Top flight footballer - cardiac arrest. Are we missing something?
Norman de Villiers ??(??????????) ?????????? ????????????
CEO Medi-stats. NHS Clinical Entrepreneur Empowering Pharmacists with Next-Gen Cardiovascular Tech ?? | Master Hypertension, pulse waves ?? & Enhance Patient Interaction
"Revolutionising Cardiovascular Health: The Untapped Potential of Haemodynamics"
In light of recent alarming incidents, such as Tom Lockyer's cardiac arrest in the Premier League and Christian Eriksen's at Euro 2020, the urgency to re-evaluate our approach to cardiovascular health is more pressing than ever. With startling statistics from Cardiac Risk in the Young? (CRY) revealing 12 young individuals in the UK succumb to sudden cardiac arrest weekly, it's time to ask: Are we effectively detecting cardiovascular risk and managing hypertension, a key risk factor?
Globally, less than 23% of hypertension cases are under control. This begs the question: What are we missing in our current health strategies?
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Enter the realm of haemodynamics. Blood pressure isn't just a number; it's a complex interplay of heart stroke volume, heart rate, and arterial resistance. Crucially, arterial stiffness and endothelium dysfunction significantly contribute to resistance, directly impacting blood pressure.
However, the current medical guidelines may not be addressing the full picture. Prof. Robert Phillips from the Faculty of Medicine, Queensland, Brisbane, highlights a startling gap in global hypertension guidelines: a lack of emphasis on haemodynamics, with some guidelines completely overlooking it. Yet, our mainstay medications such as ACE Inhibitors, ARBs, Calcium Channel Blockers and Beta Blockers directly influence these very haemodynamic properties.
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Here's where cutting-edge technology named pulse wave analysis comes into play. This innovative approach measures arterial stiffness and pulse pressure, providing a deeper understanding of how medications and lifestyle interventions such as variable pace exercise impact blood pressure at a haemodynamic level.
We invite you to explore this further in our enlightening video, which illustrates how arterial flexibility is pivotal to blood pressure regulation and overall heart health. It's time to embrace a more comprehensive approach to cardiovascular health, where haemodynamics plays a central role. In fact, it is impossible to treat hypertension optimally without considering how haemodynamics are affected.
Let's not just treat hypertension; let's understand and manage it more effectively with the insights that haemodynamics offers. Join us in this vital conversation and be part of the change in cardiovascular health management.
#HeartHealth #Haemodynamics #InnovationInHealthcare
Uscom BP+ Product Manager, Director at Health Systems Limited
1 年How is PWV impacted by changes in peripheral vasoconstriction? A very important question when considering devices that measure a PWV with a single cuff. If that means you must measure cfPWV with thigh cuff and tonometer, it is impractical to implement in general practice. This is before we start to discuss the problems with picking a standard way to estimate internal distance with an external surrogate (tape, calipers, height, ....) Using devices like Uscom BP+ are very practical to use in General Practice as they are simple to operate: apply upper arm cuff, press start. Then in under a minute get comprehensive measures and pulse pressure waveforms where you can see the difference in vascular state for people with similar upper-arm BP and make appropriate clinical choices. Then later measure and see the impact of the selected intervention and titrate dose as required.
Managing Director and Owner at MediMax Global UK Ltd
1 年Spot on...…. so why hasn't the mainstream hypertension societies like the BIHS, ESH, ISH and ASH focused on central BP? The ISH guidelines of 2020 don't even mention cBP. They refer to HMOD but this can only be related to the measurement of central BP and is not related to brachial BP. However, they do place emphasis of measuring PWV a very good surrogate of large artery stiffening. Most peculiar if there is a method like cBP for really optimising and reducing the burden of hypertension on the worlds population.