{"id":3110,"date":"2016-03-23T15:02:00","date_gmt":"2016-03-23T07:02:00","guid":{"rendered":"https:\/\/www.sozocardiology.com\/?page_id=3110"},"modified":"2025-12-24T12:27:05","modified_gmt":"2025-12-24T04:27:05","slug":"24-hour-ambulatory-blood-pressure-abp-monitoring","status":"publish","type":"page","link":"https:\/\/www.sozocardiology.com\/zh\/heart-investigations\/24-hour-ambulatory-blood-pressure-abp-monitoring\/","title":{"rendered":"24 \u5c0f\u65f6\u52a8\u6001\u8840\u538b (ABP) \u76d1\u6d4b"},"content":{"rendered":"<p><em>\u4e2d\u6587\u7ffb\u8bd1\u7a0d\u540e\u63d0\u4f9b<\/em><\/p>\n<h2 style=\"\">What is 24-Hour Ambulatory Blood Pressure Monitoring?<\/h2>\n<p style=\"text-align: justify;\">24-hour Ambulatory Blood Pressure Monitoring (ABPM) involves your blood pressure being measured at regular time intervals over 24 hours as you move around, going about your normal daily activities. It uses a small digital blood pressure machine that is attached to a belt around your body and connected to a cuff around your upper arm. It is small enough that you can go about your normal daily life and even sleep with.<\/p>\n<h2 style=\"\">What are the benefits of the 24-hour ABPM?<\/h2>\n<p style=\"text-align: justify;\">Blood pressure measurements by the doctor conventionally only take place when you are in the clinic. These readings may not reflect your usual blood pressure as the act of having one\u2019s blood pressure taken may cause stress to you, resulting in a falsely-elevated reading (\u2018white-coat\u2019 hypertension). The infrequency of such clinic measurements may not give sufficient information on your blood pressure profile, especially if it has been difficult to control with medication. Home blood pressure monitoring while often useful, is also limited by how frequently you monitor it, the accuracy of home BP machines and user error.<\/p>\n<p style=\"text-align: justify;\">24-hour ABPM overcomes these difficulties. By measuring your blood pressure at regular intervals over 24 hours, our doctor will be able to get a clear picture of how your blood pressure changes throughout the day.<\/p>\n<p style=\"text-align: left;\">\n<p><span><img decoding=\"async\" alt=\"\" data-id=\"3270\" width=\"420\" data-init-width=\"420\" height=\"420\" data-init-height=\"420\" title=\"24bp01\" loading=\"lazy\" src=\"\/\/www.sozocardiology.com\/wp-content\/uploads\/2017\/01\/24bp01.jpg\" data-width=\"420\" data-height=\"420\" style=\"aspect-ratio: auto 420 \/ 420;\"><\/span><span><img decoding=\"async\" alt=\"\" data-id=\"3269\" width=\"523\" data-init-width=\"600\" height=\"348\" data-init-height=\"400\" title=\"24bp02\" loading=\"lazy\" src=\"\/\/www.sozocardiology.com\/wp-content\/uploads\/2017\/01\/24bp02.jpg\" data-width=\"523\" data-height=\"348\" style=\"aspect-ratio: auto 600 \/ 400;\"><\/span><\/p>\n<h2>The unique data provided by 24-hour ABPM includes:<\/h2>\n<ul>\n<li style=\"\"><span style=\"\"><strong>24-hour average blood pressure (BP)<\/strong><\/span><\/li>\n<li style=\"\"><span style=\"\"><strong>Daytime (awake) average BP<\/strong><\/span><\/li>\n<li style=\"\"><span style=\"\"><strong>Night-time (asleep) average BP<\/strong><\/span><\/li>\n<li><span><strong>Blood pressure load<\/strong> \u2013 defined as the percentage of ambulatory systolic and diastolic BP exceeding 140 mmHg and 90 mmHg respectively during the daytime, and 120 mmHg and 80 mmHg respectively during sleep. This is a strong determinant of your cardiovascular risk<\/span><\/li>\n<li><span><strong>Noctural BP dipping<\/strong> \u2013 defined as a BP drop of at least 15% of the daytime values during sleep. Failure of BP to dip at night is a risk factor for the development of heart failure and other cardiovascular complications<\/span><\/li>\n<\/ul>\n<h3 style=\"\">Based on the above data, our doctor will be able to objectively and scientifically assess the following conditions and select the most appropriate treatment:<\/h3>\n<table data-rows=\"6\" data-cols=\"2\" style=\"\" data-v=\"top\">\n<thead><\/thead>\n<tbody>\n<tr>\n<td style=\"\">\n<p style=\"text-align: justify;\"><strong>\u201cWhite-coat\u201d hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\">\n<p>When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p><strong>Undiagnosed hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">This occurs when BP measurements taken in the doctor\u2019s office and at home exceeds 140mmHg systolic (top reading) and 90mmHg diastolic (bottom reading).