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Understanding Ambulatory Blood Pressure Monitoring: by Abhishek Jha Jr2
Understanding Ambulatory Blood Pressure Monitoring: by Abhishek Jha Jr2
• Keep the arm steady when the monitor inflates the cuff
• Make sure that the tubing does not become kinked
• When the monitor indicates that a BP measurement is
being taken (usually with a bleep), if possible sit down
and keep the arm steady at heart level (such as resting
on a table)
• Put the monitor under the pillow or beside you on the
bed at night
• Continue normal daily activities between
measurements
• Make sure to take your BP medication
• Do not shower, take a bath or swim
• If you are given a diary card enter your activity
and any symptoms at the time of BP
measurement
• Return the monitor after 24-hours
What the ABPM will show?
The ABPM data will be transferred from the monitor
to a computer, which will provide an analysis of all
the measurements taken over the 24-hour period.
These will include:
• Your average BP during the day and night
• Your average heart rate during the day and night
• The report may provide your average BP
during the first hour of measurement – the
white coat window
• The report may provide results of the ABPM
together with BP measurement s during the
day and night
• The report may also provide an analysis
showing a comparison of the latest ABPM
with previous ABPMs
Will a repeat ABPM be done?
• Hermida RC, Ayala DE, Mojon A, et al; Decreasing sleep-time blood pressure determined by ambulatory monitoring reduces
cardiovascular risk. J Am Coll Cardiol. 2011 Sep 6;58(11):1165-73. doi: 10.1016/j.jacc.2011.04.043.
• Ogedegbe G, Pickering T; Principles and techniques of blood pressure measurement. Cardiol Clin. 2010 Nov;28(4):571-86. doi:
10.1016/j.ccl.2010.07.006.
1. Bramlage P, Deutsch C, Kruger R, et al; Validation of the custo screen 400 ambulatory blood pressure-monitoring device
according to the European Society of Hypertension International Protocol revision 2010. Vasc Health Risk Manag. 2014 May
13;10:303-9. doi: 10.2147/VHRM.S63602. eCollection 2014.
2. Wexler R; Ambulatory blood pressure monitoring in primary care. South Med J. 2010 May;103(5):447-52.
3. Posokhov IN, Kulikova NN, Starchenkova IV, et al; The "Pulse Time Index of Norm" highly correlates with the left ventricular
mass index in patients with arterial hypertension. Vasc Health Risk Manag. 2014 Mar 19;10:139-44. doi:
10.2147/VHRM.S58351. eCollection 2014.
4. O'Brien E et al; European Society of Hypertension Position Paper on Ambulatory Blood Pressure Monitoring, Journal of
Hypertension 2013, 31:1731–1768
5. Hypertension: management of hypertension in adults in primary care; NICE Clinical Guideline (August 2011)
6. Ernst ME, Bergus GR; Ambulatory blood pressure monitoring. South Med J. 2003 Jun;96(6):563-8.
7. Haydar AA, Covic A, Jayawardene S, et al; Insights from ambulatory blood pressure monitoring: diagnosis of hypertension
and diurnal blood pressure in renal transplant recipients. Transplantation. 2004 Mar 27;77(6):849-53.
8. Fagard RH, Staessen JA, Thijs L, et al; Relationship between ambulatory blood pressure and follow-up clinic blood pressure
in elderly patients with systolic hypertension. J Hypertens. 2004 Jan;22(1):81-7.
9. Ambulatory blood pressure monitoring; British Heart Foundation, 2011
10. Asayama K, Thijs L, Brguljan-Hitij J, et al; Risk stratification by self-measured home blood pressure across categories of
conventional blood pressure: a participant-level meta-analysis. PLoS Med. 2014 Jan;11(1):e1001591. doi:
10.1371/journal.pmed.1001591. Epub 2014 Jan 21.
11. Mahabala C, Kamath P, Bhaskaran U, et al; Antihypertensive therapy: nocturnal dippers and nondippers. Do we treat them
differently? Vasc Health Risk Manag. 2013;9:125-33. doi: 10.2147/VHRM.S33515. Epub 2013 Mar 24.
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