Ambulatory Blood Pressure Monitoring (ABPM)

ABPM measures blood pressure (BP) over 24 hours, providing valuable insights into BP patterns.

Why ABPM?:

  1. Diagnose hypertension.
  2. Monitor BP variability.
  3. Identify masked hypertension.
  4. Assess white-coat hypertension.
  5. Optimize treatment plans.

How ABPM works:

  1. Small, portable device attached to arm.
  2. Automatically takes BP readings at set intervals (e.g., every 15-30 minutes).
  3. Records BP during daily activities and sleep.
  4. Data analyzed to provide 24-hour BP profile.

Types:

  1. 24-hour ABPM.
  2. Extended-wear ABPM (up to 7 days).
  3. Central ABPM (measures central aortic pressure).

Preparation:

Benefits:

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Results interpretation:

  1. 24-hour BP average.
  2. BP variability.
  3. Morning BP surge.
  4. Dipping status (normal, non-dipper, reverse dipper).
  5. Hypertension diagnosis and severity.

Clinical guidelines:

  1. American Heart Association (AHA).
  2. European Society of Hypertension (ESH).
  3. American College of Cardiology (ACC).

Contraindications:

  1. Severe arm injury.
  2. Active infection.
  3. Poor circulation.
  4. Pacemaker/implantable cardioverter-defibrillator (ICD).