<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p><strong>Resistant hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When multiple anti-hypertensive medications fail to adequately control high blood pressure.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p><strong>Masked hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When clinic BP measurements fall within an acceptable range, but the mean blood pressure is actually above the acceptable range.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p><strong>Nocturnal hypertension<\/strong><\/p>\n<\/td>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When daytime BP measurements are in the ideal range but in the sub-optimal range at night.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p><strong>Hypotensive symptoms<\/strong><\/p>\n<\/td>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When the patients experiences symptoms such as giddiness due to over-lowering of BP with hypertensive medications<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table data-rows=\"6\" data-cols=\"2\" style=\"\" data-v=\"top\">\n<thead><\/thead>\n<tbody>\n<tr>\n<td style=\"\">\n<p style=\"text-align: justify;\"><strong>\u201cWhite-coat\u201d hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\">\n<p style=\"text-align: left;\">When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p style=\"\"><strong>Undiagnosed hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">This occurs when BP measurements taken in the doctor\u2019s office and at home exceeds 140mmHg systolic (top reading) and 90mmHg diastolic (bottom reading).<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p style=\"\"><strong>Resistant hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When multiple anti-hypertensive medications fail to adequately control high blood pressure.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p style=\"\"><strong>Masked hypertension<\/strong><\/p>\n<\/td>\n<td style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When clinic BP measurements fall within an acceptable range, but the mean blood pressure is actually above the acceptable range.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p style=\"\"><strong>Nocturnal hypertension<\/strong><\/p>\n<\/td>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When daytime BP measurements are in the ideal range but in the sub-optimal range at night.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"\u201cWhite-coat\u201d hypertension\">\n<p style=\"\"><strong>Hypotensive symptoms<\/strong><\/p>\n<\/td>\n<td rowspan=\"1\" colspan=\"1\" style=\"\" data-th=\"When BP measurements are high in the doctor\u2019s office but falls within the normal range when taken at home.\">\n<p style=\"text-align: left;\">When the patients experiences symptoms such as giddiness due to over-lowering of BP with hypertensive medications<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span><img decoding=\"async\" alt=\"\" data-id=\"3273\" width=\"729\" data-init-width=\"540\" height=\"278\" data-init-height=\"206\" title=\"Screen Shot 2017-01-16 at 11.19.35\" loading=\"lazy\" src=\"\/\/www.sozocardiology.com\/wp-content\/uploads\/2016\/03\/Screen-Shot-2017-01-16-at-11.19.35.jpg\" data-width=\"729\" data-height=\"278\" style=\"aspect-ratio: auto 540 \/ 206;\"><\/span><\/p>\n<h2 style=\"\">Who will benefit from this test?