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What are the key differences in the protocols for ABPM and HBPM according to current UK guidelines?
Answer
Ambulatory blood pressure monitoring (ABPM) should involve taking at least 2 measurements per hour during the person's usual waking hours, with the average of at least 14 measurements used to confirm hypertension 1.
Home blood pressure monitoring (HBPM) requires the person to record 2 consecutive measurements, at least 1 minute apart, twice daily (morning and evening), over a period of at least 4 days (ideally 7 days). The first day's measurements are discarded, and the average of the remaining readings is used to confirm hypertension 1.
When confirming a diagnosis, ABPM uses an average of daytime measurements, while HBPM involves averaging multiple readings over several days, with specific protocols for measurement frequency and duration 1.
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