High blood pressure, also known as hypertension, is the most common cardiovascular disease. High blood pressure does not usually cause symptoms initially, but if sustained over time, it can damage your arteries and increase risk for serious medical conditions such as heart attacks and strokes. When stress and anxiety caused by a clinic or hospital visit lead to higher-than-normal blood pressure readings, the effect is known as white coat hypertension. ​White coat hypertension, also known as white coat syndrome, is a condition where a patient’s blood pressure is higher when taken in a medical setting than it is in other places, such as at home. The term received its name from the white coats that healthcare professionals traditionally wear.

Patients with an elevated BP in the doctor's office may benefit from 24-hour ambulatory blood pressure monitoring (also knowns as ABPM). ABPM is a non-invasive method of obtaining blood pressure readings over a 24-hour period, while the patient is in their own environment, representing a true reflection of their blood pressure. This approach has been proven to provide a more accurate blood pressure measurement compared to an isolated blood pressure reading in a clinic. Wearing an ABPM can give your provider insight about how your changes in blood pressure may be affected by your daily activities, sleep patterns, and medications. The United States Preventive Services Task Force (USPSTF) recommends using an ABPM to confirm a diagnosis of high blood pressure.

PREPARATION AND PROCEDURE

No special preparation is needed for this test.  No special clothing needs to be worn, however, the ABPM will be placed on the patient’s non-dominant arm underneath your clothes. A button-down or loose-fitting shirt is recommended so the blood pressure cuff can fit comfortably on your upper arm.

At the time of your scheduled appointment, a technician will connect you to a small, lightweight recorder, and blood pressure cuff.  The lightweight recorder and blood pressure cuff will remain on for the next 24 hours.  The setup takes 20-30 minutes.  You will be instructed on the proper care of the recorder and show you how the ABPM device works.  You will also be asked to record on a patient diary if you experience any symptoms. There is a patient responsibility of $50.00 payment upon arrival to your ABPM appointment.

During the day and while you sleep, the device will take your blood pressure at regular, preset intervals. The cuff will inflate around your arm to measure your blood pressure as you go about your daily routine. Please know that the ABPM device is not waterproof, so you should not shower or perform strenuous exercise while wearing the device.

Upon completion of your 24-hour monitoring, the equipment should be returned to the front desk receptionist at Primary Care Associates of Appleton, LTD.  No appointment is necessary for the return of the equipment. The device will be downloaded and a report will be created of your reading for you and your physician to review.

If you believe you might benefit from this service, please discuss with your primary care provider.