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Ambulatory blood pressure, as opposed to office blood pressure and home blood pressure, [1] is the blood pressure over the course of the full 24-hour sleep-wake cycle. Ambulatory blood pressure monitoring ( ABPM ) measures blood pressure at regular intervals throughout the day and night.
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Multiple blood pressure readings (at least two) spaced 1–2 minutes apart should be obtained to ensure accuracy. [92] Ambulatory blood pressure monitoring over 12 to 24 hours is the most accurate method to confirm the diagnosis. [93] An exception to this is those with very high blood pressure readings especially when there is poor organ ...
A 2006 study of 98 patients showed that home blood pressure monitoring is as accurate as a 24-hour ambulatory monitoring in determining blood pressure levels. [11] Use of breathing patterns has been proposed as a technique for identifying white coat hypertension. [12]
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Diagnosis is typically by 24 hours ambulatory blood pressure monitoring to which measurements can be taken at home without having to visit to the physician’s office. Labile hypertension can be a primary risk factor that may contribute to stroke or cardiovascular disease (CVD).
Blood pressure measurements can be influenced by circumstances of measurement. [10] Guidelines use different thresholds for office (also known as clinic), home (when the person measures their own blood pressure at home), and ambulatory blood pressure (using an automated device over a 24-hour period). [10]
A minimum systolic value can be roughly estimated by palpation, most often used in emergency situations, but should be used with caution. [10] It has been estimated that, using 50% percentiles, carotid, femoral and radial pulses are present in patients with a systolic blood pressure > 70 mmHg, carotid and femoral pulses alone in patients with systolic blood pressure of > 50 mmHg, and only a ...