Reason | ABPM | SMBP | Comment |
Diagnosing hypertension | √ | √ | More data support ABPM as the reference standard for this indication |
Evaluation of white coat hypertension or effect | √ | √ | Refer to UpToDate topics on white coat and masked hypertension |
Evaluation of masked hypertension or masked uncontrolled hypertension | √ | √ | Refer to UpToDate topics on white coat and masked hypertension |
Confirm elevated office BP in treated patients | √ | √ | To verify true treatment resistance |
Correlate symptoms with BP | √ | √ | Dizziness and fatigue may be related to BP changes from medications ABPM may be more useful, particularly among older adults at risk for falls Surges in BP may reflect underlying neuroendocrine disorders (eg, pheochromocytoma) |
Evaluate BP variability, particularly when dysautonomia suspected | √ | √ | ABPM reflects short-term variability SMBP can determine longer-term variability over weeks and even months |
Selection of patients for research studies | √ | √ | Choice of ABPM or SMBP dictated by protocol |
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