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Aktuelle Kardiologie 2016; 5(02): 112-118
DOI: 10.1055/s-0042-102306
Übersichtsarbeit
Georg Thieme Verlag KG Stuttgart · New York

Blutdruck-Telemonitoring-unterstützte antihypertensive Therapie

Erfahrungen mit MART (Münchener Arterielle Hypertonie Register Telemedizin)Blood Pressure Telemonitoring Guided Antihypertensive TherapyExperiences with MART (Munich Arterial Hypertension Register Telemedicine)
M. Middeke
Hypertoniezentrum München, Hypertension Excellence Centre of the European Society of Hypertension (ESH), Herzzentrum Alter Hof München
,
G. Eisele
Hypertoniezentrum München, Hypertension Excellence Centre of the European Society of Hypertension (ESH), Herzzentrum Alter Hof München
,
F. Goss
Hypertoniezentrum München, Hypertension Excellence Centre of the European Society of Hypertension (ESH), Herzzentrum Alter Hof München
,
L. Nelböck-Huber
Hypertoniezentrum München, Hypertension Excellence Centre of the European Society of Hypertension (ESH), Herzzentrum Alter Hof München
› Author Affiliations
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Publication History

Publication Date:
21 April 2016 (online)

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Zusammenfassung

Blutdruck-Telemonitoring der selbst gemessenen Werte in der Häuslichkeit bzw. im Alltag ist geeignet, die Therapiesteuerung mittels moderner Kommunikationssysteme (Telemedizin) zu erleichtern und die Blutdruckeinstellung zu verbessern. Im Münchener Register (MART) werden Patienten mit verschiedenen Hochdruckformen und therapeutischen Problemen prospektiv dokumentiert und ausgewertet. Das Telemonitoring erfolgt täglich über den individuell notwendigen Zeitraum mit dem Stabil-O-Graph (I. E. M. GmbH, Deutschland). Bisher sind 102 Patienten (23–92 Jahre, Durchschnittsalter 56 Jahre, 65 % Frauen) im Register erfasst: 38 mit unkontrollierter Hypertonie einschließlich Patienten nach erfolgloser renaler Denervierung, 24 Patienten mit komplexer Medikamentenumstellung, 17 mit hypertensiver Krise bzw. Notfall, 13 Patientinnen mit Hypertonie in der Schwangerschaft und 10 übertherapierte Patienten zur Überwachung eines kontrollierten Auslassversuchs insbesondere nach Beendigung einer Betablockade. Das Telemonitoring wurde von 1 Woche bis über 2 Jahre durchgeführt, entsprechend den individuellen Notwendigkeiten. Telemonitoring von Blutdruck und Puls aus der Häuslichkeit ist ein sehr gut geeignetes Verfahren, um die Therapiesteuerung bei verschiedenen Hochdruckformen und therapeutischen Problemen zu verbessern, und hat eine hohe Akzeptanz seitens der Patienten.

Abstract

Telemonitoring of home blood pressure to guide antihypertensive therapy via modern communication systems (telemedicine) can improve hypertension treatment and control of blood pressure. A monocentric open prospective register evaluating telemedicine in hypertensive patients with various hypertensive disorders and therapeutic problems in ambulatory blood pressure management. Home based blood pressure telemonitoring (HBPT) is performed daily with the Stabil-O-Graph BP monitor of I. E. M. Ltd. Corporation (I. E. M. GmbH, Germany). 102 patients (23–92 years, mean age 56 years, 65 % women) have been allocated so far with various forms of hypertensive problems comprising 38 patients with uncontrolled resistent hypertension including patients after unsuccessful renal denervation, 24 with complex medical changes, 17 with hypertensive crisis/emergencies, 13 with hypertension in pregnancy, and 10 overtreated patients to switch off medication, especially betablockade. Blood pressure monitoring lasted from 1 week to 2 years depending on the individual needs. HBPT is a very suitable tool with high acceptance from the patientʼs side. It helps improving blood pressure control in a variety of hypertensive disorders and therapeutic problems. Guidance of antihypertensive therapy and blood pressure control based on HBPT can significantly be improved under home/every day conditions without the patient visiting the office.

Schlüsselwörter

Telemedizin - Hypertonie - Telemonitoring

Key words

telemedicine - hypertension - blood pressure telemonitoring
 

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