From 2a7d2bed100ef40efe99da5638fdc13643ba3a3e Mon Sep 17 00:00:00 2001 From: Charli Weathers Date: Sun, 19 Oct 2025 07:35:11 +0800 Subject: [PATCH] Add Ambulatory Blood Pressure Monitoring --- Ambulatory-Blood-Pressure-Monitoring.md | 9 +++++++++ 1 file changed, 9 insertions(+) create mode 100644 Ambulatory-Blood-Pressure-Monitoring.md diff --git a/Ambulatory-Blood-Pressure-Monitoring.md b/Ambulatory-Blood-Pressure-Monitoring.md new file mode 100644 index 0000000..72113f9 --- /dev/null +++ b/Ambulatory-Blood-Pressure-Monitoring.md @@ -0,0 +1,9 @@ +
What is ambulatory blood pressure monitoring? Ambulatory blood pressure monitoring (ABPM) is a non-invasive methodology of obtaining blood stress readings over a 24-hour period, while the affected person is in their own setting, representing a true reflection of their blood strain. See additionally the related separate Hypertension article. What does ambulatory blood stress monitoring involve? Blood strain is measured over a 24-hour interval, using auscultatory or oscillometry devices, and requires use of a cuff. What are the makes use of of ambulatory blood strain monitoring? To acquire a twenty-4 hour file - extra dependable than one-off measurements. To detect white coat hypertension. It has use in hypertension analysis - eg, reviewing 24-hour profile of antihypertensive medicine. Hypotensive symptoms while on antihypertensive medications. It may be more price-effective in the long term than office blood stress measurement. Who needs to be referred for ambulatory blood pressure monitoring? The National Institute for Health and Care Excellence (Nice) recommends that if a clinic blood pressure is 140/90 mm Hg or increased, ABPM needs to be offered to affirm the analysis of hypertension.
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Poorly managed hypertension - eg, suspected drug resistance. Patients who've developed target organ damage regardless of management of blood strain. Patients who develop hypertension during pregnancy. High-danger patients - eg, those with diabetes mellitus, these with cerebrovascular illness, and kidney transplant recipients. Suspicion of white coat hypertension - high blood stress readings in clinic which are normal at home. Suspicion of reversed white coat hypertension, ie blood strain readings are normal in clinic however raised within the affected person's personal setting. Elderly patients with systolic hypertension. Some patients discover inflation of the cuff unbearable. Bruising might be seen the place the cuff is situated. Background noise could lead to interference (less with oscillometric strategies). Poor technique and arrhythmias could trigger poor readings. How are the results of ambulatory blood strain monitoring provided? This varies based on the machines used. Usually, they have particular person systolic and diastolic pressures. These could even be represented in a graphic form. Blood stress load - the proportion or proportion of readings which might be greater than a predetermined stage in twenty-four hours. Nice recommends ensuring that no less than two measurements per hour are taken throughout the person's typical waking hours (for example, between 08:00 and 22:00 hours). Blood pressure will fall at night in normotensive people. In 'non-dippers' the blood strain stays high, ie lower than 10% decrease than daytime common. There can be the phenomenon of 'reverse dippers' whose blood strain really rises at night time.
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