Utility Of Blood Pressure Monitoring Outside Of The Clinic Setting

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Home Blood Pressure Monitoring

Author : George S. Stergiou,Gianfranco Parati,Giuseppe Mancia
Publisher : Springer Nature
Page : 174 pages
File Size : 51,7 Mb
Release : 2019-10-31
Category : Medical
ISBN : 9783030230654

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Home Blood Pressure Monitoring by George S. Stergiou,Gianfranco Parati,Giuseppe Mancia Pdf

Hypertension remains a leading cause of disability and death worldwide. Self-monitoring of blood pressure by patients at home is currently recommended as a valuable tool for the diagnosis and management of hypertension. Unfortunately, in clinical practice, home blood pressure monitoring is often inadequately implemented, mostly due to the use of inaccurate devices and inappropriate methodologies. Thus, the potential of the method to improve the management of hypertension and cardiovascular disease prevention has not yet been exhausted. This volume presents the available evidence on home blood pressure monitoring, discusses its strengths and limitations, and presents strategies for its optimal implementation in clinical practice. Written by distinguished international experts, it offers a complete source of information and guide for practitioners and researchers dealing with the management of hypertension.

Self-Measured Blood Pressure Monitoring: Comparative Effectiveness

Author : U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality
Publisher : CreateSpace
Page : 240 pages
File Size : 45,8 Mb
Release : 2013-04-10
Category : Medical
ISBN : 1484085892

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Self-Measured Blood Pressure Monitoring: Comparative Effectiveness by U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality Pdf

High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. Untreated or ineffectively treated hypertension leads to increased cardiovascular morbidity and mortality, and increased consumption of health care resources, thus levying high human and financial costs to society. In adults, hypertension is defined as a persistently elevated BP equal to or greater than 140/90 mmHg. In children, the diagnosis is made from an average of three or more BP readings greater than the 95th percentile for age, sex, and height. The Seventh Joint National Committee (JNC 7) guideline recommends a BP goal of 140/90 mmHg or less in the general population and a lower threshold of 130/80 mmHg or less in patients with diabetes mellitus or chronic kidney disease. The World Health Report 2002 estimates that over 1 billion people have high BP and that hypertension is responsible for 4.5 percent of the global disease burden. Within the U.S., about 76.4 million adults are affected. Despite improvements in the quality of health care and life expectancy, it is expected that the prevalence of hypertension will continue to rise worldwide. The World Health Organization ranks high BP as the third highest risk factor for burden of disease, highlighting the contribution of hypertension directly and indirectly to the development of numerous diseases. Hypertension has been identified as a major risk factor for cardiovascular disease, and is an important modifiable risk factor for coronary artery disease, stroke, peripheral vascular disease, congestive heart failure, and chronic kidney disease. High BP directly results in 7 million deaths every year. Effective management of BP has been shown to dramatically decrease the incidence of stroke, heart attack, and heart failure. However, hypertension is usually a lifelong condition, and long-term adherence to lifestyle modification and medication treatment remains a challenge in the management of hypertension. Thus an increasing focus has been placed on developing strategies that can improve adherence and result in satisfactory BP control with the goal of improving health outcomes for hypertensive patients. One such proposed method is self-measured blood pressure (SMBP) monitoring. SMBP refers to the regular self-measurement of a patient's BP at home or elsewhere outside the office or clinic setting. However, while patient self-participation in chronic disease management appears promising, the sustainability and clinical impact of this strategy remain uncertain. The primary objective of this review is to evaluate whether the use of SMBP monitoring influences outcomes in adults and children with hypertension, and to what extent these changes in outcomes can be attributable to the use of self-monitoring devices alone or the use of SMBP plus additional support or attention. The intention of this report is to inform physicians' decisionmaking as to whether to encourage the use of SMBP monitoring alone or along with additional support, and to assist health care policymakers and payers with decisions regarding coverage and promotion of SMBP monitoring. Key Questions include: 1. In people with hypertension (adults and children), does self-measured blood pressure (SMBP) monitoring, compared with usual care or other interventions without SMBP, have an effect on clinically important outcomes? 2. In trials of SMBP monitoring, how do clinical, surrogate, and intermediate outcomes (including SMBP monitoring adherence) vary by the type of additional support provided? 3. How do different devices for SMBP monitoring compare with each other (specifically semiautomatic or automatic vs. manual) in their effects on clinical, surrogate, and intermediate outcomes (including SMBP monitoring adherence)? 4. In trials of SMBP monitoring, how does achieving BP control relate to clinical and surrogate outcomes? 5. How does adherence with SMBP monitoring vary by patient factors?

