When is ambulatory blood pressure monitoring (ABPM) indicated?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

Indications for ABPM include labile BP; a discrepancy between blood pressure measurements in and outside the physician’s office; and poor BP control. Ambulatory monitoring also identifies patients who have the distinct syndrome called white-coat hypertension, [53] in which a patient’s blood pressures reading at home and in the physician’s office vary widely. [63]

Problems to be considered include the following:

  • Steroid use

  • Use of over-the-counter or recreational sympathomimetic drugs

  • Pheochromocytoma

  • Acute vasculitis

  • Serotonin syndrome

  • Other central nervous system pathology

  • Coarctation of the aorta


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