The Experts below are selected from a list of 44886 Experts worldwide ranked by ideXlab platform
Joseph A. Potkay - One of the best experts on this subject based on the ideXlab platform.
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Long term, implantable Blood Pressure Monitoring systems
Biomedical Microdevices, 2008Co-Authors: Joseph A. PotkayAbstract:An overview of implantable measurement systems suitable for the long-term, continuous Monitoring of Blood Pressure is presented in this paper. The challenges, design considerations and tradeoffs inherent in these systems are overviewed and implantable sensors from both industrial and research environments are reviewed. The paper is concluded with an outlook of future directions for implantable Blood Pressure Monitoring systems.
Gianfranco Parati - One of the best experts on this subject based on the ideXlab platform.
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Nocturnal Home Blood Pressure Monitoring
Home Blood Pressure Monitoring, 2020Co-Authors: George S. Stergiou, Anastasios Kollias, Gianfranco Parati, Kei Asayama, Takayoshi Ohkubo, Kazuomi Kario, E Andreadis, Michael A Weber, Yutaka ImaiAbstract:Novel devices for self-home Blood Pressure Monitoring allow the evaluation of Blood Pressure during nighttime sleep. Accumulating evidence suggests that nocturnal home Blood Pressure Monitoring provides similar values as nighttime ambulatory Monitoring and with good agreement between the two methods in detecting non-dippers. More importantly, there is evidence that nocturnal home Blood Pressure is closely associated with indices of preclinical target organ damage, with similar correlations as with nocturnal ambulatory Blood Pressure, and predicts the treatment-induced regression in left ventricular hypertrophy as efficiently as ambulatory Blood Pressure. Some studies have shown that nocturnal home Blood Pressure Monitoring is a useful alternative to ambulatory Monitoring in the investigation of patients with sleep apnea. There is evidence that at least six readings obtained in two nights are required for a reliable assessment of nighttime home Blood Pressure, which provide reasonable agreement with nocturnal ambulatory Blood Pressure and association with indices of preclinical organ damage. These preliminary data suggest that the evaluation of Blood Pressure during nighttime sleep using modern low-cost automated home monitors is feasible and provides information which is clinically relevant and similar to that provided by nighttime ambulatory Monitoring.
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Guidelines for Home Blood Pressure Monitoring
Updates in Hypertension and Cardiovascular Protection, 2019Co-Authors: George S. Stergiou, Gianfranco Parati, Kazuomi Kario, Yutaka Imai, Richard J Mcmanus, Geoff Albert Head, Paul Muntner, Martin G. Myers, James E. Sharman, Eoin O'brienAbstract:Self-measurement of Blood Pressure at home by patients with hypertension is being widely used for several decades in many countries. Statements and guidelines for using home Blood Pressure Monitoring for hypertension management have been published in the last three decades in the USA, Canada, Europe, Australia, and Japan. Initially there was some caution by several organizations in using home Blood Pressure measurements for decision-making in hypertension. However, in the last two decades the publication of outcome studies showing superiority of home measurements in predicting risk compared to the conventional office measurements has supported a major role for home Blood Pressure Monitoring in decision-making in hypertension. Several organizations recommend ambulatory Blood Pressure Monitoring as the primary method for hypertension diagnosis, with home Monitoring proposed as a useful alterative. However, home Blood Pressure Monitoring is much more widely available than ambulatory Monitoring, it is preferred by most patients, and has been shown to improve patients’ long-term compliance with treatment and thereby hypertension control rates. Thus, home Blood Pressure Monitoring is currently recommended for wide clinical application in subjects with suspected or treated hypertension, as it offers a pragmatic approach for out-of-office Blood Pressure evaluation for clinical practice. Efforts to implement the wide use of home Blood Pressure Monitoring would likely enhance the diagnosis and control of hypertension across communities.
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Home Blood Pressure Monitoring in the 21st century.
Journal of clinical hypertension (Greenwich Conn.), 2018Co-Authors: George S. Stergiou, Anastasios Kollias, Gianfranco Parati, Takayoshi Ohkubo, Kazuomi Kario, Richard J Mcmanus, Yutaka ImaiAbstract:Home Blood Pressure Monitoring provides multiple measurements in the usual environment of each individual, allows the detection of intermediate hypertension phenotypes (white-coat and masked hypertension), and appears to have superior prognostic value compared to the conventional office Blood Pressure measurements. Accumulating evidence suggests that home Blood Pressure Monitoring improves long-term hypertension control rates. Moreover, it is widely available, relatively inexpensive, and well accepted by patients. Thus, current guidelines recommend home Blood Pressure Monitoring as an essential method for the evaluation of almost all untreated and treated patients with suspected or treated hypertension. Validated automated upper-arm cuff devices with automated storage and averaging of readings should be used. The home Blood Pressure Monitoring schedule for 4 to 7 days with exclusion of the first day (12-24 readings) should be averaged to provide values for decision making.
