Ambulatory Blood Pressure Monitoring (ABPM)

Ambulatory blood pressure monitoring (ABPM) is an auxiliary examination method used to check if blood pressure is normal. Ambulatory blood pressure monitoring is a portable blood pressure monitoring method that uses indirect non-invasive measurement methods for 24 hours and tracks and records blood pressure at set intervals. It can reflect the overall status and trends of patients' blood pressure changes during the day and night, while DCG and ABP can observe the causal and chronological relationship between coronary heart disease, angina pectoris, arrhythmia and elevated or decreased blood pressure, as well as hypertension and HRV changes, plants The relationship between changes in nerve tension, etc., is conducive to predicting prognosis and developing a reasonable treatment plan. Through this examination, the lesion and the corresponding symptoms can be judged. Basic Information Specialist Category: Cardiovascular Examination Category: Other Examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Maintain a normal diet and schedule. Normal value Adult normal diastolic blood pressure is <90mmHg (12kpa), systolic blood pressure <120mmHg. The unit of blood pressure is kilopascals, 1 kPa = 7.6 mmHg. Clinical significance The indications for abnormal outcomes are as follows: (1) There are dizziness, headache and other symptoms that may be caused by high blood pressure need to be diagnosed; (2) Even if the blood pressure is increased, if there is suspected hypertension, it is necessary to confirm the diagnosis; (3) Observing the curative effect and guiding treatment without treatment, or in the treatment of hypertensive patients with poor therapeutic effect; (4) Those with unstable blood pressure; (5) patients with refractory hypertension and essential hypertension; (6) patients with low-risk factors of "vacuum hypertension" white coat effect. People who need to be examined: routine physical examination content, abnormal blood vessels. Precautions Forbidden before examination: Maintain a normal diet and schedule. Requirements for inspection: 1. 嘱 Patients can wear the monitor after the same as daily life, but pay attention to protect the recording box, avoid collision, pressure, moisture, do not enter the environment with magnetic field, do not touch magnetic objects. 2. During the measurement, the patient should not relax or move the cuff freely to prevent the cuff from loosening or slipping. For the patient's family to teach the correct method of wearing the cuff, in case the cuff is loose, it should be re-wearing in time. 3. The pressure tube avoids being folded, stressed, twisted or stretched. 4. During the automatic measurement process, the upper limbs should remain static and relaxed, and try to maintain a supine position during sleep, which is extremely important for obtaining accurate blood pressure readings. Inspection process First check that the battery in the monitor must reach 2.8V or more, clear the original data in the monitor, create a new patient case on the dynamic blood pressure analyzer software, and set the blood pressure measurement time according to the patient's condition. When the monitor is worn for the patient, the blood pressure of the upper arms is measured first. If the systolic pressure difference is <10 mmHg, the non-dominant hand is used. If the systolic pressure difference is ≥10 mmHg, the monitoring cuff is installed on the higher blood pressure side. The cuff should be securely fastened and the lower edge of the cuff should be 2.5 cm above the elbow. It is best to wear it directly on the bare upper arm. The pressure tube protrudes upward on the outer edge of the upper arm, and ensures that the position does not restrict the movement of the upper arm. The pressure tube is connected to the monitor, and the monitor is hung around the waist. The blood pressure measurement is performed according to the preset time interval and the blood pressure value is stored. The patient can return to free activities in the daily life environment. Not suitable for the crowd Inappropriate people: severe blood vessels and heart failure. Adverse reactions and risks Nothing.