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Advice from the BP Measurement Experts

JNC 8 BP Guidelines: To Treat or Not to Treat Hypertension?

JNC 8 BP Guidelines: To Treat or Not to Treat Hypertension?

As word gets out about the controversial blood pressure guideline changes published by the Eighth Joint National Committee (JNC 8), the big question for clinicians is “what impact does this have on how we treat patients?” Fortunately, Duke University researchers are looking into this for you. An April 2014 JAMA analysis states that almost 6 million Americans currently taking BP medications might be able to throw them away based on new guidelines and another 13.5 million previously-diagnosed patients with uncontrolled hypertension now meet healthy blood pressure benchmarks.

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Healthcare Associated Infections Reduced Under Pressure

7 Reasons to Use Disposable BP Cuffs Infographic

We all know it’s necessary, often put it off, sometimes dread it, but eventually – we give in…and schedule our annual physical. After we have been properly weighed and measured, so to speak, we are left to await the arrival of our physician. Following the staccato knock indicating the doctor is entering, he dutifully washes his hands and offers a friendly hello. Long after the disposable protector is removed from the thermometer and forgotten in the trash, he reviews the chart for any obvious issues. Dutifully applying the disposable protector to his otoscope, our ears, eyes and nose are all given a sufficient look. Stethoscope wiped with the appropriate sanitizer, our hearts get a good listen. Hopefully, we soon go home with a clean bill of health and the intention of shedding a few pounds before next year’s appointment.

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Guidelines Galore

ASH ISH release new GuidelinesIn previous blogs, we have talked about the publication of new guidelines related to the treatment of hypertension such as the ESH/ESC Guidelines for the Management of Arterial Hypertension (available here). At the end of 2013, two additional guidelines were published; one from the Eighth Joint National Committee (JNC 8) and the other as a result of a joint effort by the American Society of Hypertension (ISH).

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Relax...Tips for Accurate Cardiac Stress BP Measurement

Audio Series by SunTech MedicalWhen most people have their blood pressure (BP) taken, it’s typically done by a clinician in a physician’s office. A past blog post - 10 Factors That Can Affect Your BP Reading– discusses several factors which may influence your BP reading during these visits, which are usually conducted under routine or “normal” conditions. But what if you are having your BP taken under different circumstances such as during a cardiac stress test or ABPM study? Do these same factors still apply?

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The Material World of BP Cuffs

The Material World of BP CuffsSo what’s in a fabric?  And why do manufacturers come up with so many choices?

Choosing the correct fabrics for medical products can be a bit more complicated than selecting the right material for a pair of jeans. Medical device manufacturers spend a lot of time considering things like where the product will be used, how often it will be used, what it will be cleaned with, who will be using it and how it interacts with human tissue.

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You Want to do What with That?

You Want to do What with That?Have you ever read the instructions for use for a product that you purchased? Let’s be honest, a majority of us simply do not take the time to read the instructions that come with a product; especially if it is something we believe we are familiar with already. I mean, who has the time, or patience, to sift through all of the warnings and the over simplified step-by-step description of how to use something in order to find that one little nugget of information that might actual improve your user experience? And besides, aren’t we supposed to be saving trees?

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Pay-For-Performance Achieves Better Hypertension Control?

Pay-For-Performanc Achieves Better Hypertension Control?As the Affordable Care Act becomes more established here in the US, one of the many new initiatives it brings to bear is pay-for-performance. Pay-for-performance is an incentive that encourages physicians to deliver a higher quality of care, as opposed to a reimbursement model that drives more tests and procedures. While similar to the system the National Health Service (NHS) has had in the UK for several years now, there is much debate over whether this method will improve the healthcare situation in the US. One group of researchers recently tested the pay-for-performance model by using the rate of hypertension control as their quality metric.

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Blood Pressure Measurement Technique— A Candid Discussion

Audio Series by SunTech MedicalLet’s be clear. I work for the marketing department of a medical device manufacturer, so I earn my paycheck by promoting this company and its products to the clinical community and developing new products that we can successfully convert into $$$. But is it possible to achieve these goals as well as actually helping people to get and stay healthy? Let me put it this way—if it weren’t, I’d quit.

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ABPM Makes a Lot of Cents

ABPM ReimbursementAmbulatory Blood Pressure Monitoring (ABPM) is a commonly-used tool for the identification and treatment of hypertension with a variety of clinical applications including identification of white-coat hypertension, diagnosis of masked hypertension, monitoring the efficacy of anti-hypertensive treatment, and identification of resistant hypertension. One common question from both those preparing to implement ABPM in their practice, and current ABPM users alike, is whether or not it is a reimbursable procedure.

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3 Types of Stress Tests: Part 2 of 2 - The ECHO and Nuc

ECHO and Nuc Stress TestingIn my previous blog I talked about one of the three types of stress tests, how your doctor will calculate your maximum heart rate, and what types of parameters they may be looking for during a stress test. In the second portion of the blog I will go over the other two types of stress testing, what parameters are looked for during these tests and why one may be used over the other.

 

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3 Types of Stress Tests: Part 1 of 2 - The ETT

Exercise Stress Test Running ManHave you ever been to your doctor’s office and wondered why one type of test was ordered over another? And, if they are all important, what makes a doctor ask for that particular type of test? Well when it comes to stress testing there are many different types of tests but generally they all come down to 3 different types. If your doctor orders you to have a stress test this can mean that you are having a cardiac or exercise stress test (often called an ETT or an exercise treadmill test), an echocardiogram stress test (often called Stress ECHO), or a nuclear stress test (often called a Walking Nuc or Nuc Test).

