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Advice from the BP Measurement Experts

5 Factors That Can Affect Your Pet’s Blood Pressure Readings

Female Vet with Cat

A blood pressure check is one of the first procedures done when you go to the doctor. So it should be no surprise that your veterinarian will likely check your pet’s blood pressure, too!

It is becoming more and more common for vets to regularly check blood pressure at every checkup. However, many pet owners do not realize that their pet’s blood pressure is constantly changing in response to many factors. Being aware of these factors and ensuring that your pet is comfortable in its environment will help the vet to get the most accurate blood pressure reading. Here is a list of 5 factors that may cause significant changes in your pet’s blood pressure:

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10 Ways to Reduce Your Blood Pressure without Medication

Dr pointing to a chalkboard with the text that reads Healthy Living

According to the Centers for Disease Control and Prevention (CDC), nearly 70 million American adults have high blood pressure—that’s 1 in every 3 adults. More alarming is that only about half (52%) of people with high blood pressure have their condition under control.

With those overwhelming numbers, it goes without saying that raising awareness about how to reduce hypertension – with or without medication – is critical.

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NIH Ends Sprint Study Early Stating Lower Blood Pressure Is Better

Heart Icon with an arrow leaning towards the high blood pressure side

How Low Should Blood Pressure Go?

When it comes to blood pressure guidelines, it’s a question cardiologists have puzzled over for years – just how low should blood pressure go? Well, according to articles released by nearly every major news outlet, including The New York Times, US News & World Report, FOX News and NBC News, federal health officials have declared they have “potentially lifesaving information” as a result of a recent major study – one that they are ending a year early because it has already conclusively answered this question.

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Letting the Dust Settle on New Hypertension Guidelines

Female Nurse Drawing Heartline

The April 2015 edition of Cardiology Today includes an interesting article – “New Hypertension Recommendations Anticipated in 2016” - stating that the American Heart Association (AHA) and the American College of Cardiology (ACC), in collaboration with nine other medical societies, will be releasing new hypertension guidelines that will serve as an update to those released by the Seventh Joint National Committee (JNC 7) in 2003.

But, wait…weren’t updated guidelines already published back in 2013? As a matter of fact, they were!

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The Role of ABPM in Diagnosing Hypertension

Mature Man being consulted by a Physician

The US Preventive Services Task Force (USPSTF) Weighs In

According to the Centers for Disease Control and Prevention, 67 million American adults (31%) have high blood pressure – that’s 1 out of every 3 adults. Depending upon the severity of the condition, typically diagnosed by in-office BP measurements, blood pressure medication and/or lifestyle modifications may be prescribed.

Although in-office BP measurements are typically used to diagnose hypertension, several studies have shown that other diagnostic options are far more reliable - specifically, the use of a 24-hour, ambulatory blood pressure monitoring device (ABPM).

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Do I REALLY Need Treatment for Hypertension?

Picture of a various pills forming the shape of a question mark.

Were You Properly Diagnosed?

A vast amount of physicians are diagnosing hypertension without properly assessing a patient’s blood pressure during the course of a 24-hour period using Ambulatory Blood Pressure Monitoring. Simply put, ABPM provides valuable diagnostic information that in-clinic and home blood pressure monitoring systems are incapable of measuring including:

  • BP variability and a more accurate estimation of true blood pressure
  • Overnight changes in blood pressure (dipper status)
  • Morning surges in blood pressure
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Does My Pet Have High Blood Pressure?

Picture of a Golden Retreiver with Owner in a Park

Believe it or not, your pet can have high blood pressure too! That being said, the significance of this is a bit different than it would be for you and me. Hypertension in cats and dogs is almost always secondary, which means it is caused by an underlying condition or disease. Because secondary hypertension is a signal that something else is wrong, blood pressure screening is a great way to discover other health issues in your pet such as acute kidney disease or hyperthyroidism. BP screening can help to prevent serious organ damage if a condition or disease is caught in its early stages.

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JNC 8 BP Guidelines: To Treat or Not to Treat Hypertension?

JNC 8 BP Guidelines: To Treat or Not to Treat Hypertension?

As word gets out about the controversial blood pressure guideline changes published by the Eighth Joint National Committee (JNC 8), the big question for clinicians is “what impact does this have on how we treat patients?” Fortunately, Duke University researchers are looking into this for you. An April 2014 JAMA analysis states that almost 6 million Americans currently taking BP medications might be able to throw them away based on new guidelines and another 13.5 million previously-diagnosed patients with uncontrolled hypertension now meet healthy blood pressure benchmarks.

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Guidelines Galore

ASH ISH release new GuidelinesIn previous blogs, we have talked about the publication of new guidelines related to the treatment of hypertension such as the ESH/ESC Guidelines for the Management of Arterial Hypertension (available here). At the end of 2013, two additional guidelines were published; one from the Eighth Joint National Committee (JNC 8) and the other as a result of a joint effort by the American Society of Hypertension (ISH).

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Pay-For-Performance Achieves Better Hypertension Control?

Pay-For-Performanc Achieves Better Hypertension Control?As the Affordable Care Act becomes more established here in the US, one of the many new initiatives it brings to bear is pay-for-performance. Pay-for-performance is an incentive that encourages physicians to deliver a higher quality of care, as opposed to a reimbursement model that drives more tests and procedures. While similar to the system the National Health Service (NHS) has had in the UK for several years now, there is much debate over whether this method will improve the healthcare situation in the US. One group of researchers recently tested the pay-for-performance model by using the rate of hypertension control as their quality metric.