Guide to Clinical Preventive Services: Methods

Author : U.S. Preventive Services Task Force
Publisher : Unknown
Page : 190 pages
File Size : 51,6 Mb
Release : 2003
Category : Government publications
ISBN : UOM:39015069223587

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Guide to Clinical Preventive Services: Methods by U.S. Preventive Services Task Force Pdf

The Guide to Clinical Preventive Services

Author : Anonim
Publisher : Unknown
Page : 372 pages
File Size : 54,8 Mb
Release : 2004
Category : Health promotion
ISBN : RUTGERS:39030031521828

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The Guide to Clinical Preventive Services by Anonim Pdf

Guide to Clinical Preventive Services: Chemoprevention and counseling

Author : U.S. Preventive Services Task Force
Publisher : Unknown
Page : 192 pages
File Size : 46,6 Mb
Release : 2004
Category : Health promotion
ISBN : PURD:32754075435846

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Guide to Clinical Preventive Services: Chemoprevention and counseling by U.S. Preventive Services Task Force Pdf

Pfenninger and Fowler's Procedures for Primary Care E-Book

Author : John L. Pfenninger,Grant C. Fowler
Publisher : Elsevier Health Sciences
Page : 1773 pages
File Size : 44,5 Mb
Release : 2010-09-23
Category : Medical
ISBN : 9781455700929

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Pfenninger and Fowler's Procedures for Primary Care E-Book by John L. Pfenninger,Grant C. Fowler Pdf

Pfenninger and Fowler’s Procedures for Primary Care, 3rd Edition is a comprehensive, "how-to" resource offering step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care clinicians. . Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide you through each procedure. The new edition of this best-selling book features full-color illustrations and easy access to the complete contents and illustrations, patient forms, and more online at www.expertconsult.com. Understand how to proceed, step by step, thanks to detailed text and illustrations. Locate critical information at a glance with numerous boxes and tables. Use the book for years with minimal wear and tear thanks to its sturdy cover. Patient education handouts to educate, save time, and reduce liability Coding guidelines included This best selling text now includes full color photos and new sections on Aesthetic and Hospitalist Procedures in addition to an update of all the previous procedures discussed in prior editions! Access the complete contents and illustrations online, download patient education handouts and consent forms, view lists of device manufacturers, and more at www.expertconsult.com. Offer your patients a variety of cosmetic procedures using lasers and pulsed-light devices (including individual chapters on procedures for hair removal, photorejuvenation, , skin tightening and skin resurfacing, and tattoo removal), botulinum toxin, as well as new coverage of cosmeceutical skin care, tissue fillers, and photodynamic therapy. Master new procedures such as maggot treatment for chronic ulcers, endovenous vein closure, stress echo, insertion of the contraceptive capsule (Implanon) and tubal implant (Essure), musculoskeletal ultrasound, no-needle/no-scalpel vasectomy, procedures to treat acute headaches, and more. Don’t worry! All the more basic office procedures are still included...with improved and updated discussions! Pfenninger and Fowler provide the latest and most comprehensive information on medical procedures that allow primary care physicians to more effectively treat their patients.

Pediatric Hypertension

Author : Joseph Flynn,Julie R. Ingelfinger,Ronald J. Portman
Publisher : Springer Science & Business Media
Page : 600 pages
File Size : 54,9 Mb
Release : 2013-06-26
Category : Medical
ISBN : 9781627034906

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Pediatric Hypertension by Joseph Flynn,Julie R. Ingelfinger,Ronald J. Portman Pdf

The field of pediatric hypertension has undergone important changes in the time since the second edition of Pediatric Hypertension published. Much new information on hypertension in the young has become available. Previous chapters have been fully revised and new chapters have been added to cover important topics of recent interest such as consensus recommendations, the prevalence of hypertension in the young due to the obesity epidemic, studies of antihypertensive agents, and ambulatory blood pressure monitoring. Pediatric Hypertension, Third Edition is a comprehensive volume featuring 38 chapters covering the breadth of the current knowledge. It is divided into four sections: Regulation of Blood Pressure in Children; Assessment of Blood Pressure in Children: Measurement, Normative Data, Epidemiology; and Hypertension in Children: Predictors, Risk Factors, and Special Populations; Evaluation and Management of Pediatric Hypertension. Filled with the most up-to-date information, Pediatric Hypertension, Third Edition is an invaluable resource for clinicians and researchers interested in childhood hypertension.

