Ambulatory blood pressure, as opposed to office blood pressure, is the blood pressure over the course of the full 24-hour sleep-wake cycle. Ambulatory blood pressure monitoring (ABPM) measures blood pressure at regular intervals throughout the day and night. It avoids the white coat hypertension effect in which a patient's blood pressure is elevated during the examination process due to nervousness and anxiety caused by being in a clinical setting. ABPM can also detect the reverse condition, masked hypertension, where the patient has normal blood pressure during the examination but uncontrolled blood pressure outside the clinical setting, masking a high 24-hour average blood pressure.[1] Out-of-office measurements are highly recommended as an adjunct to office measurements by almost all hypertension organizations.
^Banegas, J. R.; Ruilope, L. M.; de la Sierra, A.; de la Cruz, J. J.; Gorostidi, M.; Segura, J.; Martell, N.; Garcia-Puig, J.; Deanfield, J.; Williams, B. (3 February 2014). "High prevalence of masked uncontrolled hypertension in people with treated hypertension". European Heart Journal. 35 (46): 3304–3312. doi:10.1093/eurheartj/ehu016. ISSN 0195-668X.
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