Specialist Medicine Toowoomba
Ambulatory Blood Pressure Monitor (ABPM)
Blood pressure changes due to circumstances. Some patients’ blood pressure increases when visiting the Doctor (White coat hypertension). Often it is difficult to determine the true blood pressure by taking a reading at doctor’s office. Also, sometimes organ damage such as chronic kidney disease is found without documented high blood pressure. These are some of the indications for ABPM. Please see the details below for more details on indications.
You need to visit the Practice to have the ABPM attached and then again to detach and return it.
​
Sample Report
INDICATIONS
The list of clinical indications is based on the 2018 ESC/ESH Guidelines for the management of arterial hypertension: a) Conditions in which white-coat hypertension is more common, for example: i. Grade I hypertension on office blood pressure measurement ii. Marked office blood pressure elevation without hypertension-mediated organ damage (HMOD) b) Conditions in which masked hypertension is more common, for example: i. High-normal office blood pressure ii. Normal office blood pressure in individuals with HMOD or at high total cardiovascular (CV) risk c) Postural and post-prandial hypotension in untreated and treated patients d) Evaluation of resistant hypertension e) Evaluation of blood pressure control, especially in treated higher-risk patients f) Exaggerated blood pressure response to exercise g) When there is considerable variability in the office blood pressure h) Evaluating symptoms consistent with hypotension during treatment i) Specific indications for ABPM rather than HBPM: i. Assessment of nocturnal blood pressure values and dipping status (for example, suspicion of nocturnal hypertension, such as in sleep apnea, chronic kidney disease (CKD), diabetes, endocrine hypertension, or autonomic dysfunction) These recommendations are in accordance with the the 2017 ACC/AHA/AAPA/ABC/ACPM/ AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
PATIENT DIARY AND CONSENT FORM
Patient Diary
Consent
INSTRUCTIONS
Do not wet any part of Blood Pressure monitor. During cuff inflation, keep arm straight and still. If you have a symptom, posture change or activity to record, press EVENT button, fill in the diary with time displayed on LCD. If an extra BP reading is needed, press START button. Before going to bed, press DAY/NIGHT button, a crescent will appear on LCD to mark ‘passive’ time, press it again when you get up. The crescent will disappear to indicate ‘active’ time.