• National Institute for Health and Care Excellence (NICE) recommends that if a clinic blood pressure (BP) is 140/90 mm Hg or higher, ABPM should be used to confirm the diagnosis of hypertension.
• Poorly controlled hypertension (eg, suspected drug resistance, or inadequate dosing or medication).
• Patients who develop hypertension during pregnancy.
• High-risk patients – eg, those with diabetes; high cholesterol.
• Suspicion of white coat hypertension – high blood pressure readings in clinic which are normal at home.
• Masked hypertension – high blood pressure at home or work, but normal in the clinic (diabetics; smokers; high cholesterol patients; high glucose patients are at risk of this form).
• Postural hypertension – increase in blood pressure when patient stands up.

• You may be asked to wear a holter monitor to see if you have a slow, fast or irregular (uneven) heartbeat.
• Or your doctor may use it to see how well your medications are working to treat these problems
• It will help you and your doctor decide if you need more tests or medicines for our heart, or if you need a pacemaker or cardioversion procedure to restore a regular heart rhythm.
• Can show your doctors why you are having symptoms such as dizziness, faithness or the feeling that your heart is racing or skipping a beat (palpitations).
• Doctor may want to see if your heart is getting enough oxygen to meet its needs.

• Smoker with symptoms.
• Shortness of breath.
• Shortness of breath during exercise or other physical exertion.
• Chronic cough (> 8 weeks).
• Frequent colds.
• Allergic rhinitis.
• Known or possible asthma.
• Known or possible bronchitis.
• Known or possible COPD.
• Wheezing
• Exposure to environmental air pollution (very common in Manila).

Early diagnosis of PAD in primary healthcare is crucial.

70% of patients with PAD experience no symptoms and are not diagnosed.

Cardiology associations recommend Ankle-Brachial Index screening on complete PAD risk group for early detection of the disease.

Ankle-Brachial Index (ABI) is a very simple comparison of blood pressures in legs and arms. It is non-invasive and painless. With MESI ABPI MD the procedure becomes reliable, objective and even possible to be performed as screening in first-contact healthcare. ABI screening is incredibly important for at least two reasons

• It is a reliable predictor of occlusion of lower extremity arteries – PAD. Detection of PAD is even more important when we know, that over 70% of population is not aware of the occlusions at all.
• Because of high correspondence of PAD with Coronary Artery Disease (CAD) and Cerebrovascular Disease (CVD), patients diagnosed with PAD have a great chance of early diagnosis of CAD and CVD as well.

Compared to the handheld Doppler probe, MESI ABPI MD performs an automated ABI measurement. Innovative technology enables the device to provide accurate and objective results, based on which the physicians can diagnose Peripheral Arterial Disease with great confidence.

Advanced error detection system

Smart software prevents false results even in the case of critical ischemia or medial calcinosis, and gives physicians all the confidence they need.

Unique algorithm for ankle blood pressure calculation

It is not possible to measure blood pressure in ankles with a brachial blood pressure device. Therefore our algorithm is different, developed with human ankle anatomy in mind.

Cuff based technology

Plethismograpy sensors detect the smallest changes in volume. Ease-of-use excludes the possibility of human error as well as there is no need for additional training

Simultaneous measurement

Because blood pressure is constantly changing, simultaneous measurement is crucial to avoid error from blood pressure drift.

Unique error detection without false results

Thanks to a unique error detection system, MESI ABPI MD will alert the operator of any irregularities, which have occurred during the measurement process. If the cuffs have been poorly placed or if the patient has been moving during the measurement, the error message will be displayed on the screen.

Reliable even in the case of critical ischemia and medial calcinosis

It is crucial to provide a reliable measurement also when examining a patient with severe PAD.
Our improved plethysmographic sensors detect critical ischemia and medial calcinosis even when pressure oscillations are not available due to heavy occlusion. Every measurement with MESI ABPI MD provides sufficient information for further actions.

While performing the measurement on a patient with severe PAD, it is possible that no pulse is detected. The obstruction of the artery is heavy, resulting in weak blood flow after the obstruction. The pressure is supressed and the difference between systolic and diastolic pressure vanishes.

PAD increases the risk of heart attack or stroke!

Elimination of blood pressure drift error

It is crucial to eliminate the delay between separate measurements on each extremity to achive maximum ABI accuracy. MESI ABPI MD conducts simultaneous blood pressure measurements on all extremities.

Cuffs are essential for the ABI measurement

Conical shape of the cuffs provides perfect fitting to patient’s extremities, providing the best accuracy. Different colours indicate where to place each cuff. The red cuff should be positioned on the upper arm, green on the right and yellow on the left ankle. Each cuff is clearly labelled and includes a diagram to ensure correct placement. No training is needed as comprehensive guidelines are provided. Cuffs are available in medium and large sizes.

Low ABI indicates the narrowed arteries and reliably predicts PAD.

2 in 1 : ABI and BP measurements

Expertly developed MESI ABPI MD enables two measurement modes:

• Simultaneous measurement of left ABI, right ABI, brachial pressure and heart rate.
• Stand-alone measurement of brachial blood pressure and heart rate.

Stand supplements MESI ABPI MD

The place for MESI ABPI MD is next to the examination bed. A stand with magnetic base has been designed to hold both – the device and the cuffs. The stand enables the device to be easily portable and significantly helps with the durability of the device and the cuffs respectively.

Long lasting battery for maximum portability During the measurement, patient needs to be lying down. Examination beds are not always next to the electrical sockets, which is why MESI ABPI MD is equipped with a long lasting rechargeable battery.

Save ABI measurement with MESIresults

MESIresults application comes free with the device. MESI ABPI MD can be connected to a computer to provide an electronic copy or a printout of the ABI result. MESIresults also enables information such as name, address and logo of the healthcare institution to be imported into every measurement report.

ABI should be measured in primary healthcare as a standard method of diagnosing and monitoring PAD.

Simple ABI measurement procedure

Added value of MESI ABPI MD