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How Does Ambulatory Blood Pressure Monitoring Determine BP Readings?

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Posted on Thu, 16 Jun 2016
Question: Can you explain to me how the results of an ambulatory blood pressure monitoring can determine if you have high blood pressure? All the blood pressure studies I have seen are based on a carefully taken resting blood pressure. I have not not seen any studies or recommendations regarding high blood pressure while a person is active.
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would like to explain as follows:

Detailed Answer:

Hello,

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to explain that the thresholds for hypertension diagnosis based on ambulatory blood pressure monitoring are as follows:

24-h average >/= 130/80 mmHg,
Awake (daytime) average >/= 135/85 mmHg,
Asleep (night-time) average >/= 120/70 mmHg

There are several studies that confirm the above values as criteria for ambulatory hypertension considering also the future 5-10 years risk during follow-up.

You can also explore by yourself the guideline:

European Society of Hypertension Position Paper on Ambulatory Blood Pressure Monitoring in the following link:

http://www.schta.cat/arxius/European%20Society%20of%20Hypertension%20Position%20Paper%20on%20Ambulatory%20Blood%20Pressure%20Monitoring%20J%20HYPERT%202013.pdf

where you will find the advantages of ambulatory blood pressure monitoring compared with office or single home BP measurement.

Hope you will find this answer helpful!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri




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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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How Does Ambulatory Blood Pressure Monitoring Determine BP Readings?

Brief Answer: I would like to explain as follows: Detailed Answer: Hello, Welcome and thank you for asking on HCM! Regarding your concern, I would like to explain that the thresholds for hypertension diagnosis based on ambulatory blood pressure monitoring are as follows: 24-h average >/= 130/80 mmHg, Awake (daytime) average >/= 135/85 mmHg, Asleep (night-time) average >/= 120/70 mmHg There are several studies that confirm the above values as criteria for ambulatory hypertension considering also the future 5-10 years risk during follow-up. You can also explore by yourself the guideline: European Society of Hypertension Position Paper on Ambulatory Blood Pressure Monitoring in the following link: http://www.schta.cat/arxius/European%20Society%20of%20Hypertension%20Position%20Paper%20on%20Ambulatory%20Blood%20Pressure%20Monitoring%20J%20HYPERT%202013.pdf where you will find the advantages of ambulatory blood pressure monitoring compared with office or single home BP measurement. Hope you will find this answer helpful! In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri