Ambulatory blood pressure monitoring(or abbreviated SMAD) is today the most effective method for detecting disorders in the circulatory system. This procedure, which involves multiple measurements of blood pressure within 24 hours, allows you to identify the slightest failures. Contacting our clinic "Doctor nearby +" on Korovinskoe highway- affordable way make SMAD at an affordable price in Moscow with a minimum investment of time. An individual approach and modern diagnostic equipment allow us to guarantee the accuracy of the results obtained and the delivery of the diagnosis.

Features of BP monitoring (ABPM in CAO)

This method of studying blood pressure is quite simple. A cuff is installed on the patient's arm (middle third of the shoulder), which is connected by a tube to the registrar. The main unit records the parameters obtained during the measurement, and also supplies and bleeds air. Inside the cuff is a highly sensitive sensor that can detect the slightest pulse fluctuations. All data is stored in the device's memory. At the end of the day, the register is transferred to a specialist who can SMAD decode and correctly interpreted to make a diagnosis.

The procedure for monitoring blood pressure ABPM has the following features:

• The number of measurements is determined individually for each patient, taking into account his sleep and wakefulness patterns.
• The minimum number of blood pressure measurements is 50 times. This value is the limit for obtaining an accurate, complete and objective picture.
• Usually during the daytime, blood pressure is checked every 15 minutes, at night - about 1 time per half hour.
• The patient, to whom the device was installed, can lead a normal life: go to work, eat, walk in the fresh air, play sports.
• During the day, the subject needs to keep a diary, recording in it all physical activity, sleep periods, medications taken, observed symptoms and sensations.

Indications for ABPM in Beskudnikovo

Modern medicine uses daily monitoring of blood pressure ABPM to determine the causes if the patient has such complaints or diseases:

• tendency to faint (including syncope);
• fatigue and general weakness;
• regular headaches and dizziness;
• constant noise (ringing) and stuffy ears;
• decreased vision and the appearance of "flies" in the eyes;
• persistently low or high blood pressure;
• suspected symptomatic or "nocturnal" hypertension;
• cerebrovascular disease;
• neurocirculatory asthenia (NCA);
• disturbances in metabolic processes;
• vegetovascular dystonia (VVD);
• heart failure;
• treatment-resistant arterial hypertension in severe form.

Mandatory ABPM study is for the following categories of patients:

• who have had a stroke or myocardial infarction (to correct the treatment regimen);
• belonging to the high-risk group (presence of insulin-dependent diabetes mellitus, serious kidney disease or overweight);
• entering military schools or for military service (to exclude hypertension);
• having unfavorable heredity (hypertension, acute disorders of cerebral circulation, cerebrovascular disease);
• the elderly (over 60 years old);
• pregnant women with a tendency to disturb blood pressure.

Diseases diagnosed by SMAD in Degunino

Violation of blood pressure can have a different nature of origin and consequences for the body. The data obtained during the diagnostics allows you to make based on the results SMAD conclusion about the presence of such disorders and diseases:

• hypotension or hypertension;
• dysfunction of the autonomic nervous system;
• hypertrophy of the left ventricle of the heart;
• chronic ischemia with angina attacks;
• preinfarction state;
• kidney and adrenal disease (including pheochromocytoma);
• development of atherosclerosis;
• violation of cerebral circulation;
• increased risk of stroke.

Recommendations for preparing for SMAD m. Seligerskaya

Monitoring of blood pressure is carried out in the usual rhythm of everyday life without limiting psycho-emotional and physical stress. Also, for this diagnostic method, there are no restrictions on eating or taking medications (unless otherwise recommended by the attending physician). The procedure has a number of limitations: skin diseases, vascular injuries, acute blood diseases, severe conditions, poor tissue conductivity. Therefore, before carrying out it, it is important to consult with a cardiologist or therapist.

Why is it advantageous to sign up for the SMAD service at the "Doctor Nearby+" clinic in Seligerskaya metro station?

For any disturbing symptoms and conditions, feel free to contact. Registration is by phone. If necessary, leave a request and about metro station 800th anniversary of Moscow On the same day, he will arrive at your home at a convenient time for you, conduct an examination and prescribe the necessary medications. In the service area clinics "Doctor nearby plus" in Moscow and the Moscow region.

Discover prices for SMAD You can contact our consultant. Using the phones, you can also make an appointment at a convenient time and clarify the conditions of admission with a specialized doctor.

Daily monitoring of blood pressure allows you to notice deviations from the norm in time. The procedure is carried out using a special device that allows you to monitor blood pressure parameters throughout the day.

Description of the method

The use of the method of daily monitoring of blood pressure has gained great popularity today. With its help, without interruption, fluctuations in blood pressure are monitored and recorded.

To obtain accurate information about the state of pressure in the arteries, the patient must wear a special device for a day or longer that measures blood pressure every quarter of an hour.

After receiving the results of monitoring, it is possible to determine whether there are violations in the functioning of the body. The patient during the measurement should lead a normal life.

The procedure also evaluates the effectiveness of the prescribed therapy and diagnoses:

• minimum and maximum blood pressure indicators in conditions familiar to the patient;
• BP rhythm. If it is noticeable that at night the blood pressure in the arteries does not decrease, then the risk of developing or heart attack has increased;
• average blood pressure to confirm or refute the presence of hypertension.

If you prepare well and follow all the rules for performing the procedure, you can get accurate information by which the doctor will determine whether there is a need to take medications.

Who is assigned

Daily pressure monitoring is necessary for people who:

• get tired quickly;
• complain of headaches and dizziness;
• suffer from visual impairment and see flies before their eyes;
• hear tinnitus or notice other unpleasant symptoms.

Pressure measurements should also be carried out by those who do not have any signs of abnormalities, but when measuring, the doctor noticed an increase in blood pressure. Often this problem is observed in people who are worried at the doctor's appointment. Therefore, the pressure and pulse rise. To determine whether this is a disease or a psychological reaction to a visit to a medical facility, it is necessary to conduct ABPM.

During the procedure, not only the presence of hypertension or hypotension is determined, but also the cause of the development of disorders. Data control allows you to:

1. Understand how dangerous an increase in performance is for a particular person.
2. Find out what complications you have.
3. Decide on an acceptable level of physical activity.

Blood pressure monitoring may also be prescribed before surgery, childbirth, and to assess the risk of developing diseases of the cardiovascular system.

Contraindications

The procedure cannot be carried out with:

• hand injuries that make it impossible to install the device;
• skin diseases localized in the area of ​​the shoulder and arms;
• obstruction or rigidity of the vascular system, which will not allow you to get accurate results.

The awkwardness that arose during the monitoring process includes an unpleasant sensation in the arm due to the fact that the cuff pressed on it. During ABPM, certain inconveniences may occur, including:

1. difficulty falling asleep and staying asleep. With the help of the device, pressure is also measured at night, so people often wake up due to the fact that the hand is squeezed or from a signal. The problem mostly worries people who are light sleepers;
2. inability to bend the arm at the elbow. The cuff is attached slightly above the joint. Therefore, a person may feel uncomfortable while washing or brushing their teeth;
3. abstaining from taking a shower. The monitoring period usually takes a day or two. During the determination of indicators, you can not swim, since water should not get on the device.

These are all the inconveniences that the patient may experience. But they can be tolerated in order to get an accurate diagnosis.

Equipment for SMAD

There are different ways to monitor blood pressure. The Holter method of monitoring cardiogram and blood pressure is considered the most effective.

The Holter method consists in the fact that special electrodes are installed on the patient’s chest near the heart, with the help of which they analyze the heart rate and record all changes in the work of the heart throughout the day.

To make the diagnostic procedure more accurate, a medical sleeve can be used, putting it on the shoulder. In this case, to control blood pressure indicators, an oscillometric method is used, in which computer processing of the results is carried out.

The second most popular and accurate method is the use of the BiPiLAB system.

