Table A1.
Advantages and limitations of ABPM vs office and HBPM readings in clinical practice
| Recommendation | Class of recommendation | Level of evidence |
|---|---|---|
| 1. ABPM is the gold standard to assess 24‐h BP, sleep BP, and diurnal BPV | I | A |
| 2. Cuff inflation‐related problems can occur during clinical use of ABPM | IIa | C |
| 3. ABPM and HBPM could be used as complementary, rather than alternative, tools | I | B |
| 4. ABPM is useful for detecting ambulatory cardiovascular risk (isolated daytime hypertension, isolated nocturnal hypertension) that cannot be detected using clinic BP and HBPM | IIa | B |
| 5. ABPM is useful for evaluating the 24‐h BP‐lowering effect of antihypertensive treatments, and for detecting masked uncontrolled hypertension, even when clinic and home BP are well controlled | I | A |
| 6. ABPM would be useful for detecting ambulatory hypotensive episodes (antihypertensive medication‐related, postprandial, due to autonomic dysfunction, etc) in patients with hypotensive symptoms (fainting, weakness, sleepiness) | I | A |
Abbreviations: ABPM, ambulatory blood pressure monitoring; BP, blood pressure; BPV, blood pressure variability.