Description

The measurement of blood pressure in nonclinical settings may be helpful if certain indications are present.


 

Blood pressure monitoring in nonclinical settings may take the form of:

(1) home blood pressure monitoring (HBPM)

(2) ambulatory blood pressure monitoring (ABPM)

 

Reason for Monitoring

HBPM

ABPM

suspect white coat hypertension

Yes

Yes

elderly patient

Yes

Yes

pregnant woman

Yes

Yes

diabetes, especially Type 1

Yes

Yes

guiding antihypertensive therapy

Yes

Yes

monitoring compliance

Yes

Yes

resistant hypertension

Yes

Yes

hypotensive episodes

Possibly

Yes

nocturnal changes in blood pressure

No

Yes

autonomic failure

No

Yes

 

Additional indications for monitoring:

(1) suspect masked hypertension

(2) monitoring blood pressure change after certain activities

(3) correlating blood pressure with certain symptoms

 

Blood pressure readings in nonclinical settings can be valuable if they are accurate, precise and correlated with other clinical findings.

 


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