Navigation Links
Ambulatory blood pressure


Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. It is believed to be able to reduce the white coat hypertension effect.

The list of evidences that support that ABPM is a far superior method than clinical measurements are listed below.

Contents

Nocturnal hypertension

Ambulatory blood pressure monitoring allows blood pressure to be continually monitored during sleep, and is useful to determine whether the patient is a dipper or non-dipper. In addition, nocturnal hypertension is associated with end organ damage1 and is a much better indicator than the daytime blood pressure reading.

Target Organ Damage

It's has being shown that end-organ damages related to hypertension, such as left ventricular hypertrophy, narrowing of the retinal arteries are more strongly associated with ABPM than with a clinical BP measurement, the reason being clinical BP measurement are referred to the marked variability of BP measurement and white coat effect.
see End_organ_damage

Morning Surge

The day-night time fluctuates with values rising in the daytime and falling after midnight. With these changes, its possible to calculate the BP dip, with categories such as non-dipper (<10%), dipper, extreme dipper, and reverse dipper. Independent studies have shown that for subject with blunted or abolished fall dip and abnormal ABP result in higher incidences of LV hypertrophy and CV mortality.
According to American Heart Association3 , it shows that an excessive morning blood pressure surge is a predictor of stroke in elderly people with high blood pressure.




Based on American Heart Association Dip = 1 − frac(sleepSBP)(AwakeSBP) * 100%
SBP => Systolic Blood Pressure
[1]


Range Class
<0% Reverse Dipper
0% - 10% Non-Dipper
10% - 20% Dipper
>20% Extreme Dipper

BP Variability

24 hours noninvasive ABPM monitoring allows estimates of BP variability.


References

1. [2]Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British Hypertension Society
2. Clinical Usefulnesses of Ambulatory Blood Pressure Monitoring by PAOLO VERDECCHIA, FABIO ANGELI, ROBERTO GATTOBIGIO
3. [3]Morning surge in blood pressure linked to strokes in elderly
4. [4]Monday Morning Surge in Blood Pressure May Lead to Increase in Cardiovascular Events

External Links

  • [5] Ambulatory blood pressure monitoring

'"/>


(Date:3/29/2017)... BC (PRWEB) , ... March 29, 2017 , ... ... makeover services with or without a referral to new patients from Burnaby, BC. ... or other full mouth reconstruction services, can see the esteemed team at ...
(Date:3/29/2017)... ARNOLD, Md., and MINNETONKA, Minn. (PRWEB) , ... ... ... for the development of medical office buildings (MOBs) and other outpatient facilities, and ... research project to look exclusively at those questions, Revista and Healthcare Real Estate ...
(Date:3/29/2017)... Yorba Linda, Ca (PRWEB) , ... March 29, ... ... a standard process in many scientific laboratories. The assembly protocols involve many repetitive ... is well suited for automation, which enables the high-throughput needed, and results in ...
(Date:3/29/2017)... ... March 29, 2017 , ... The Wharton School of the University of Pennsylvania ... have made a $10 million gift to establish the Ken Moelis and Julie ... pathway to a Wharton MBA for highly-qualified Penn undergraduates whose academic and career interests ...
(Date:3/28/2017)... ... March 28, 2017 , ... For many women, getting birth control isn’t as easy as ... they either don’t have access to a health care facility or a pharmacy within 60 ... of the United States or for many who are faced with health or personal issues ...
Breaking Medicine News(10 mins):
Other medicine definition