GG UU II DD EE LL II NN EE SS

JNC 7 2003

ESH 2003

BHS 2004

CHEP 2004

JSH 2004

HSSH 2005

HOME BP MONITORING

Home BP MonitoringHome BP MonitoringClinical BenefitsClinical 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

Home BP MonitoringHome BP Monitoring Current ProblemsCurrent Problems

1. Device accuracy

2. Observer bias

3. Observer misreporting

4. Variable monitoring schedule

5. Data summarizing

1.

2.

3.

4.

5.

JJournal ofournal of Hypertens Hypertensionion 20032003;;21:82121:821-8-84848

JJournal ofournal of Hypertens Hypertensionion 20020055;;2233::697-701697-701

European Society of Hypertension RecommendationsJournal of Hypertension 2003;21:821-848

1. Oscillometric arm measuring devices.

2. Independently validated using established protocols.

3. Correct cuffs for individual arms.

4. Storage, transmission or printing capacity.

European Society of Hypertension Recommendations

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.

Journal of Hypertension 2003;21:821-848

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

Treatment Phase As in diagnostic phase (trough measurements).

Home Blood Pressure Monitoring

European Society of Hypertension Recommendations

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.

Home Blood Pressure Monitoring

European Society of Hypertension Recommendations

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.

Microlife WatchBP Home Monitor

A home BP monitor designed according to

European Society of Hypertension Working Group on BP Monitoring

recommendations

Microlife Microlife WatchBP HomeWatchBP 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

Microlife WatchBP HomeMicrolife WatchBP Home

Validation of the Microlife WatchBP Home device

for self-home BP measurement according

to the International Protocol

Stergiou G, Giovas P, Gkinos C, Patouras J.

Hypertension Center, 3rd University Department of MedicineSotiria Hospital, Athens, Greece

Blood Pressure Monitoring 2006, in press

1. Dual-function (USUAL / DIAG).

2. Embedded ESH home BP monitoring schedule.

3. Memory - PC link capacity.

DesignDesignAutomated oscillometric BP monitor

for self-home measurement / arm

Microlife Microlife WatchBP HomeWatchBP Home

Microlife WatchBP Home

Home BP monitoring schedule strictly according to European Society of Hypertension (duplicate morning and evening measurements for 7 days)

USUAL USUAL modemode

DIAG DIAG modemode

DesignDesign

Casual home BP measurements

Average home BP is displayed, as well as the

individual readings

Microlife Microlife WatchBP HomeWatchBP Home

Microlife WatchBP Home

Microlife WatchBP Home

Microlife WatchBP Home

USB

Microlife WatchBP Home

Microlife WatchBP Home

Microlife WatchBP Home

Stergiou, George

Microlife WatchBP Home

Microlife Microlife WatchBP Home MonitorWatchBP Home Monitor

Unique Unique DesignDesign

Unique Unique FunctionFunction

Unique Solution

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.

Pilot StudyPilot Study

Users’ Acceptance - PerformanceUsers’ Acceptance - Performance

Microlife Microlife WatchBP HomeWatchBP Home

Microlife Watch BP Monitor

A tool for reliable home BP monitoring designed according to the European Society of Hypertension

recommendations

Abstract 10573

Tuesday 17 Oct.

2006

Blood Pressure Monitoring (in press)

Users’ Acceptance - PerformanceUsers’ Acceptance - Performance

95%95% Effectively used the DIAG mode (19/20).

70%70% Used the USUAL mode (4 used only the DIAG mode - 1 did not use the device).

90%90% “Easy” or “very easy” to understand the dual function and to use the device.

90%90% Dual mode “useful” or “very useful”.

Pilot StudyPilot StudyMicrolife Microlife WatchBP HomeWatchBP Home

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

Microlife Microlife WatchBP Home MonitorWatchBP 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

Microlife Microlife WatchBP Home MonitorWatchBP Home Monitor

Microlife WatchBP Home Monitor

In press,Blood Pressure Monitoring

Watch BP Pro for the doctor’s 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