Pediatric Hypertension

Author : Joseph T. Flynn,Julie R. Ingelfinger,Tammy M. Brady
Publisher : Springer Nature
Page : 975 pages
File Size : 49,9 Mb
Release : 2023-01-09
Category : Medical
ISBN : 9783031062315

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Pediatric Hypertension by Joseph T. Flynn,Julie R. Ingelfinger,Tammy M. Brady Pdf

For the past 17 years, Pediatric Hypertension has served as the definitive reference text on hypertension in children and adolescents. Each edition has incorporated the latest research on the pathophysiology, clinical significance and management of hypertension in the young, and has incorporated the most current consensus guidelines on diagnosis and management. The years since publication of the fourth edition have seen further advances in the field that merit publication of an updated, expanded text, including: Analysis of the implications of updated hypertension guidelines on identification of youth at highest cardiovascular risk Additional data on the proximate effects of high blood pressure in children in adolescents Further understanding of the links between high blood pressure in youth and surrogate markers of adult cardiovascular disease The fifth edition is a readable, informative text that provides a comprehensive guide to the diagnosis, management and therapy of hypertension in children and adolescents, and presents new data that very clearly indicate that the origins of adult cardiovascular disease are rooted in pediatric hypertension. It will, as a result, be very important for therapeutic decisions and will also be highly relevant for those in internal medicine, who care for the millions of adults who have hypertension, cardiovascular disease and kidney disease. In this sense, the book fulfills the longstanding goal of showing that hypertension that begins in childhood is important to track, diagnose and treat, and that the present understanding of adult hypertension necessitates the study of blood pressure in youth. The fifth edition has a similar structural format to the prior editions and covers all aspects of pediatric hypertension, from basic science research to the most recent clinical information.

Pediatric Nephrology

Author : Ellis D. Avner,William Harmon,Patrick Niaudet,P. Niaudet
Publisher : Lippincott Williams & Wilkins
Page : 1600 pages
File Size : 40,7 Mb
Release : 2004
Category : Medical
ISBN : 0781735459

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Pediatric Nephrology by Ellis D. Avner,William Harmon,Patrick Niaudet,P. Niaudet Pdf

Pediatric Nephrology is the premier comprehensive reference on congenital and acquired kidney diseases and their therapies in children. Section One opens with an overview of the anatomy, physiology, and biology of the pediatric kidney, critical to understanding disease. Section Two covers the evaluation, diagnosis, and therapy of specific kidney disorders. The book has an international focus, and is well knows for describing how research developments are applied in the clinical arena.

Developments in Aging

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 836 pages
File Size : 50,7 Mb
Release : 2004
Category : Older people
ISBN : STANFORD:36105050356562

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Developments in Aging by United States. Congress. Senate. Special Committee on Aging Pdf

Mayo Clinic 5 Steps to Controlling High Blood Pressure

Author : Sheldon G. Sheps
Publisher : Rosetta Books
Page : 365 pages
File Size : 55,6 Mb
Release : 2015-12-04
Category : Health & Fitness
ISBN : 9780795347788

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Mayo Clinic 5 Steps to Controlling High Blood Pressure by Sheldon G. Sheps Pdf

How to play a vital role in your own health and longevity: A handbook from“one of the most reliable, respected health resources that Americans have” (Publishers Weekly). This easy-to-use guide will help you understand the many issues related to high blood pressure and assist you in preventing it, managing it, and making essential treatment decisions. · Learn which single factor you can do the most about when it comes to influencing your blood pressure. This one step may be all it takes to lower your blood pressure and keep it under control. · How losing as little as 10 pounds may reduce your blood pressure to a healthier level—includes practical help for maintaining a healthier weight. · Discover a great alternative that may lower your blood pressure just about as much as medications—without the expense of prescriptions. · Why your blood pressure goes down if you make your heart stronger—and dozens of tips to realize this goal. · How to manage your sodium intake. · Information about medications for when changes in lifestyle aren't enough and more