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.
Purpose: To identify a patient who may be a candidate for home or ambulatory blood pressure monitoring.
Specialty: Cardiology
Objective: other testing, severity, prognosis, stage, response to therapy
ICD-10: I10, I11, I12, I13, I15,