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Advice from the BP Measurement Experts

Don't Break a Hip: How ABPM Can Help

As we have all heard time and time again hypertension is a prevalent public health issue, but it affects the elderly at a much higher rate. A newly published study now warns that "caution" is needed when initiating new antihypertensive drugs to treat elderly patients. The findings, published last month in the Archives of Internal Medicine (AIM), showed that elderly patients had a 43% increased risk of having a hip fracture within the first 45 days following the start of new antihypertensive treatment.1 It is reportedly "'the first study to demonstrate an immediate increased risk of hip fracture on initiation of antihypertensive drug therapy in community-dwelling hypertensive elderly patients'". The researchers also hypothesized that the most likely cause of the hip fractures were falls related to orthostatic hypotension, which can have symptoms such as dizziness and fainting.2


The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC), the American Society of Hypertension (ASH) and the National Institute for Clinical Excellence (NICE) recommend regular monitoring for patients who start antihypertensive therapy. So how can we best monitor these patients? JNC and NICE both recommend the use of in-office measurement.3,4 ASH encourages the use of Ambulatory or Home BP monitoring.5
"elderly patients had a 43% increased risk of having a hip fracture within the first 45 days following the start of new antihypertensive treatment"

Ambulatory BP monitoring (ABPM) is widely recognized as a tool for diagnosing hypertension. But it is also a useful tool for monitoring the efficacy of antihypertensive treatment, evaluating optimal BP control in patients with postural hypotension, and aiding in the assessment of patients with hypotensive symptoms that occur with antihypertensive medication.4,6

Clearly, as the AIM study has shown, monitoring could be beneficial for some patients at the onset of antihypertensive treatment and ABPM would be an ideal candidate given its proven value for this specific application. But we want to hear your thoughts. How do you monitor elderly patients starting antihypertensive drug treatments in order to monitor for orthostatic hypotension?

Sources

  1. Archives of Internal Medicine: The Risk of Hip Fracture After Initiating Antihypertensive Drugs in the Elderly, http://archinte.jamanetwork.com/article.aspx?articleid=1392493#METHODS
  2. Heart Wire: Starting BP meds ups risk of hip fracture in elderly, http://www.theheart.org/article/1477231.do?utm_medium=email&utm_source=20121121_EN_Heartwire&utm_campaign=newsletter
  3. NICE Quick Reference Guide: Hypertension, http://www.nice.org.uk/nicemedia/live/13561/56015/56015.pdf
  4. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, http://hyper.ahajournals.org/content/42/6/1206.long
  5. ASH Position Paper: When and how to use self (home) and ambulatory blood pressure monitoring, http://www.ashjournal.com/article/S1933-1711(08)00047-8/abstract
  6. New England Journal of Medicine: Ambulatory Blood-Pressure Monitoring, http://www.nejm.org/doi/full/10.1056/NEJMra060433
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Medical Devices that Protect and Serve

EMS takes pulseAt SunTech, blood pressure measurement is our religion. In fact, we have a saying about it: "It's more than just a strength; it's who we are; it's what we do." With this singular focus, we get to see how blood pressure measurement is used across all different clinical applications. We see the nuanced experience that clinicians in different specialties and their patients encounter and that makes a difference in their use of automated BP. While it's rare that one of these nuances becomes the basis for policy, that's exactly what the state of New York is recommending in its advisory on patient care in moving ambulances.

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Disposable Blood Pressure Cuffs a Key Part of Infection Control Strategy

Watch HAI Animated Video Now

Much has been written lately on the changing landscape of healthcare, and how many hospital executives are targeting quality, safety and infection control as a way to improve outcomes and lower costs. Of particular concern is reducing the occurrence of Healthcare Associated Infections (HAIs) and patient readmissions.

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New Healthcare Law Means Big Penalties for Hospitals with High HAI Rates

Hospital feesHealthcare Associated Infections (HAIs) are one of the hottest topics in healthcare right now. Over 2,000,000 patients in the United States acquire HAIs, which adds an average of 8 days to the hospital stay and causes approximately 99,000 deaths per year.6 The total annual cost to treat these HAIs in the United States is between $35.7 billion and $45 billion with the average in hospital cost per patient between $20,549 and $25,903.

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MRSA BEWARE: Honey Can Potentially Reverse Antibiotic Resistance

manuka tree and honey beeAs a manufacturer of disposable blood pressure cuffs, we are always interested in new information concerning infection control and potential ways to control antibiotic resistant bacteria (“superbugs”). Since superbugs are creating a serious and growing global threat to public health, the World Health Organization has made antibiotic resistance the central focus of this year’s World Health Day. Furthermore, the Infectious Disease Society of America (ISDA) warns that “unless sweeping actions are taken now, the future could resemble the days before these miracle drugs were developed. People will die of common infections and many medical interventions we take for granted – surgery, chemotherapy, organ transplantation, and premature infant care – will no longer be possible.”

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Move Over MRSA & C.Diff, There is a New Superbug in Town

New Superbug BacteriaMost people have heard about the more popular “superbugs” (antibiotic resistance bacteria) such as MRSA (Methicillin Resistant Staphylococcus Aureus) and C.Diff (Clostridium Difficile). But now there is a “new” superbug starting to get alot of attention: NDM-1.

So what exactly is NDM-1 and how is it transmitted? How can disposable blood pressure cuffs play a role in combating this and other infections? These questions, and more, are answered below:

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SunTech's Blood Pressure Technology Logs Over 2 Decades of Space Exploration

SunTech Accutracker II on NASA flightTraditionally, we try not to engage in excessive self-promotion on the SunTech Blog. But last month marked the 24th anniversary of SunTech’s first journey into space, and we’d like to let our readers know about this important and interesting chapter in our history. In the pre-dawn darkness of January 12, 1986, the space shuttle Columbia blasted off from launch pad 39A at the Kennedy Space Center, carrying with it a special version of the SunTech Accutracker II ABPM device. When Columbia landed successfully at Edwards Air Force base after 98 orbits, it may have marked the end of mission STS-61C, but it was just the beginning of SunTech’s foray into space-based research.

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Blood Pressure Monitoring in Critically Ill Patients

­­bp for icu patientsWhen it comes to treating critically-ill patients in hospitals, you’d think there’d be consensus on how to monitor their blood pressure. But a recent article appearing in the Journal of Critical Care Medicine casts some doubt on that assertion.

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Save time and money with a regulatory approval pathway for medical devices

OEM BP chipAs a medical device manufacturer, we at SunTech Medical have a full appreciation for how laborious the regulatory approval process can be when bringing a product to market. Understanding the rules and requirements can help a medical device manufacturer avoid time-to-market delays and inflated project costs. It is with this unique perspective that we frequently assist our OEM partners with overcoming regulatory hurdles related to automated blood pressure to help them get to market on time while keeping costs to a minimum.

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