About ABPM
When to use a 24 hour blood pressure monitor: clinical indications
Ambulatory blood pressure measurement provides significant number of seperate measurements over a specific time, usually 24 or 48 hours. These results can be analyzed with the aid of different formulas and this can be summarized in 24 hour blood pressure portfolio. Although in practice, it is still the average daytime and night-time Holter blood pressure which is used to make treatment decisions, there are many other aspects and data which can lead to get a better specification of treatment.
Ambulatory blood pressure measurement aids:
- in exploring suspected white coat hypertension
- in identifying type 1 diabetes hypertension
- in exploring resistant hypertension
- in case of elderly patients and their hypertension treatment
- in diagnosing nocturnal hypertension
- as a guide to antihypertensive drug treatment
- in diagnosing and treating hypertension of pregnancy
- in exploring autonomic failure
- in diagnosing hypotension
Contraindications:
- Non-cooperative patients, unconscious or otherwise incapable patients
- Patients requiring urgency / emergency cardiac care
- Patients with coagulation disturbances
- Patients with serious mobility or other impairments without supervision
- Children without supervision; children younger than 8 years
- Though the blood pressure measurement algorithm used in ABPM-05 has been found to function properly on patients with atrial fibrillation or other common arrhythmias, the oscillometric blood pressure measurement method is generally recommended for use only with special caution in patients with arrhythmias, Parkinson's disease, or other diseases with tremor
