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: 821-848).

Ambulatory blood pressure monitoring can bene t patients with in many situations.

Indications

Suspected white-coat hypertension

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

Non-cooperative patients, unconscious or otherwise incapable patients

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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Omron M24/7 instruction manual Recommended use of ambulatory blood pressure monitoring, Indications, Contraindications