Davis-Jewish General Hospital Hypertension and Vascular Research Unit, Lady Davis Institute for Medical Research Distinguished James McGill Professor and Associate Chair, Department of Medicine, McGill University Editor-in-Chief, The American Journal of Hypertension Past President, Hypertension Canada Former President, International Society of Hypertension Dr. [...] Janusz Kaczorowski, PhD Professor and Research Director Docteur Sadok Besrour Chair in Family Medicine GSK Chair in Optimal Management of Chronic Disease CIHR-ICRH/Heart & Stroke/Hypertension Canada Chair in prevention and control of hypertension Department of Family and Emergency Medicine University of Montreal and University of Montreal Hospital Research Centre (CRCHUM) Validated Blood Pressure. [...] Tsuyuki, BSc(Pharm), PharmD, MSc, FCSHP, FACC, FCAHS, ISHF Professor and Chair, Department of Pharmacology, University of Alberta Professor of Medicine (Cardiology), University of Alberta Director, EPICORE Centre, University of Alberta Editor-in-Chief, Canadian Pharmacists Journal Current President, Hypertension Canada Dr. [...] Jesse Bittman, MD, FRCPC Clinical Assistant Professor, University of British Columbia Clinical Hypertension Specialist, Revolution Medical Clinic Certified Hypertension Specialist, American Society of Hypertension Dr. [...] Jake Ornot, MD, FRCPC Charter Member, Canadian Hypertension Society Charter Member, American Society of Hypertension Former Member, International Society of Hypertension Former Chairman, Editorial Board of Hypertension Canada Dr.
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- Pages
- 12
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- Canada
Table of Contents
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 2 2
- 1 INTRODUCTION TO HYPERTENSION HIGH BLOOD PRESSURE 2
- Canadians have hypertension 22 of individuals aged 20-79 2
- Hypertension is IMPORTANT. 2
- Leading cause of cardiovascular mortality Leading cause of heart attacks and stroke 2 largest cause for chronic kidney disease 2
- Hypertension is COMMON. 2
- Hypertension is UNDER MANAGED. 2
- 2008-2011 2
- The percentage of hypertensive individuals on treatment has unfortunately declined. 2
- 2016-2019 2
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 3 3
- 2 BLOOD PRESSURE MEASUREMENT 3
- The two types of out of-office blood pressure tests are ambulatory blood pressure monitor and home blood pressure monitoring. 3
- Blood pressure in a physicians office or hospital can be INACCURATE. 3
- Out-of-office blood pressure measurement is therefore ESSENTIAL. 3
- Preferred DIAGNOSTIC test Ambulatory Blood Pressure Monitor 3
- Preferred MONITORING test Home Blood Pressure Monitoring 3
- Of patients with hypertension have White Coat Hypertension inappropriately high BP in office. 3
- White coat hypertension may result in unnecessary overtreatment. 3
- Of patients with hypertension have Masked Hypertension inappropriately low BP in office. 3
- Masked hypertension may result in missed diagnosis and under-treatment. 3
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 4 4
- 3 FINANCIAL BARRIERS TO HOME BLOOD PRESSURE MONITORING 4
- Is the typical cost of a home blood pressure monitor Is paid out-of-pocket in Canada Is paid without government reimbursement because it 4
- Is not eligible for a tax benefit i.e. deduction or credit 4
- Why is there no tax benefit for home blood pressure monitors 4
- What is the downside of the CRA not listing blood pressure monitors as a medical expense 4
- Is it different in the United States 4
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 5 5
- 4 OUR PROPOSAL POSITION STATEMENT 5
- We are a team of Hypertension specialists from various Canadian institutions and organizations. The full list of sponsors is below. 5
- Who are we 5
- Why 5
- What is our position 5
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 6 6
- REFERENCES 6
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 7 7
- INSTITUTIONAL SIGNATORIES OF THIS POSITION STATEMENT 7
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 8 8
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 9 9
- INDIVIDUAL SIGNATORIES OF THIS POSITION STATEMENT 9
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 10 10
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 11 11
- Validated Blood Pressure Monitors The case to be included as a medical expense Pg. 12 12
