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Published on: August 8, 2019
The use of ambulatory blood pressure measurement
James A Hodgkinson1, Katherine L Tucker2, Una Martin3
1Research Fellow in Primary Care Clinical Sciences, University of Birmingham, Birmingham.
Insights
Ambulatory blood pressure monitoring is recommended in the UK to diagnose hypertension. This article reviews ambulatory devices, detailing their clinical benefits and drawbacks.
Area of Science:
- Cardiology
- Clinical Medicine
- Medical Devices
Background:
- National Institute for Health and Care Excellence guidelines recommend ambulatory blood pressure monitoring (ABPM) for hypertension diagnosis in the UK.
- Accurate hypertension diagnosis is crucial for effective patient management and reducing cardiovascular risk.
Purpose of the Study:
- To describe the utilization of ambulatory blood pressure monitoring devices.
- To discuss the advantages and disadvantages of employing ABPM in clinical settings.
Main Methods:
- Review of ambulatory blood pressure monitoring devices.
- Discussion of clinical applications and practical considerations.
Main Results:
- Ambulatory blood pressure monitoring offers a comprehensive assessment of blood pressure fluctuations.
- Key benefits include improved diagnostic accuracy and identification of white-coat and masked hypertension.
- Potential disadvantages involve patient discomfort, device limitations, and interpretation challenges.
Conclusions:
- Ambulatory blood pressure monitoring is a valuable tool for confirming hypertension diagnoses.
- Understanding the benefits and limitations of ABPM is essential for optimal clinical practice.
Abstract:
Measurement of ambulatory blood pressure is recommended by the National Institute for Health and Care Excellence guidelines to confirm the diagnosis of hypertension in the UK. This article describes the use of ambulatory devices, and discusses the benefits and disadvantages of their use in clinical practice.
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Preparation:
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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