[PP.16.13] HOME BLOOD PRESSURE TELEMONITORING OFFERS MORE RELIABLE VALUES AND INFORMATION ABOUT IRREGULAR HEARTBEAT EPISODES. (September 2017)

• Record Type: Journal Article
• Authors: Muzik, J.; Peleska, J.; Doksansky, M.; Gillar, D.; Kaspar, J.; Polacek, M.; Hana, K.; Smrcka, P.
• Is Part Of: Journal of hypertension. Volume 35(2017)Supplement 2
• Publication Date: 2017-09
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000523629.27743.a9
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: BP values reported by the patient from home BP monitoring (HBPM) may not always be reliable due to intentional or unintentional transcription errors. However, direct HBP telemonitoring can eliminate such mistakes. The detection of asymptomatic atrial fibrillation (AF) (or irregular heartbeat rhythm – IHR) by new technologies including BP machines with AF detection algorithms has not yet been formally evaluated against an established method. Design and method: The presented telemedicine system transfers data directly, without any patient interaction, from a BP measuring device via a Bluetooth interface and sends them to a telemedicine server. Values can be sent either directly using an Intel Compute Stick mini-PC or indirectly via a mobile application that uses Apple HealthKit as an intermediate storage. Internally, IHR is treated as another measured variable and is transferred to the server. In the electronic logbook, measurements containing detected IHR are displayed with highlighted heart rate (HR) value and the IHR symbol. Results: Data are presented in the web logbook, which is based on the ESH standardised logbook transferred to Excel. The logbook automatically calculates the average systolic and diastolic BP (total, morning and evening) from several days. Thus, it offers a better titration of pharmacotherapy. Different colours indicate extremely high or low BP and HR levels with warnings for the patient to contact his/her physician. Results of a mean BP evaluation are also shown as well. A chart and table with a daytime BP profile automatically extracted from all values partially mimics ABPM. The patient's logbook is accessible to both the patient and the physician via a web application. It can also be generated as a pdf and sent to the physician by email, alternatively it can be printed. Using the latest HL7 FHIR, the measured values can be directly sent to a hospital information system. Figure. No caption available. Conclusions: The presented HBPTM compared to the usual HBPM offers more reliable BP values, calculations of BP mean, a daytime BP profile and can help in timely detection of asymptomatic AF. It is suitable for a physician's everyday work without the need to share the data.