Recommended use of ambulatory blood pressure monitoring
The European Society of Hypertension has published recommendations for ambulatory blood pressure measurement (O’Brien, E. et al. on Behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring, European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement, Journal of Hypertension 2003, 21:
Ambulatory blood pressure monitoring can bene t patients with in many situations.
Indications
•Suspected
•Suspected nocturnal hypertension
•To establish dipper status
•Resistant hypertension
•Elderly patient
•As a guide to antihypertensive drug treatment
•Type 1 diabetes
•Hypertension of pregnancy
•Evaluation of hypotension
•Autonomic failure
On the contrary, ambulatory blood pressure monitoring should be avoided in several situations.
Contraindications
•
•Patients requiring urgent / emergency cardiac care
•Patients with coagulation disturbances
•Patients with serious mobility or other impairments without supervision
•Children without supervision; children younger than 8 years
•Though the blood pressure measurement algorithm used in the OMRON M24/7 has been found to function properly on patients with atrial brillation or other common arrhythmias, the oscillometric blood pressure measurement method is generally recommended for use only with special caution in patients with arrhythmias, Parkinson’s disease, or other diseases with tremors.
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