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Blood pressure and other measurements in one location
The gold standard of office blood pressure measurement is the auscultatory method (sphygmomanometry), but it is not used at a massive scale due to its difficulty. Oscillometric devices have made office blood measurement easy to perform, but it is time to take things a notch further. The MESI mTABLET BP enables instant saving of the measurements into the patient’s file – along with any other measurements like ECG, SPO2, ABI and others for a comprehensive diagnostic picture.
In this blog you will learn:
Auscultatory devices: the gold standard
The traditional measuring of office BP with a mercury sphygmomanometer and a stethoscope is generally recognised as the gold standard for clinical use. However, it is only as accurate and reliable as the equipment used. There are issues with calibration and proper maintenance, which can lead to significant errors and/or inappropriate cuff size [1, 2, 3].
Furthermore, the method requires considerable skill on part of the physician. Inappropriate training, poor hearing ability [12], rounding off numbers to the nearest zero or underestimating the effect of white coat hypertension [4, 5, 6] can all contribute to inaccurate results.
Furthermore, despite their clinical utility, mercury sphygmomanometers are on the decline due to environmental concerns about mercury toxicity [7, 8].
Oscillometric devices: the most common method
Oscillatory devices rely on digital technology. In the measurement process, the vibrations in the arterial wall (caused by the blood flow between the systolic and diastolic pressures) are detected and converted into electrical signals. These are conveyed to the measurer in the form of a digital read-out [9].
With digital technology, taking multiple measurements in order to establish the correct blood pressure has become much faster and easier. Many devices offer the possibility of multiple consecutive readings or even a 30-minute OBPM to avoid the white coat hypertension effect. When it comes to saving these digital results, however, recording them into paper forms is still the norm. This need not be the case if your device is interoperable with your digital diagnostic or EHR system.
The MESI mTABLET BP: all the benefits of digital measurement in one place
There are many alternative measuring devices/methods available, some more comparable with the auscultatory method than others, but none as versatile as the MESI mTABLET BP. Unlike virtually any other BP measuring device, it offers a comprehensive diagnostic solution for the following advantages:
Wireless digital technology
The MESI mTABLET BP is comprised of the MESI mTABLET screen (10.1’’) and the BP module with wireless cuffs in 3 sizes.
It enables 200 examinations per battery charge and has multiple modes of operation. Besides showing a simple numerical BP result, it also has the option of displaying pulse waveform graphics by means of digital filters.
Easy expansion with additional apps
Add new BP measurements whenever you need them! The MESI mTABLET by offers fast addition of the following apps that enable effective detection of some of the most common BP-related problems:
aBP (averaging blood pressure)
Take multiple blood pressure readings according to your own set parameters (number of readings in a row, intervals between readings, delay start before first measurement, discarding of the first measurement from the result calculation). In this way, you can more effectively discover masked hypertension and reduce the impact of white coat hypertension.
The customisable parameters also easily enable you to perform a 30-minute office blood pressure measurement. Studies show that 30-min OBPM results in lower readings than standardised OBPM and has better repeatability [10], and also seems to agree well with daytime ABPM [11].
DBP (dual blood pressure)
Office blood pressure measuring in both arms is essential. This app enables you to determine the interarm difference in one step, with colour-coded results and reference scale to save you precious time.
aDBP (averaging dual blood pressure)
This fully customisable measurement on both arms at once offers between 2 and 10 readings per sequence.
Full integration with your EHR
The usefulness of the MESI mTABLET BP goes beyond assessing BP. Combined with easy access to all other medical data for a specific patient, this enables the physician a more comprehensive evaluation of a patient’s cardiovascular fitness and the need for possible treatment or referral to a specialist.
Easy expansion of diagnostic functionalities
Every MESI mTABLET BP comes with the MESI mTABLET diagnostic measurement system. This enables you to expand the BP solutions with many other diagnostic modules (ECG, spirometry, oximetry, ABI, TBI) on one device. All the results are instantly saved and readily accessible to be accessed as well as sent for a second opinion. In the latter case, the patient data is anonymised.
To conclude, blood pressure measurement is one of the most typical diagnostic procedures performed by every general practitioner as a part of a standard medical check-up as well as by cardiologists and other specialists for assessing a patient’s cardiovascular fitness. It can also become an instantly retrievable part of the variety of a patient’s medical history in one location – saved in their EHR and available on the MESI mTABLET BP, which offers seamless sharing of data between healthcare professionals.
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