[PP.27.19] MORE SPEED AND NOISE FOR HBPM ADHERENCE IMPROVEMENT: INFLATION VS DEFLATION TECHNOLOGY

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Abstract

Objective:

The most common automatic oscillometric devices, clinically validated, use the deflation technology to measure the blood pressure. However, we have the inflation technology too has most widely used in settings where the time factor is fundamental as in emergency.

Objective:

Aim of our study was to assess the degree of satisfaction from the use of inflation technology vs deflation for HBPM.

Design and method:

70 hypertensive patients were enrolled, 35 used to HBPM (group A) and 35 naive (group B).

Design and method:

All were subjected to pressure measurement in office without doctor presence in dedicated room and after training in the naive group with both devices inflation (ClearRapid Pic Solution) and deflation (Daily Check Pic Solution); everyone answered to a questionnaire in order to detect a difference between the two technologies.

Results:

Patients in group A had mean age 58.5 ± 3.53, 19 M 16F. Patients in group B had a mean age of 49.9 ± 9.69 20 M 15F.

Results:

Group A: PAS mean (139.5 ± 15.61) PAD mean (78 ± 9.13) with Inflation device (clearRapid Pic S).

Results:

Group B: PAS mean (140 ± 15.55), PAD mean (83 ± 9.75) with Inflation device (ClearRapid Pic S).

Results:

Group A: PAS mean (143 ± 17.56) PAD mean 84 ± 7.17 with Deflation device (DailyCheck Pic S).

Results:

Group. B: PAS mean (137 ± 18.16) PAD mean83.5 ± 10.41 with Deflation device (DailyCheck Pic S).

Results:

In group A the inflation device was faster and much more silent and certainly the measure was more comfortable.

Results:

In the group of subjects ’naïve’ the device at inflation was considered faster and quieter than other resulting overall much more acceptable than the other.

Conclusions:

new oscillometric devices to inflation as the ClearRapid can be proposed to the hypertensive population for HBPM with purpose to increase HBPM compliance, since the timing of measurement is significantly lower, as accurate and less troublesome than deflation technology. In fact, to measure blood pressure during cuff inflation is faster than during cuff deflation. This fact could increase the likelihood that patients repeat at home measuring more than once, as required by the Protocol ESH and helping us to better monitoring pressure load real. Enrollment is continuing.

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