10 hypertensive patients, 7 need to do this kind of examination! The doctor said: pay attention to ambulatory blood pressure monitoring

“Dr. Zhang, why do you want to do ambulatory blood pressure monitoring for me? What’s the use of this test?” This is the question that Uncle Wang asked me when he came to see a doctor.

I know that Uncle Wang’s question raised the voices of many hypertensive patients. Today, Dr. Zhang will tell you in detail why we do 24-hour ambulatory blood pressure monitoring. Friends who are concerned about this issue, this article must be read.

Ambulatory blood pressure monitoring is useful

1. What is 24-hour ambulatory blood pressure monitoring?

24-hour ambulatory blood pressure monitoring is an indispensable check in modern medicine for monitoring and management of hypertension. This examination generally requires wearing an ambulatory blood pressure monitor in a medical institution and then wearing it for 24 hours. During these 24 hours, the monitor will measure the blood pressure of the patient at different time points, generally once every half an hour during the day and once an hour at night, the purpose is to obtain the blood pressure of the patient at different time points throughout the day. The advantage of this test is that it is more realistic and reliable than a single blood pressure, and can better reflect the patient’s true blood pressure level.

Ambulatory blood pressure monitor

2. 24-hour ambulatory blood pressure monitoring, who needs this check?

1. People who have elevated blood pressure by measuring blood pressure and suspect that they have high blood pressure can choose to do this test for a clear diagnosis if they want to make a diagnosis.

2. In hypertensive patients taking antihypertensive drugs, if you want to evaluate the therapeutic effect of antihypertensive drugs, you can choose this test to evaluate the therapeutic effect of antihypertensive drugs. Note that it is generally better to perform this test after 2-4 weeks of antihypertensive medication use.

3. For screening of some special types of hypertension, such as morning hypertension, masked hypertension, nighttime hypertension, etc., 24-hour ambulatory blood pressure monitoring is also the first choice. examine.

Patients with high blood pressure may have this test

3. How to read the 24-hour ambulatory blood pressure monitoring report?

Generally speaking, a standard 24-hour ambulatory blood pressure report has at least 5 parts, which are: 24-hour average blood pressure, daytime average blood pressure, nighttime average blood pressure, morning Average blood pressure, presence of circadian rhythm.

24-hour average blood pressure <130/80mmHg, which belongs to the normal category. If the 24-hour average blood pressure is ≥130/80mmHg, the diagnosis of hypertension can be considered;

Average daytime blood pressure <135/85mmHg, which belongs to the normal category. If the average blood pressure during the day is ≥135/85mmHg, it can be considered as a diagnosis of hypertension;

Average nighttime blood pressure <120/70mmHg, which belongs to the normal category. If the average nighttime blood pressure is ≥120/70mmHg, nighttime hypertension can be considered;

The average blood pressure in the morning is <135/85mmHg, which belongs to the normal category. If the average blood pressure in the morning is ≥135/85mmHg, the diagnosis of morning hypertension can be considered;

If the circadian rhythm is dipper type, it belongs to the normal category. If the blood pressure circadian rhythm is already non-dipper type, this is an abnormal state.

Ambulatory blood pressure monitoring report

And when a 24-hour ambulatory blood pressure monitoring report improves the above inspection report, we can conduct a detailed analysis of the patient’s blood pressure, can see the patient’s blood pressure clearly, and can also monitor the nighttime blood pressure. High blood pressure, masked hypertension, white coat hypertension, morning hypertension and other special types are analyzed, so that some difficult-to-find hypertension can be found out.

Four, matters needing attention

In the process of 24-hour ambulatory blood pressure monitoring, there are some special precautions that need to be paid attention to. For example, once the blood pressure monitor is activated, try to keep as still as possible, so that the arm and the heart are at the same level ;When sleeping at night, lower blood pressure

Place the monitor beside the pillow; try not to bathe or drive on the day of the examination; do not wear the cuff too tightly or too loosely; try to record the time of taking the medicine, going to bed and getting up on the day of the examination.

The above is about 24-hour ambulatory blood pressure monitoring. In fact, as long as hypertensive patients want to know their blood pressure in detail, they can consider doing this test. After all, this test is very cheap, it is also a non-invasive test, and it is not harmful to the body. From this perspective, it can even be said that 70% of hypertensive patients need this examination. I hope that through the introduction of Dr. Zhang, everyone will know more about this test, and I hope that more hypertensive patients can improve this test at the right time, because it can more clearly reflect your blood pressure status, and if there are problems, you can be more targeted. of treatment.

The above is my introduction to ambulatory blood pressure monitoring. If you think it is good, you can forward it to your relatives and friends to benefit more hypertensive patients.