Key result
European Community project outlines preliminary agreements for ambulatory ECG recording and hypertensive data collection.
Why the study?
The role and effectiveness of ambulatory monitoring instruments are controversial despite their rapid diffusion and increasing cost in the European Community.
This report outlines a European Community initiative to standardize and evaluate ambulatory ECG and blood pressure monitoring.
Supports standardized ambulatory ECG/BP protocols in hypertension; leaves open prospective validation of clinical impact.
The diffusion of instruments for ambulatory monitoring is rapidly expanding and the related cost to the European Community is increasing, while their role and their effectiveness are still controversial. The Biomedical Engineering Group, belonging to the Committee for Medical Research of the European Community, has approved a project for the co-ordination of the research ('concerted action') in the field of ambulatory monitoring, to tackle the problem. The project, directed by a Project Management Group, following some meetings of experts being organized to identify high-priority goals, has been aimed at promoting common efforts in two specific fields: evaluation of the quality of ECG ambulatory monitoring analysers, by means of a standard reference, and assessment of the performance of non-invasive techniques for arterial blood pressure ambulatory monitoring. In its first six months (July-December 1985) the project has produced: (1) a preliminary agreement about ECG recording and an annotation scheme, to be definitely adopted, after a pilot experiment, by June 1986; (2) a protocol for hypertensive patient characterization and data collection, to be initiated by September 1986.
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Carlo Marchesi (1986) studied Hypertension / Ambulatory monitoring. Concerted action on ambulatory monitoring was evaluated. The European Community concerted action project on ambulatory monitoring produced a preliminary agreement for ECG recording and a protocol for hypertensive patient data collection.
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