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. 2021 Mar 3;116(3):516–658. [Article in Portuguese] doi: 10.36660/abc.20201238

Chart 3.6. – Indications for ABPM or HBPM.

ABPM or HBPM
  • White-coat HT investigation is more frequent, particularly in the following situations:

  • • Stage 1 HT at the physician's office

  • • Very high BP at the physician's office in the absence of EOD

  • Investigating masked HT is more frequent, particularly in the following situations:

  • • Prehypertension at the physician's office

  • • Normal BP at the physician's office for patients with EOD or high-risk CV

Confirmation of resistant HT diagnosis
HT control assessment, especially for high CV risk patients
Individuals with exaggerated BP response to physical exercise
Presence of high variability in office BP
Assessment of symptoms of hypotension during treatment
Specific indications for ABPM:
BP assessment during sleep and/or wakefulness dip/dip (eg suspected noctunal hypertension, obstructive sleep apnea, chronic kidney disease, diabetes, endocrine HT, or autonomic dysfunction)
Investigation of postural and postprandial hypotension in treated and untreated patients

ABPM: ambulatory blood pressure monitoring; BP: blood pressure; DBP: diastolic blood pressure; HBPM: home blood pressure monitoring; HT: hypertension; SBP: systolic blood pressure.