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Monitoring Your Blood Pressure the Right Way

Monitoring Your Blood Pressure the Right Way

Dr Sayan Sen

Feb 2025

 

When it comes to managing hypertension, traditional blood pressure readings can often miss the mark.

A single reading taken in a clinic may not represent your true blood pressure throughout the day. This is where ambulatory blood pressure monitoring becomes imperative for hypertension care. Unlike standard methods, ambulatory blood pressure monitoring offers a more accurate and comprehensive picture of your blood pressure patterns, providing crucial data for a personalised approach.

White coat hypertension is well known phenomenon. This is the term for a syndrome whereby a patient's feeling of anxiety in a medical environment results in an abnormally high reading when their blood pressure is measured.

If you’re looking for a more reliable way to track your blood pressure, 24-hour blood pressure monitoring could be the solution.

Let’s explore how ambulatory monitoring works and how it can make a significant difference in your managing hypertension.

Dr Sayan Sen

What Is Ambulatory Blood Pressure Monitoring?

Ambulatory blood pressure monitoring is a method that involves wearing a small, portable device that measures your blood pressure over a 24-hour period. The device is worn on a belt around your waist and the cuff is attached to your upper arm.

The device takes automatic readings at regular intervals throughout the day and night. These readings take pace every 30 minutes during the day, and every hour at night. This offers a detailed picture of your blood pressure throughout a typical 24-hour period in your life.

This type of monitoring is an essential tool for diagnosing and managing hypertension more accurately than traditional office-based measurements.

Ambulatory blood pressure monitoring is particularly beneficial for understanding how your blood pressure behaves during normal daily activities, while you're at rest, and even while you sleep.

Why Is 24 hour blood pressure monitoring better than standard monitoring?

Ambulatory blood pressure monitoring benefits go beyond what you can achieve with a simple blood pressure cuff at the doctor’s office. Here are some key advantages:

1.

Tracks Blood Pressure Throughout the Day and Night> Ambulatory monitoring measures your blood pressure at different times, even when you’re sleeping. This gives your consultant a complete view of your blood pressure fluctuations, which can be crucial for identifying issues that may not show up during a single office visit.

2.

Reduces White Coat Syndrome: Many patients experience elevated blood pressure when they’re in a doctor’s office due to anxiety. This phenomenon, known as white coat syndrome, can lead to inaccurate readings. Ambulatory monitoring eliminates this issue by capturing your blood pressure in a more natural setting, outside of a clinical environment, whilst you carry on with your normal day-to-day activities.

3.

Provides More Accurate Data for Treatment: With continuous, real-time data, doctors can make more informed decisions about your treatment plan. It helps them assess whether your current medication is working, whether there are any undiagnosed issues, and whether changes in your lifestyle are necessary.

Dr Sayan Sen

Who Should Consider Ambulatory Blood Pressure Monitoring?

24-hour blood pressure monitoring is not just for individuals with a known hypertension diagnosis. It can also benefit:

  • with fluctuating blood pressure: If your blood pressure is inconsistent, this method can provide insights into whether it’s naturally variable or a result of an underlying condition.
  • Those with suspected masked or treatment resistant hypertension: If your blood pressure readings are normal during doctor visits but high at other times, ambulatory monitoring can help uncover these hidden patterns.
  • Anyone with a history of cardiovascular conditions: Continuous monitoring can help detect early signs of complications and help guide preventive care.

Dr Sayan Sen

The Process of Ambulatory
Blood Pressure Monitoring

Dr Sayan Sen

Here’s what you can expect when you visit us to start 24-hour blood pressure monitoring at one of our clinics:

1.

Fitting the Device: During your appointment, our staff will attach a small cuff to your upper arm and connect it to a portable monitor. The monitor is worn on a belt, usually around your waist.

2.

Continuous Monitoring: The device will automatically take blood pressure readings every 30 minutes during the day and every hour at night while you sleep. You will be asked to continue with your normal daily activities during the monitoring period.

3.

Returning the Device: After 24 hours, you’ll return the device to us. Your consultant will review the data collected over the course of the monitoring period and discuss this with you in detail during your follow up consultation.

24-hour blood pressure monitoring is non-invasive, and the results can provide your doctor with valuable information that a traditional office reading simply can’t offer.

Hypertension Care at One Heart Clinic

At One Heart Clinic, we specialise in providing state-of-the-art tools and expert care for managing hypertension.

Our ambulatory blood pressure monitoring service is designed to give you a thorough, accurate assessment of your blood pressure patterns, so we can create a treatment plan that works for you.

Whether you're dealing with fluctuating blood pressure, suspected treatment resistant hypertension, or simply want to monitor your heart health more closely, our specialists are here to help.

Our Hypertension service is led by Dr Sayan Sen. Dr Sen is a Consultant Cardiologist and a leading authority in the management of high blood pressure. His research has been published in the leading cardiology journals and has changed clinical practice around the world. He often performs live case demonstrations use novel technology to treat hypertension – one example is renal artery denervation.

Visit our Hypertension page to learn more about ambulatory blood pressure monitoring and how it can improve your care.

 

DR CHARIS COSTOPOULOS

Accurate blood pressure monitoring is essential for effective hypertension management.

Traditional in-office readings can often miss critical information, but with ambulatory blood pressure monitoring, you get a complete and precise picture of your blood pressure throughout the day and night.

If you’re ready to take control of your heart health, schedule an appointment with us today. Meet with our specialist consultants to discuss how we can help you manage your hypertension with confidence.

Book your appointment now and take the first step toward better blood pressure management.

Dr Sayan Sen