We have found that the type of test ordered is determined by your heart’s health or by your physical condition. In our 2 part blog series we will try to answer these questions about why one test can be used over another, what your doctor may be looking for during this test, and what parameters they look at during the test.

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World’s Leading ABPM Experts Publish Position Paper

ESH logoJust two months ago the European Society of Hypertension (ESH) released its new guidelines for the management and treatment of arterial hypertension at its annual meeting. ESH remains active in publishing guidance documents and has now released its latest position paper. The topic is Ambulatory Blood Pressure Monitoring (ABPM).

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Central BP Measurement Takes Center Stage at ESH 2013

AtCor Medical SphygmoCor XCEL

Latest trends in blood pressure measurement technique have shifted to central blood pressure (CBP) and understanding its affect on us. This topic was prevalent at the recent European Society of Hypertension (ESH) meeting in Milan, especially with regards to understanding how CBP can be used in the future to guide clinical cardiovascular treatment. CBP is your aortic blood pressure near the heart and can be obtained both invasively and noninvasively. The invasive process involves inserting a pressure sensor into the aorta, which is not very desirable especially when reliable noninvasive products exist today.

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Meaningful Use Incentives Becoming Less Meaningful

Healthcare providers are frustrated with EMRIs it just me, or are healthcare providers becoming increasingly fed up with all of the new, fancy-schmancy healthcare IT 'solutions' that seem to be proliferating faster than ever before? Meaningful Use incentives have been the catalyst for the adoption of electronic medical records at an unprecedented rate, but some clinicians, administrators, and facility managers are beginning to question the value of what they've bought into as they struggle to electronically capture patient information—things like blood pressure, temperature, exam results, and other vitals.

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Get Out of the Office for Better BP Measurement

Out of Office BPThough we state it often, we at SunTech Medical aren't the only ones touting the utility of monitoring BP outside of a clinical setting. A recent article published by a northeastern regional news website advocates for the use of home BP (HBPM) and ambulatory BP monitoring (ABPM) to diagnose and monitor hypertension. An estimated 50% of patients experience either white coat hypertension or masked hypertension. Therefore, as Dr. David Landers is quoted in the article, "'One blood pressure reading in the office is not useful. What you need is more data points.'"

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ESH Releases New Guidelines on Hypertension and BP Measurement

ESH and ESC Guidelines 2013This year marked the 23rd scientific meeting of the European Society of Hypertension (ESH) on "Hypertension and Cardiovascular Protection". While the ESH annual meeting is always filled with the latest in hypertension research, this year's highlight was the presentation of the newest edition of the ESH/ESC (European Society of Cardiology) Guidelines for the management of arterial hypertension.

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FDA Calls for Connector Standardization

Click to view the video on SunTech's Cuff Standardization ProgramTubing misconnections, wrong route errors, catheter misconnections or Luer misconnections: the FDA isn't picky about what you call them – they want them eliminated. Multiple and sometimes fatal connection errors between various medical devices, including blood pressure cuffs, have led to the need for standards designed to eliminate this potential. The intent is to achieve this by designating specific connectors for defined types of devices. Blood pressure cuffs are one of the device groups identified by the FDA for standardization1.

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ABPM Could Be Exactly What The Patient Needs

ABPM Can Catch Overnight DippingThe above title is how author Craig Bowron, MD capped off his recent article “Traditional blood-pressure cuffs not that reliable.” As I was reading the article, I was pleased to see how successful the 15-physician clinic in Minneapolis had been with implementing an Ambulatory Blood Pressure Monitoring (ABPM) program to identify, diagnose and manage their hypertensive patients. One physician was quoted as saying “It’s been breathtaking to see how much difference there can be between office blood pressure readings and what we’ve found with ambulatory [ABP] monitoring”. The practice was able to  lower or end treatment on 13% of their patients after ABPM testing revealed that they were being over-treated. Conversely, 18% had their medication added or increased as their ABPM results showed they were under-treated.

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Beet High Blood Pressure

 beetrootjuiceMy mother was recently diagnosed with high Blood Pressure (BP). She talked to her doctor about the best ways to help control her high BP. The doctor prescribed a blood pressure medication and recommended she should eat more fruits and vegetables in addition to adding 30 minutes of exercise to her daily routine.

I was happy that the doctor recommended a healthy lifestyle to her in addition to the medication. I wouldn't call myself a health nut, maybe an enthusiast – which is why I liked the idea of alternatives for her. Recently, I read a study in the American Heart Association journal Hypertension, about how drinking a cup (250ml) of beetroot juice a day could help lower High BP.

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May 17th is World Hypertension Day

World Hypertension DayEach year, the World Hypertension League designates May 17th as World Hypertension Day. With over 1.5 billion worldwide suffering from hypertension (high blood pressure), we at SunTech Medical would like to do our share to draw attention to this single biggest risk factor for death linked to heart disease, stroke, kidney disease and diabetes. For more information on World Hypertension Day and tips on prevention and treatment of Hypertension, you can visit the World Hypertension League website and download the World Hypertension Day brochure today.

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