<\/h2>\n<ul>\n<li style=\"\"><span style=\"\"><strong>Patients with white-coat hypertension<\/strong><\/span><\/li>\n<\/ul>\n<ol start=\"1\">\n<li>Avoids the unnecessary initiation of anti-hypertensive medications and its potential side effects<\/li>\n<\/ol>\n<ul>\n<li style=\"\"><span style=\"\"><strong><strong>Patients with known hypertension<\/strong><\/strong><\/span><\/li>\n<\/ul>\n<ol start=\"1\">\n<li>To see how well your medications are working to provide smooth &amp; optimal 24-hour BP control<\/li>\n<li>To see if your BP remains high at night when you are sleeping. If this is the case, your medications may need to be changed or adjusted<\/li>\n<\/ol>\n<ul>\n<li style=\"\"><span style=\"\"><strong><strong><strong>Patients with poorly controlled or resistant hypertension<\/strong><\/strong><\/strong><\/span><\/li>\n<\/ul>\n<ol start=\"1\">\n<li>Especially in patients who develop complications of hypertension (eg.heart failure, heart attack, kidney failure or stroke) despite being on anti-hypertensive medications.<\/li>\n<\/ol>\n<h2 style=\"\">How to prepare for the test<\/h2>\n<ul>\n<li style=\"\"><span style=\"\">Take a bath before coming for the test as you will be asked to wear the small digital BP machine for 24 hours continuously<\/span><\/li>\n<li style=\"\"><span style=\"\">Wear a shirt that can be easily removed so as to facilitate placement of the BP machine and a pair of shorts\/pants with belt loops. Bring a belt so that the machine can be worn on a belt on your waist<\/span><\/li>\n<li style=\"\"><span style=\"\">Continue taking your regular medications (if any) as instructed by our doctor<\/span><\/li>\n<\/ul>\n<h2 style=\"\">How is the test performed?<\/h2>\n<ul>\n<li style=\"\"><span style=\"\">Taking only 5-10 minutes, our cardiac technician will fit a BP cuff suited to the diameter of your left or right arm and a small BP machine will be worn on a belt on your waist<\/span><\/li>\n<li style=\"\"><span style=\"\">The machine is programmed to take your BP at regular intervals of 30 minutes during the day and at 1-hour intervals at night. You will need to keep the monitor on through the night \u2013 you could put the machine under the pillow or on the bed while you sleep<\/span><\/li>\n<li style=\"\"><span style=\"\">At the end of the 24 hours, our cardiac technician will remove the machine and cuff and download the BP readings for analysis<\/span><\/li>\n<li><span>Your entire BP recording will be reviewed by our doctor and a summarized report of your BP control will be provided and explained to you during your review<\/span><\/li>\n<\/ul>\n<h2 style=\"\">What do I need to do during the 24-hour BP monitoring?<\/h2>\n<ul>\n<li style=\"\"><span style=\"\">Because the test is being carried out to find out what your normal daily blood pressure is, it is important to carry on with your normal routine and do all the things you would normally do<\/span><\/li>\n<li style=\"\"><span style=\"\">The only things you should avoid doing for the day are swimming and having a bath or shower<\/span><\/li>\n<li style=\"\"><span style=\"\">You will be advised not to remove the machine during the 24 hour period<\/span><\/li>\n<li><span>To allow the machine to work properly, it is important to make sure that the tube to the machine is not twisted or bent. Also, just before the machine is about to take a reading, it will beep.&nbsp;<strong>When this happens you should:<\/strong><\/span><\/li>\n<\/ul>\n<ol start=\"1\">\n<li>sit down, if possible<\/li>\n<li>keep the cuff at the same level as your heart<\/li>\n<li>keep your arm steady<\/li>\n<\/ol>\n<ul>\n<li style=\"\"><span style=\"\">You will also be asked to keep a diary of what you were doing just before the reading was taken, what time you went bed and got up, and if and when you took medications<\/span><\/li>\n<\/ul>\n<h2 style=\"\">How does the doctor use this test to manage my BP?