24-Hour Ambulatory blood pressure monitoring (ABPM)
24-hour ambulatory blood pressure monitoring (ABPM) is a noninvasive diagnostic test that measures blood pressure levels continuously throughout the day under normal activity conditions.
A special device, consisting of a cuff and a recorder, is designed to automatically record blood pressure continuously, providing an objective assessment of the cardiovascular system. This study helps identify obvious and hidden forms of hypertension and hypotension, evaluate the effectiveness of drug therapy, and observe the body's response to stress or physical activity.
The day before the device is installed, it is recommended to avoid alcohol and strong coffee, get enough sleep, and reduce stress levels. On the morning of the examination, it is best to shower, so that the device does not get wet during the day. Wear loose, comfortable cotton clothing. Remove watches, bracelets, and other metal accessories to obtain accurate results. Before installing the device, the patient's blood pressure will be measured with a standard tonometer. Be sure to discuss all medications you are taking, especially hypotensive medications, with your healthcare provider in advance.
The patient wears an automatic shoulder cuff that is connected to a recorder, which they wear on the waist or over the shoulder in a special bag. The device is set to take measurements at regular intervals, typically every 15 to 30 minutes during the day and every 30 to 60 minutes at night. Each measurement involves the cuff inflating and making a characteristic sound as it tightens around the arm. During the day, the patient goes about their normal routine, but avoids contact with water. The patient also keeps an observation diary in which all important events of the day are recorded. After 24 hours, the device is removed and the data is transferred to a computer for further analysis.
ABPM requires the use of a portable blood pressure monitor, which includes an automatic cuff, a connecting hose, and an electronic recorder. The compact device runs on batteries and does not require a constant network connection. These reliable devices do not disturb the patients and store the collected information in internal memory before transferring it to the specialist.
No recovery time is required after the procedure. The device is removed and the patient can immediately resume their normal routine. The doctor interprets the obtained data and draws conclusions indicating all the key parameters, such as average daily and nighttime pressure, daily index, heart rate, pulse pressure, and other indicators. Based on this analysis, your healthcare provider can prescribe or adjust treatment. Sometimes ABPM is repeated after several weeks to assess the treatment dynamics and effectiveness.
Benefits
Accurate
Monitoring is conducted during everyday activities, which helps to reduce the stress associated with visiting the doctor's office.
Continuous
BP is monitored around the clock, even during the night.
Comfortable
ABPM requires no hospitalization and is performed in a familiar home environment.
Safe
The study is non-invasive and suitable for most patients.
Frequently Asked Questions
Is it possible to sleep with the device?
Is it safe to shower or take a bath with it?
What should be recorded in the diary?
How is an ABPM different from Holter monitoring?
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Врачи
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Cardiologist, Functional Diagnostician. Candidate of Medical Sciences.
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Electrocardiogram (ECG)
Electrocardiography, or ECG, is a method of assessing the electrical signals in the heart. It records cardiac activity in real time, identifies irregular heart rhythms, signs of insufficient blood flow to the heart, and previous heart attacks, as well as hidden changes that are not visible during a medical exam.
Holter monitor
Holter monitor is a small device used for continuous ECG recording. It is designed to monitor the heart function in a patient's daily life.