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european society of hypertension practice guidelines for ambulatory Blood Pressure Monitoring
Journal of Hypertension, 2014Co-Authors: Gianfranco Parati, George S. Stergiou, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Alejandro De La Sierra, Eoin Obrien, Lawrence J Beilin, Denis Clement, Eamon DolanAbstract:Given the increasing use of ambulatory Blood Pressure Monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on Blood Pressure Monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physicians. The present article details the requirements and the methodological issues to be addressed for using ABPM in clinical practice, The clinical indications for ABPM suggested by the available studies, among which white-coat phenomena, masked hypertension, and nocturnal hypertension, are outlined in detail, and the place of home measurement of Blood Pressure in relation to ABPM is discussed. The role of ABPM in pharmacological, epidemiological, and clinical research is also briefly mentioned. Finally, the implementation of ABPM in practice is considered in relation to the situation of different countries with regard to the reimbursement and the availability of ABPM in primary care practices, hospital clinics, and pharmacies.
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european society of hypertension practice guidelines for home Blood Pressure Monitoring
Journal of Human Hypertension, 2010Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:Self-Monitoring of Blood Pressure by patients at home (home Blood Pressure Monitoring (HBPM)) is being increasingly used in many countries and is well accepted by hypertensive patients. Current hypertension guidelines have endorsed the use of HBPM in clinical practice as a useful adjunct to conventional office measurements. Recently, a detailed consensus document on HBPM was published by the European Society of Hypertension Working Group on Blood Pressure Monitoring. However, in daily practice, briefer documents summarizing the essential recommendations are needed. It is also accepted that the successful implementation of clinical guidelines in routine patient care is dependent on their acceptance by involvement of practising physicians. The present document, which provides concise and updated guidelines on the use of HBPM for practising physicians, was therefore prepared by including the comments and feedback of general practitioners.
Thomas Mengden - One of the best experts on this subject based on the ideXlab platform.
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european society of hypertension practice guidelines for home Blood Pressure Monitoring
Journal of Human Hypertension, 2010Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:Self-Monitoring of Blood Pressure by patients at home (home Blood Pressure Monitoring (HBPM)) is being increasingly used in many countries and is well accepted by hypertensive patients. Current hypertension guidelines have endorsed the use of HBPM in clinical practice as a useful adjunct to conventional office measurements. Recently, a detailed consensus document on HBPM was published by the European Society of Hypertension Working Group on Blood Pressure Monitoring. However, in daily practice, briefer documents summarizing the essential recommendations are needed. It is also accepted that the successful implementation of clinical guidelines in routine patient care is dependent on their acceptance by involvement of practising physicians. The present document, which provides concise and updated guidelines on the use of HBPM for practising physicians, was therefore prepared by including the comments and feedback of general practitioners.
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european society of hypertension guidelines for Blood Pressure Monitoring at home a summary report of the second international consensus conference on home Blood Pressure Monitoring
Journal of Hypertension, 2008Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:This document summarizes the available evidence and provides recommendations on the use of home Blood Pressure Monitoring in clinical practice and in research. It updates the previous recommendations on the same topic issued in year 2000. The main topics addressed include the methodology of home blo
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European Society of Hypertension guidelines for Blood Pressure Monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring.
Journal of hypertension, 2008Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:This document summarizes the available evidence and provides recommendations on the use of home Blood Pressure Monitoring in clinical practice and in research. It updates the previous recommendations on the same topic issued in year 2000. The main topics addressed include the methodology of home Blood Pressure Monitoring, its diagnostic and therapeutic thresholds, its clinical applications in hypertension, with specific reference to special populations, and its applications in research. The final section deals with the problems related to the implementation of these recommendations in clinical practice.
Empar Lurbe - One of the best experts on this subject based on the ideXlab platform.
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Ambulatory Blood Pressure Monitoring in children and adolescents: coming of age?