<\/h2>\n<\/p>\n<ol>\n<li style=\"\"><span style=\"\">1<\/span><span style=\"\"><strong>Normal blood pressure profile<\/strong><\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"\"><span style=\"\">This confirms that you do not have true hypertension and will not need to be started on long-term anti-hypertensive medications<\/span><\/li>\n<\/ul>\n<ol>\n<li style=\"\"><span style=\"\">2<\/span><span style=\"\"><strong>Newly-diagnosed hypertension<\/strong><\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"\"><span style=\"\">Depending on the severity of BP elevation, presence of other cardiovascular risk factors such as diabetes mellitus, high cholesterol, smoking and family history of stroke or heart disease; our doctor will guide you through the lifestyle modifications you can make to achieve a good and stable BP control. Medications may be needed and, contrary to popular belief, can be weaned off with good adherence to your doctor\u2019s advice and follow-up<\/span><\/li>\n<\/ul>\n<ol>\n<li style=\"\"><span style=\"\">3<\/span><span style=\"\"><strong>Resistant \/ Nocturnal hypertensive profile<\/strong><\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"\"><span style=\"\">This confirms that your BP is sub-optimally controlled despite being on medications and you are at risk of developing long-term complications of hypertension such as heart failure, heart attack, stroke, kidney failure or blindness. By identifying the period of BP spikes during the day or night, our doctor will adjust the type, dose or timings of your medications to achieve good and stable BP control<\/span><\/li>\n<\/ul>\n<h2>More information<\/h2>\n<h3 style=\"text-align: left;\">Don&#8217;t wait for your symptoms to worsen.<\/h3>\n<p><strong>\u65e9\u671f\u5e72\u9884\u53ef\u4ee5\u633d\u6551\u60a8\u7684\u751f\u547d\u3002<\/strong> <\/p>\n<p>\u5982\u679c\u4e0d\u52a0\u4ee5\u63a7\u5236\uff0c\u5fc3\u810f\u75c5\u53ef\u80fd\u4f1a\u5bfc\u81f4\u4e25\u91cd \u540e\u679c\u3002\u8d8a\u65e9\u8bca\u65ad\u6cbb\u7597\uff0c\u8d8a\u65e9\u5fc3\u5b89\u3002<\/p>\n<p>  __CONFIG_colors_palette__{&#8220;active_palette&#8221;:0,&#8221;config&#8221;:{&#8220;colors&#8221;:{&#8220;62516&#8221;:{&#8220;name&#8221;:&#8221;Main Accent&#8221;,&#8221;parent&#8221;:-1}},&#8221;gradients&#8221;:[]},&#8221;palettes&#8221;:[{&#8220;name&#8221;:&#8221;Default Palette&#8221;,&#8221;value&#8221;:{&#8220;colors&#8221;:{&#8220;62516&#8221;:{&#8220;val&#8221;:&#8221;var(&#8211;tcb-skin-color-0)&#8221;}},&#8221;gradients&#8221;:[]}}]}__CONFIG_colors_palette__ <a href=\"https:\/\/www.sozocardiology.com\/zh\/contact\/\" style=\"\"> <span><span>\u9884\u7ea6<\/span><\/span> <\/a>  <\/p>","protected":false},"excerpt":{"rendered":"<p>If you are viewing this page in Chinese, translations are coming soon What is 24-Hour Ambulatory Blood Pressure Monitoring? 24-hour Ambulatory Blood Pressure Monitoring (ABPM) involves your blood pressure being measured at regular time intervals over 24 hours as you move around, going about your normal daily activities. It uses a small digital blood pressure [&hellip;]<\/p>","protected":false},"author":3,"featured_media":0,"parent":2704,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-3110","page","type-page","status-publish","hentry","post-wrapper","thrv_wrapper"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>24-hour Ambulatory Blood Pressure (ABP) Monitoring &#8212; SozoCardiology - Dr Ooi Yau Wei Interventional Cardiologist<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sozocardiology.com\/zh\/heart-investigations\/24-hour-ambulatory-blood-pressure-abp-monitoring\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"24-hour Ambulatory Blood Pressure (ABP) Monitoring &#8212; SozoCardiology - Dr Ooi Yau Wei Interventional Cardiologist\" \/>\n<meta property=\"og:description\" content=\"If you are viewing this page in Chinese, translations are coming soon What is 24-Hour Ambulatory Blood Pressure Monitoring? 24-hour Ambulatory Blood Pressure Monitoring (ABPM) involves your blood pressure being measured at regular time intervals over 24 hours as you move around, going about your normal daily activities. 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