Ambulatory blood pressure monitoring entails regular monitoring of blood pressure levels in the body at specific time intervals, usually ranging from 15 to 30 minutes). The process involves the monitoring of the blood pressure of the patient over a 24-hour period, while carrying out daily activities. A compact and lightweight automated monitoring system is connected to a cuff on the patient’s upper arm, which inflates when measuring blood pressure. It provides detailed information on how the blood pressure changes, correlating to the daily activities and sleeping patterns. Ambulatory blood pressure monitors are mainly used for indications such as white-coat hypertension, nocturnal hypertension, masked hypertension and episodic hypertension. It is also used to monitor patients at major risk of cardiovascular and cerebrovascular events linked to hypertension. They are also useful for titrating antihypertensive therapy, suspected or confirmed sleep apnea, and also for symptoms of orthostatic hypotension. As compared to in-clinic and home blood pressure monitoring, ambulatory monitoring devices can recognize abnormal variations in blood pressure that may be unnoticed during routine checkup.
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These devices are preferred over conventional blood pressuring techniques due to various features such as the following:
- Hassle free and continuous monitoring
- Lower chance of misdiagnosis
- More accurate blood pressure (BP) profile
The U.S. Preventive Services Task Force — an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services– approves of the diagnosis of hypertension with these devices, as they can continuously monitor blood pressure fluctuations. As reported by the World Heart Federation, 970 million people worldwide suffered from elevated blood pressure in 2015. Of this, around 330 million people suffered from hypertension in developed countries, while the remaining 640 million were in emerging economies. WHO also states hypertension as a major for premature death worldwide, with 1.56 billion people projected to be affected by the condition by 2025. This is mainly attributed to sedentary lifestyles and irregular food habits.
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Ambulatory Blood Pressure Monitors Market Taxonomy
On the basis of end user, the global market is classified into:
- Ambulatory Surgical Centers
- Diagnostic Centers
- Home Care Settings
The market is gaining significant traction due to rising prevalence rate of cardiovascular diseases. According to WHO, cardiovascular diseases led to around 17 million fatalities in 2015, of which 9.4 million deaths were caused by hypertension. Moreover, rise in obesity and depression amongst all age groups also increases prevalence of cardiovascular diseases, inadvertently creating a conducive environment for growth of the global ambulatory blood pressure monitors market. Furthermore, increase in geriatric population would fuel the growth of this market.
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High cost of the device and unfavorable reimbursement scenario restraining market growth
United Healthcare Services, Inc. states that ambulatory blood pressure monitors are only provided to those patients who suffers from suspected white coat hypertension. Reimbursement rates greatly vary on the basis of factors such as insurance company policies, contracted rates, and coding procedures for each region in the U.S.
Rapid emergence of local players in Asian economies, offering low cost devices is inhibiting growth of the global ambulatory blood pressure monitoring devices market.
North America, followed by Europe are the largest markets for ambulatory blood pressure monitors. Sedentary lifestyles, higher adoption rate of advanced medical devices and implementation of awareness programs regarding hypertension contributes towards the growth of this market in North America. According to National Center for Chronic Disease Prevention and Health Promotion various campaigns such as Million Hearts, Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) and Sodium Reduction in Communities Program (SRCP) were launched to minimize the mortality rate of the population due to hypertension, which in turn is expected to favor the growth of this market in the U.S. in the near future. The market in Europe and Asia- Pacific is also growing at a rapid pace due to rise in health concerns and rapid economic growth and increasing rate of cardiovascular diseases due to hypertension leading to deaths.
Major players in the global ambulatory blood pressure monitors market include:
- Welch Allyn, Inc.
- GE Healthcare
- Omron Healthcare Company, Ltd.
- Beijing Avantgarde Medical Equipment Company, Ltd.
- Schiller AG
- A&D Company, Ltd
- Microlife AG
- Spacelabs Healthcare, Inc.
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