Dr. Holmberg is the pharmacy coordinator at Desert Vista Behavioral Health Center in Mesa, Arizona.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure defines hypertension as BP of ≥140/90 mm Hg (130/80 mm Hg for patients with diabetes). Treatment with antihypertensive medications has been associated with a decrease in the incidence of complications from hypertension, such as stroke, myocardial infarction, and heart failure. Prehypertension is defined as systolic BP between 120 and 139 mm Hg or diastolic BP between 80 and 89 mm Hg. Patients who are identified as having prehypertension require lifestyle modifications to prevent cardiovascular complications.2
Time of day may influence BP control goals and the potential for hypertension-related morbidity. Patients experiencing morning hypertension—a weekly average BP reading of over 135/85 mm Hg within 1 to 2 hours of waking up in the morning—may be at an increased risk for stroke, organ damage, and other cardiovascular events. Identifying morning hypertension may be challenging, as often the rise in BP may have subsided by the time the patient presents to their medical provider. Home monitoring can help to track early-morning trends, thus recognizing morning hypertension and optimizing its treatment.3
The Omron 1500PRO Ultra Premium Blood Pressure Monitor is promoted for its ease of use. It has a no-wrap automatic cuff that fits both regular and large arms that range from 9 to 17 inches in circumference. The no-wrap cuff offers quick and easy arm placement for the patient, and the monitor uses one-touch operation with a large digital display.
In addition to its straightforward design, the Omron 1500PRO offers additional technology to help patients monitor their cardiovascular health. The monitor uses Intellisense technology to maintain the proper amount of tension to ensure fast, accurate, and comfortable readings. The monitor can average up to 3 readings that are taken within 10 minutes of each other. In addition to routine BP monitoring, the 1500PRO can detect morning hypertension and irregularities in the heartbeat. The monitor can store memory settings for 2 users, up to a total of 200 measurements.
The Omron 1500PRO includes an AC adapter, CD-ROM, USB cable, instruction manual, quick guide, software installation guide, and warranty card. The product carries a 5-year warranty.4
In order to obtain an accurate home BP reading, it is important that the patient follows proper technique. The American Heart Association recommends the following:
Obtain readings at consistent times throughout the day as directed by a health care professional. For example, some professionals may wish to see morning and evening readings to assess BP control throughout the day.5
One study linked multiple pregnancies to an increased risk of developing atrial fibrillation later in life, and another investigated the association between premature delivery and cardiovascular disease.
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