Current hypertension reports, 2013Co-Authors: Empar Lurbe, Maria Isabel Torró, Julio ÁlvarezAbstract:Over the last years, ambulatory Blood Pressure Monitoring has been introduced into the pediatric population, contributing to a significant increase in the bulk of knowledge of crucial clinically relevant issues. Guidelines have established the currently known conditions where ambulatory Blood Pressure Monitoring is useful and where it will provide additional information in children and adolescents. How common and important the intra-individual differences are within clinical and ambulatory Blood Pressure is the keystone to the use of ambulatory Blood Pressure Monitoring as a diagnostic tool. By using not only office, but also ambulatory Blood Pressure, four possible situations arise. Two of these have values in agreement for normotension or hypertension. Two have values that are discrepant. The latter two are known as white coat and masked hypertension. The relationship with hypertension-induced organ damage, the prognostic value and the assessment of treatment goals are key issues of ambulatory Blood Pressure Monitoring. In children, the accurate identification of hypertension at the earliest possible age would, therefore, give health-care providers the opportunity to initiate preventive measures, thereby reducing the chance of developing end-organ damage and its attendant morbidity and mortality.
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european society of hypertension practice guidelines for home Blood Pressure Monitoring
Journal of Human Hypertension, 2010Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:Self-Monitoring of Blood Pressure by patients at home (home Blood Pressure Monitoring (HBPM)) is being increasingly used in many countries and is well accepted by hypertensive patients. Current hypertension guidelines have endorsed the use of HBPM in clinical practice as a useful adjunct to conventional office measurements. Recently, a detailed consensus document on HBPM was published by the European Society of Hypertension Working Group on Blood Pressure Monitoring. However, in daily practice, briefer documents summarizing the essential recommendations are needed. It is also accepted that the successful implementation of clinical guidelines in routine patient care is dependent on their acceptance by involvement of practising physicians. The present document, which provides concise and updated guidelines on the use of HBPM for practising physicians, was therefore prepared by including the comments and feedback of general practitioners.
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european society of hypertension guidelines for Blood Pressure Monitoring at home a summary report of the second international consensus conference on home Blood Pressure Monitoring
Journal of Hypertension, 2008Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:This document summarizes the available evidence and provides recommendations on the use of home Blood Pressure Monitoring in clinical practice and in research. It updates the previous recommendations on the same topic issued in year 2000. The main topics addressed include the methodology of home blo
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European Society of Hypertension guidelines for Blood Pressure Monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring.
Journal of hypertension, 2008Co-Authors: Gianfranco Parati, George S. Stergiou, Kazuomi Kario, Yutaka Imai, Empar Lurbe, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Athanasios J. Manolis, Thomas MengdenAbstract:This document summarizes the available evidence and provides recommendations on the use of home Blood Pressure Monitoring in clinical practice and in research. It updates the previous recommendations on the same topic issued in year 2000. The main topics addressed include the methodology of home Blood Pressure Monitoring, its diagnostic and therapeutic thresholds, its clinical applications in hypertension, with specific reference to special populations, and its applications in research. The final section deals with the problems related to the implementation of these recommendations in clinical practice.
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Ambulatory Blood Pressure Monitoring and target organ damage in pediatrics. Commentary
Journal of Hypertension, 2007Co-Authors: Stella Stabouli, Vasilios Kotsis, Nikos Zakopoulos, Empar LurbeAbstract:The prevalence of hypertension in children and adolescents is rising in association with the increasing rate of childhood obesity, and it is associated with early target organ damage. Published guidelines on high Blood Pressure in children and adolescents, focused on the early and accurate diagnosis of hypertension, resulted in improved ability to identify children with hypertension. Although auscultation using a mercury sphygmomanometer remains the method of choice for evaluation of hypertension in children, accumulating evidence suggests that ambulatory Blood Pressure Monitoring is a more accurate method for diagnosis, and it is more closely associated with target organ damage. In addition, ambulatory Blood Pressure Monitoring is a valuable tool in the assessment of white-coat hypertension, and masked hypertension in children and adolescents. Masked hypertension in children and adolescents is associated with a similar risk of target organ damage as in established hypertension.
Alejandro De La Sierra - One of the best experts on this subject based on the ideXlab platform.
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Blood Pressure Monitoring theory and practice european society of hypertension working group on Blood Pressure Monitoring and cardiovascular variability teaching course proceedings
Blood Pressure Monitoring, 2017Co-Authors: George S. Stergiou, Kazuomi Kario, Paolo Palatini, Roland Asmar, Grzegorz Bilo, Alejandro De La Sierra, G Head, Anastasia S Mihailidou, Ji-guang WangAbstract:The European Society of Hypertension (ESH) Working Group on Blood Pressure (BP) Monitoring and Cardiovascular Variability organized a Teaching Course on 'Blood Pressure Monitoring: Theory and Practice' during the 2017 ESH Meeting in Milan, Italy. This course performed by 11 international BP Monitoring experts covered key topics of BP Monitoring, including office BP measurement, ambulatory BP Monitoring, home BP Monitoring, ambulatory versus home BP, white-coat and masked hypertension, cuff use, and BP variability. This article presents a summary of the proceedings of the ESH BP Monitoring Teaching Course, including essential information, practical issues, and recommendations on the clinical application of BP Monitoring methods, aiming to the optimal management of patients with suspected or diagnosed hypertension.
