Home 
CHEP Recommendations Details Ambulatory Measurement
CHEP Recommendations Details Ambulatory Measurement
Ambulatory Blood Pressure Measurement
- Ambulatory BP readings can be used in the diagnosis of hypertension (Grade C).
- ABPM should be considered when an office-induced increase in BP is suspected in treated patients with:
- BP that is not below target despite receiving appropriate chronic antihypertensive therapy (Grade C);
- symptoms suggestive of hypotension (Grade C); or
- fluctuating office BP readings (Grade D).
- Physicians should use only ABPM devices that have been validated independently using established protocols (Grade D).
- Therapy adjustment should be considered in patients with a 24h ambulatory SBP of >130 mmHg or DBP of >80 mmHg or an awake SBP of >135 mmHg or DBP of >85 mmHg (Grade D).
- The magnitude of changes in nocturnal BP should be taken into account in any decision to prescribe or withhold drug therapy based upon ambulatory BP (Grade C) because a decrease in nocturnal BP of less than 10% is associated with increased risk of CV events.