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Comparison
of Agreement Between Different Measures of Blood Pressure
in Primary Care and Daytime Ambulatory Blood Pressure
Little P, Barnett J, Barnsley L,
Marjoram J, Fitzgerald-Barron A, Mant D.
BMJ 2002; 325(7358):254 (Abstract)
The "white coat" effect is important in diagnosing
and assessing control of hypertension in primary care and
is not a research artifact. If ambulatory or home measurements
are not available, repeated measurements by the nurse or patient
should result in considerably less unnecessary monitoring,
initiation, or changing of treatment. It is time to stop using
high blood pressure readings documented by general practitioners
to make treatment decisions
Telemonitoring:
Managing Disease in the 21st Century
Local High-Tech Firm on Ttrack to
be a National Player
By Spencer M. Mass, MD
Guide to Mid-Hudson Health Services, August 2002
A company called LifeLink Monitoring is one of the leaders
in the field of telemonitoring, a fancy name for gathering
patient data remotely and reporting it to a central office.
LifeLink Monitoring provides a turnkey telemonitoring service
that is being adopted by major healthcare and disease management
companies across the nation. The company provides equipment
as well as monitoring and data management services
Telemetry
Helps Cut Blood Pressure
Beats Usual Care
By Sherry Boschert
Family Practice News, August 15, 2001
Measure it, modem it, manage it better.
In a randomized trial, patients who measured their blood pressures
at home, modemed the data to physicians, and got instant computerized
feedback did better at reaching blood pressure goals than
did patients who got usual care, Dr. Thomas Pickering said
at the annual meeting of the American Society of Hypertension
Effects
of home telemonitoring and community-based monitoring on blood
pressure control in urban African Americans: A pilot study
Nancy T. Artinian, PhD, RN, Olivia
G. M. Washington, PhD, RN, CS, NP, LPC, Thomas N. Templin,
PhD
Heart Lung 2001;30:191-9
Home telemonitoring and the community based-monitoring groups
had clinically and statistically significant drops in systolic
and diastolic blood pressure at 3 months' follow-up, with
participants in the home telemonitoring group demonstrating
the greatest improvement. There was little change in systolic
or diastolic blood pressure in the usual care group
Management
of Hypertension by Clinical Nurse Specialist
Major Diep N. Duong, Principal Investigator,
Keesler AFB
Unpublished Case Reports 1999
Three case reports document the value of home telemonitoring
with nurse case management for managing poorly controlled
blood pressure and for diagnosing white coat hypertension
and white coat resistance.
Telephone-Linked
Home Blood Pressure Monitor
and Telephone Reminders Improve Monitoring Compliance
William Gerin, Thomas G. Pickering,
John K. Holland, Robert Alter
Poster presentation, American Heart Association Conference
on Compliance, 1999
Study suggests that home blood pressure telemonitoring is
a useful alternative to office measurement and to ambulatory
monitoring in diagnosis of white coat hypertension. Telephone
transmission and telephone reminders independently improve
home monitoring compliance, and may reduce MD visits and costs,
and improve BP control
Telephone-Linked
Home Blood Pressure Monitoring in the Management of Hypertension.
Gerin W, Pickering T, Holland J, Alter
R, Glenn J.
Circulation1998(S1). 97:17, 1695.
Study suggests that home monitoring is a useful alternative
to office visits for management of hypertension, and that
the ability to transmit blood pressure by telephone maintains
good compliance and reduces maintenance visits and costs.
Finally, home monitoring appears to be a useful means of identifying
white coat hypertension, which may allow reduction of medication
for some patients
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