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european society of hypertension practice guidelines for ambulatory Blood Pressure Monitoring
Journal of Hypertension, 2014Co-Authors: Gianfranco Parati, George S. Stergiou, Roland Asmar, Grzegorz Bilo, Peter W. De Leeuw, Alejandro De La Sierra, Eoin Obrien, Lawrence J Beilin, Denis Clement, Eamon DolanAbstract:Given the increasing use of ambulatory Blood Pressure Monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on Blood Pressure Monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physicians. The present article details the requirements and the methodological issues to be addressed for using ABPM in clinical practice, The clinical indications for ABPM suggested by the available studies, among which white-coat phenomena, masked hypertension, and nocturnal hypertension, are outlined in detail, and the place of home measurement of Blood Pressure in relation to ABPM is discussed. The role of ABPM in pharmacological, epidemiological, and clinical research is also briefly mentioned. Finally, the implementation of ABPM in practice is considered in relation to the situation of different countries with regard to the reimbursement and the availability of ABPM in primary care practices, hospital clinics, and pharmacies.
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clinical features of 8295 patients with resistant hypertension classified on the basis of ambulatory Blood Pressure Monitoring
Hypertension, 2011Co-Authors: Alejandro De La Sierra, Julian Segura, Jose R Banegas, Manuel Gorostidi, Juan J De La Cruz, P Armario, Anna Oliveras, Luis M RuilopeAbstract:We aimed to estimate the prevalence of resistant hypertension through both office and ambulatory Blood Pressure Monitoring in a large cohort of treated hypertensive patients from the Spanish Ambulatory Blood Pressure Monitoring Registry. In addition, we also compared clinical features of patients with true or white-coat–resistant hypertension. In December 2009, we identified 68 045 treated patients with complete information for this analysis. Among them, 8295 (12.2% of the database) had resistant hypertension (office Blood Pressure ≥140 and/or 90 mm Hg while being treated with ≥3 antihypertensive drugs, 1 of them being a diuretic). After ambulatory Blood Pressure Monitoring, 62.5% of patients were classified as true resistant hypertensives, the remaining 37.5% having white-coat resistance. The former group was younger, more frequently men, with a longer duration of hypertension and a worse cardiovascular risk profile. The group included larger proportions of smokers, diabetics, target organ damage (including left ventricular hypertrophy, impaired renal function, and microalbuminuria), and documented cardiovascular disease. Moreover, true resistant hypertensives exhibited in a greater proportion a riser pattern (22% versus 18%; P
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clinical features of 8295 patients with resistant hypertension classified on the basis of ambulatory Blood Pressure Monitoring
Hypertension, 2011Co-Authors: Alejandro De La Sierra, Julian Segura, Jose R Banegas, Manuel Gorostidi, Juan J De La Cruz, P Armario, Anna Oliveras, Luis M RuilopeAbstract:We aimed to estimate the prevalence of resistant hypertension through both office and ambulatory Blood Pressure Monitoring in a large cohort of treated hypertensive patients from the Spanish Ambulatory Blood Pressure Monitoring Registry. In addition, we also compared clinical features of patients with true or white-coat-resistant hypertension. In December 2009, we identified 68 045 treated patients with complete information for this analysis. Among them, 8295 (12.2% of the database) had resistant hypertension (office Blood Pressure ≥140 and/or 90 mm Hg while being treated with ≥3 antihypertensive drugs, 1 of them being a diuretic). After ambulatory Blood Pressure Monitoring, 62.5% of patients were classified as true resistant hypertensives, the remaining 37.5% having white-coat resistance. The former group was younger, more frequently men, with a longer duration of hypertension and a worse cardiovascular risk profile. The group included larger proportions of smokers, diabetics, target organ damage (including left ventricular hypertrophy, impaired renal function, and microalbuminuria), and documented cardiovascular disease. Moreover, true resistant hypertensives exhibited in a greater proportion a riser pattern (22% versus 18%; P<0.001). In conclusion, this study first reports the prevalence of resistant hypertension in a large cohort of patients in usual daily practice. Resistant hypertension is present in 12% of the treated hypertensive population, but among them more than one third have normal ambulatory Blood Pressure. A worse risk profile is associated with true resistant hypertension, but this association is weak, thus making it necessary to assess ambulatory Blood Pressure Monitoring for a correct diagnosis and management.