SunTech Oscar2 - Introduction to Ambulatory Blood Pressure Monitoring

Introduction to Ambulatory Blood Pressure Monitoring
Ambulatory blood pressure monitoring is an accepted clinical tool for collecting
multiple blood pressure measurements. It better assists clinicians with the diagnosis
and management of hypertension by providing: blood pressure variability, an
estimation of true blood pressure, overnight changes in blood pressure, and morning
surge in blood pressure.
1
In-clinic and home blood pressure measurements cannot
provide the same depth of information that a 24-hour study provides. Several studies
have shown that ambulatory blood pressure monitoring, when compared to clinic or
home blood pressure measurements, is superior in predicting target organ damage,
morbid events, or cardiovascular risk.
1, 2, 3
The data obtained from ambulatory blood pressure monitors is highly accurate and
useful for managing a wide variety of hypertensive situations including:
• White-coathypertension
• Resistanthypertension
• Maskedhypertension
• Childhoodhypertension
• Efficacyofanti-hypertensivedrugtherapyona24-hourbasis
• Nocturnalhypertension
• Episodichypertensionand/oranxietydisorders
• Hypotensivesymptoms
• Changesindietanddailyroutinedesignedtoreducehypertension
• Hypertensioninpregnancy
1.Pickering,T.G.,Shimbo,D.,&Haas,D.(2006).AmbulatoryBlood-PressureMonitoring.New England Journal of Medicine, 354(22),
2368 – 2374.
2.Marchiando,R.J.&Elston,M.P.(2003).AutomatedAmbulatoryBloodPressureMonitoring:ClinicalUtilityintheFamilyPracticeSetting.
American Family Physician, 67(11), 2343 – 2350.
3.White,W.B.(1999).Ambulatorybloodpressureasapredictoroftargetorgandiseaseandoutcomesinthehypertensivepatient.
Blood Pressure Monitoring, 4(3), 181 – 184.
4