Ambulatory blood pressure monitoring (ABPM) is now recommended by NICE for use in the diagnosis of hypertension (1).
If blood pressure measured in the clinic is 140/90 mmHg or higher:
If the clinic blood pressure is 140/90 mmHg or higher, offer ambulatory blood pressure monitoring (ABPM) to confirm the diagnosis of hypertension. If a person is unable to tolerate ABPM, home blood pressure monitoring (HBPM) is a suitable alternative to confirm the diagnosis of hypertension
If the person has severe hypertension, consider starting antihypertensive drug treatment immediately, without waiting for the results of ABPM or HBPM
Ambulatory blood pressure monitoring
Classification of hypertension
Possible indications for ambulatory blood pressure monitoring (ABPM) were outlined in previous BHS guidance (2):
Last reviewed 01/2018