015 Dec;10(2):95-101. doi: 10.15420/ecr.2015.10.2.95.
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.
高血压是心血管疾病最常见的可预防病因。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中,并且被主要指南所推荐。越来越多的证据支持患者进行家庭血压监测相较于诊室血压监测的益处:这些益处包括更好地控制血压、诊断白大衣高血压以及预测心血管风险。此外,家庭血压监测比24小时动态血压监测(ABPM)更便宜且更容易操作。然而,所有家庭血压监测设备都需要进行验证,因为已发现很大比例的监测仪存在读数不准确的情况。新技术的特点是袖带内有更长的可充气区域,该区域可环绕手臂一圈,增加了放置的“可接受范围”,从而减少袖带放置对读数准确性的影响,进而克服了现有设备的局限性。