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ABPM Makes a Lot of Cents

ABPM ReimbursementAmbulatory Blood Pressure Monitoring (ABPM) is a commonly-used tool for the identification and treatment of hypertension with a variety of clinical applications including identification of white-coat hypertension, diagnosis of masked hypertension, monitoring the efficacy of anti-hypertensive treatment, and identification of resistant hypertension. One common question from both those preparing to implement ABPM in their practice, and current ABPM users alike, is whether or not it is a reimbursable procedure.

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World’s Leading ABPM Experts Publish Position Paper

ESH logoJust two months ago the European Society of Hypertension (ESH) released its new guidelines for the management and treatment of arterial hypertension at its annual meeting. ESH remains active in publishing guidance documents and has now released its latest position paper. The topic is Ambulatory Blood Pressure Monitoring (ABPM).

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Central BP Measurement Takes Center Stage at ESH 2013

AtCor Medical SphygmoCor XCEL

Latest trends in blood pressure measurement technique have shifted to central blood pressure (CBP) and understanding its affect on us. This topic was prevalent at the recent European Society of Hypertension (ESH) meeting in Milan, especially with regards to understanding how CBP can be used in the future to guide clinical cardiovascular treatment. CBP is your aortic blood pressure near the heart and can be obtained both invasively and noninvasively. The invasive process involves inserting a pressure sensor into the aorta, which is not very desirable especially when reliable noninvasive products exist today.

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Meaningful Use Incentives Becoming Less Meaningful

Healthcare providers are frustrated with EMRIs it just me, or are healthcare providers becoming increasingly fed up with all of the new, fancy-schmancy healthcare IT 'solutions' that seem to be proliferating faster than ever before? Meaningful Use incentives have been the catalyst for the adoption of electronic medical records at an unprecedented rate, but some clinicians, administrators, and facility managers are beginning to question the value of what they've bought into as they struggle to electronically capture patient information—things like blood pressure, temperature, exam results, and other vitals.

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Get Out of the Office for Better BP Measurement

Out of Office BPThough we state it often, we at SunTech Medical aren't the only ones touting the utility of monitoring BP outside of a clinical setting. A recent article published by a northeastern regional news website advocates for the use of home BP (HBPM) and ambulatory BP monitoring (ABPM) to diagnose and monitor hypertension. An estimated 50% of patients experience either white coat hypertension or masked hypertension. Therefore, as Dr. David Landers is quoted in the article, "'One blood pressure reading in the office is not useful. What you need is more data points.'"

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ESH Releases New Guidelines on Hypertension and BP Measurement

ESH and ESC Guidelines 2013This year marked the 23rd scientific meeting of the European Society of Hypertension (ESH) on "Hypertension and Cardiovascular Protection". While the ESH annual meeting is always filled with the latest in hypertension research, this year's highlight was the presentation of the newest edition of the ESH/ESC (European Society of Cardiology) Guidelines for the management of arterial hypertension.

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ABPM Could Be Exactly What The Patient Needs

ABPM Can Catch Overnight DippingThe above title is how author Craig Bowron, MD capped off his recent article “Traditional blood-pressure cuffs not that reliable.” As I was reading the article, I was pleased to see how successful the 15-physician clinic in Minneapolis had been with implementing an Ambulatory Blood Pressure Monitoring (ABPM) program to identify, diagnose and manage their hypertensive patients. One physician was quoted as saying “It’s been breathtaking to see how much difference there can be between office blood pressure readings and what we’ve found with ambulatory [ABP] monitoring”. The practice was able to  lower or end treatment on 13% of their patients after ABPM testing revealed that they were being over-treated. Conversely, 18% had their medication added or increased as their ABPM results showed they were under-treated.

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Beet High Blood Pressure

 beetrootjuiceMy mother was recently diagnosed with high Blood Pressure (BP). She talked to her doctor about the best ways to help control her high BP. The doctor prescribed a blood pressure medication and recommended she should eat more fruits and vegetables in addition to adding 30 minutes of exercise to her daily routine.

I was happy that the doctor recommended a healthy lifestyle to her in addition to the medication. I wouldn't call myself a health nut, maybe an enthusiast – which is why I liked the idea of alternatives for her. Recently, I read a study in the American Heart Association journal Hypertension, about how drinking a cup (250ml) of beetroot juice a day could help lower High BP.

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May 17th is World Hypertension Day

World Hypertension DayEach year, the World Hypertension League designates May 17th as World Hypertension Day. With over 1.5 billion worldwide suffering from hypertension (high blood pressure), we at SunTech Medical would like to do our share to draw attention to this single biggest risk factor for death linked to heart disease, stroke, kidney disease and diabetes. For more information on World Hypertension Day and tips on prevention and treatment of Hypertension, you can visit the World Hypertension League website and download the World Hypertension Day brochure today.

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World Health Organization Releases 2013 Global Brief on Hypertension

Diagnosing Hypertension

On April 7th, the World Health Organization (WHO) celebrated their annual World Health Day in order to draw international attention to important global health issues. Each year, the WHO highlights a different global health concern and, and we found it noteworthy that the focus of this year is controlling high blood pressure.

 

As part of their efforts, the WHO released a new publication, “A Global Brief on Hypertension” (link below), which is now available as a free download at the official WHO website. The brief describes how hypertension is contributing to the growing burden of heart disease, stroke and kidney failure and premature death and disability. The WHO authors explain how hypertension is both preventable and treatable and provides guidance on how governments, health workers, civil society, the private sector and individuals can reduce hypertension and its impact.

 

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