TeleMRPA

TeleMRPA was conceived considering the enormous number of hypertensive patients in Brazil (estimated at more than 40 million), the high frequency of diagnostic errors inherent to the in-office measurement and the need for outside monitoring, according to Brazilian and international guidelines.

The method was developed for large-scale application, so it should be simple, well tolerated by the patient, with an agile report, and as important as it was low cost, so that it could be applied even by public network, in order to adequately assist the entire hypertensive population in Brazil, reducing their morbidity and mortality.

How it works

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1. Clinic

The first measurements are taken. Shortly thereafter, the patient receives MRPA equipment (validated, calibrated, and memory as recommended by the MRPA Guidelines) and is instructed (or accompanying) with the protocol recommended by DBMRPA (Brazilian Guideline for Residential Blood Pressure Monitoring).

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2. Home Measurements

Measures are carried out at home over 4 days. The equipment is then returned to the clinic or to the Basic Family Health Unit. Patient data and measurements stored in equipment memory power our platform.

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3. Report Generation

Immediately the tables and graphs are made available on the online platform as a PDF document for patients and doctors. With the knowledge of blood pressure averages, it is possible to evaluate adequately the diagnosis and treatment of hypertension.

Arterial Hypertension

Hypertension is the most prevalent disease in Brazil. According to the Vigitel Study of the Ministry of Health, released in 2017, slightly more than 25% of Brazilian adults declared to have a medical diagnosis of hypertension. Prevalence increases with age, ranging from 4% in individuals aged 18-24 years to 64% in those aged 65 years or older.

These numbers alone are frightening, but we know that a significant percentage of hypertensive people do not know they are carriers of the disease.

Cardiovascular diseases are the main cause of death and hospitalization in Brazil and in the world, especially myocardial infarction, stroke, heart failure, chronic kidney disease, aneurysms, etc.
Hypertension is the main risk factor for all these cardiovascular diseases.
In addition, hypertension is also a frequent direct cause of death, hospital admissions and visits to emergency services due to high blood pressure attacks.
Silently, over time, high blood pressure damages the arterial vessels by compromising noble organs such as the brain, kidneys, and heart.
The diagnosis of hypertension is very simple and is done by measuring blood pressure. Gradually, automatic equipment has started to be recommended, to the detriment of classic aneroids. According to the recommendations of the Brazilian and international guidelines, calibrated and validated equipment must be used and the correct technique applied in all evaluations.
Despite this, the in-office measurement has some problems due to the moment and the environment that we carry out the procedure. If the blood pressure measurement is imprecise, the evaluation for the diagnosis and treatment of hypertension will be useless.
They may occur even if all the technical recommendations for the measurement are applied.
More than one-third of patients have higher blood pressure in the health service than in their daily lives, characterizing the effect of the white coat (hypertension seems more severe than it is) or white coat hypertension, when blood pressure is high only in the office and the patient is not actually hypertensive.
In these cases, misdiagnosis leads to unnecessary or more intense treatment than necessary, leading to costs and severe complications associated with hypotension.
On the other hand, many patients present a masking effect, or also called 'white coat normotension' where the pressure is better in the health setting than in the day-to-day or normal in the office and high outside the office, characterizing masked hypertension.
In this case, the patient is inadequately subtracted or simply untreated, being at high risk for the complications of hypertension. It is critical that the patient receives the pressure medication under control throughout the day.
Healthy living habits should be implemented for all hypertensive patients, avoiding sedentary lifestyle, obesity, excessive salt or alcohol. These measures are also important for the primary prevention of hypertension.
The use of medications is mandatory for a large number of patients. Fortunately today we have availability of an excellent therapeutic arsenal.
Pressure control goals have become more rigid over time and may vary according to individual characteristics. For this it is fundamental that the measurement of the pressure is very precise.

Start now

Increase the accuracy of your diagnosis and take better care of your patients. Start using TeleMRPA now in your day-to-day practice.

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