Mary Mediatrix Medical Center- Cardiovascular Department Update:
“The New Practice Guidelines in the Diagnosis and Management of Hypertension: The Use of Ambulatory Blood Pressure Monitoring Device”
By: Norberto R. Layog Jr., PTRP
Hypertension is one of the most important causes of premature deaths worldwide and the problem is growing. In 2025, an estimated 1.56 billion adults will be living with hypertension, according to WHO Regional Office for South East Asia (2012). It is also the leading cause of cardiovascular disease worldwide. In fact, high blood pressure is called the “silent killer” because it often has no warning signs or symptoms. Many people do not realize they have it — that is why it’s important to get your blood pressure checked regularly.
With its commitment in providing the best possible medical care to our patients in the region, MMMC- Cardiovascular Unit has launched a new service modality that will help our cardiologists and physicians collect 24-hour blood pressure measurements. In-clinic or home blood pressure measurements are not representative of blood pressure readings throughout the 24-hour day. Several studies have shown that ambulatory blood pressure monitoring, when compared to clinic or home blood pressure measurements, is superior in predicting target organ damage, morbid events, or cardiovascular risk.
MMMC- Cardiovascular Unit has acquired this new machine called the Sun Tech Oscar 2 ABPM System with AccuWin Pro software and the Orbit Cuff. It is now widely used by top hospitals in Manila as recommended by the American Heart Association and the European Society of Hypertension as part of the evaluation and management of hypertension. The data obtained from Sun Tech ambulatory blood pressure monitor are highly accurate and useful for managing a wide variety of hypertensive situations, including:
⁃ White-coat hypertension (patient’s BP is elevated during a clinic visit due to nervousness and anxiety caused by being in a clinical setting).
⁃ Resistant hypertension (uncontrolled hypertension despite 3 or more antihypertensive agents).
⁃ Masked hypertension (BP is normal in office but elevated at home).
⁃ Childhood hypertension
⁃ Efficacy of anti-hypertensive drug therapy on a 24-hour basis
⁃ Nocturnal hypertension (BP is measured higher during sleep compared to when the patient is awake).
⁃ Episodic hypertension and/ or anxiety disorders
⁃ Hypotensive symptoms
⁃ Changes in diet and daily routine designed to reduce hypertension
⁃ Hypertension in pregnancy
With the acquisition of this state-of-the-art monitoring device, MMMC physicians can now use these measurements to help them determine treatment options in managing hypertension. So we invite you to take advantage of this new service and visit us at MMMC- Cardiovascular Unit (Heart Station). For further inquiries you may call us at 773-6800 local 1148.