In recent years, there has been an increasing number of patients with hypertension, and they tend to be younger.
Among them, some people neglect further examination due to lack of relevant knowledge;Some people feel that their blood pressure is high, but their body is not uncomfortable, and it does not affect their normal life, so there is no need to care about itAfter being diagnosed with hypertension, the doctor suggested that he undergo ambulatory blood pressure monitoring, but he thought that he could measure his blood pressure at home, and there was no need to spend that unjust money. All kinds of situations are not uncommon.
Here we will focus on popularizing the knowledge of ambulatory blood pressure monitoring, what is ambulatory blood pressure monitoring?
Ambulatory blood pressure monitoring is a 24-hour or 48-hour intermittent measurement of blood pressure in daily life through the instrument, which overcomes the limitations of less blood pressure and observation errors in the clinic, and can objectively reflect the actual level and fluctuation of blood pressure.
When do I need ambulatory blood pressure testing?
If the blood pressure is high at the time of the hospital examination, and the blood pressure is normal at home, it is white coat hypertension. Because patients receive blood pressure lowering according to their office blood pressure**, which may lead to different drug reactions, it is important to identify white coat hypertension by adding drugs***
Occult hypertension is seen in patients with normal office blood pressure but elevated ambulatory blood pressure or home blood pressure. It is easy to develop true hypertension, which is an independent and strong factor in the incidence and mortality of cardiovascular diseases. Occult hypertension must be detected by ambulatory blood pressure or home blood pressure.
Identifying morning and nocturnal hypertension, especially in hypertensive patients with coronary heart disease, diabetes mellitus, and cerebrovascular disease, should pay more attention to nocturnal hypertension, which has a guiding role in the selection, dosage, effectiveness and occurrence of cardiovascular risk events of antihypertensive drugs
For those who are not satisfied with the control of blood pressure after antihypertensive drugs**, that is, refractory hypertension, ambulatory blood pressure can distinguish whether it is real refractory hypertension or hypertension caused by the "white coat" effect, etc., so as to further guide the medication and the time of taking the drug
Ambulatory blood pressure monitoring can improve the diagnosis of secondary hypertension, and when effectively removed or controlled, hypertension as a secondary symptom can be significantly alleviated or reduced, reducing the mortality and disability rates caused by hypertension and complications
People who are susceptible to hypertension (e.g., obesity, family history of hypertension, etc.);
Patients with a history of syncope or positional hypotension should preferably be examined at the same time as a 24-hour Holter ECG.
Precautions for wearing an ambulatory blood pressure monitor.
During the monitoring period, normal daily life, work, study and Xi can be carried out, but when the cuff is inflated for measurement, the arm should be kept relatively relaxed, straight, and it is necessary to temporarily stop walking, work and other activities, and continue to move after the measurement;
When sleeping, try to lie flat, and it is best not to stretch your hands upwards when lying on your side, and try to keep the ambulatory blood pressure monitor, arm and heart at the same level, so as not to affect the accuracy of the monitoring results
Protect the blood pressure meter from collision, water ingress, etc.;
Don't wear too tight clothing and never operate the blood pressure monitor manually.
Finally, remind everyone that ambulatory blood pressure monitoring must be worn all the time during the monitoring time, and return to the consultation room within the time specified by the doctor, so that the doctor can read and analyze the data in time and issue a diagnostic report. Autumn and Winter Check-in Challenge