In this case, an apparatus for daily monitoring of blood pressure with a shoulder occlusive cuff is used. Using the oscillometric recording method, auscultatory dips, hypotension, weak Korotkoff sounds are accurately recorded.

Recently, people of all ages are increasingly faced with the problem of high blood pressure. The appearance of this symptom can be triggered both by the development of hypertension and by the influence of external negative factors.

To determine whether a patient is suffering from a serious disease of the cardiovascular system or if his condition has temporarily worsened, in most cases it is suggested to undergo an examination such as ABPM.

People who first encounter this name usually have a logical question - what kind of procedure is it in cardiology?

ABPM, deciphering this abbreviation - daily monitoring of blood pressure, is a medical examination that helps to track how blood pressure changes over 24 hours.

The procedure is carried out using an automated device. It consists of a mini-computer and a cuff connected by a special tube.

The device reads the indicators and saves them in the recorder's memory. Measurements take place day and night, so monitoring allows you to get the most complete picture of blood pressure fluctuations. At the end of the examination, the doctor transfers the data recorded by the registrar to the computer.

Currently, the use of a device for daily monitoring of fluctuations in blood pressure is the only reliable method of examination. It helps to diagnose at an early stage and take a timely step in the fight against it.

Are ABPM and Holter diagnostics the same thing?

Holter is an American scientist who developed a smart device for daily heart rate measurement. This procedure is in addition to long-term blood pressure monitoring for those with chest pains and palpitations.

Another argument in favor of Holter diagnostics is the presence of chronic cardiovascular diseases. A 24-hour examination is considered more effective than a standard ECG procedure, as it allows you to detect paroxysmal changes in the rhythm of the heartbeat and ischemia.

Like SMAD, Holter is set for a day. Several electrodes are fixed on the patient's chest. With their help, the pulse is measured and the data is transmitted to the recording device, which processes them into electrocardiograms.

The main difference between Holter diagnostics and SMAD is the monitoring of the heart rate on the graph, using special suction cups to the body.

Round-the-clock monitoring of blood pressure and heart rate cannot be effectively carried out at home using conventional devices. This is due to the fact that measurements must be taken during sleep. If a person wakes up, the indicators will rise.

Who is the SMAD procedure for?

Daily blood pressure monitoring is prescribed if:

• symptoms of hypertension are caused by a stressful condition or a high load on the body;
• pressure slightly increased for a long time;
• the patient has close relatives suffering from arterial hypertension;
• the patient's condition requires regular medical supervision to avoid complications;
• you need to find out how the chosen therapy affects the human body;
• the patient suffers from white coat syndrome: pressure readings rise due to the excitement of a visit to the doctor;
• the first signs of hypertension appeared: frequent headaches, decreased visual clarity, shortness of breath, swelling, buzzing in the ears;
• the patient is disturbed by frequent dizziness;
• The choice of treatment methods depends on the characteristics of arterial hypertension.

Other reasons for conducting daily measurements of blood pressure include: addiction to alcohol or tobacco products, being overweight, old age and pregnancy.

Preparatory stage

Wearing the device for ABPM does not require special training before the start of the examination. Some experts recommend:

• pre-normalize the daily routine;
• refuse serious physical exertion;
• choose loose clothing on the day of the procedure.

Sometimes, before the diagnosis, the doctor asks the patient to stop taking medication for a day. On the day of the examination, the medication is resumed. Refusal helps the doctor to draw conclusions about the effect of drugs on the patient's body.

The procedure for installing a device for daily measurement of blood pressure takes very little time. Beforehand, the patient is told about how the ABPM examination is carried out. Inform about the rules for operating the registration device. Measure blood pressure and pulse.

If the indicators are normal, a cuff is put on the non-working arm of the patient and fixed in the forearm. In the case of parallel Holter diagnostics, electrodes are additionally fixed on the chest. A mini-computer, packed in a special case, is hung on the belt.

The 24-hour monitor checks the blood pressure index every half an hour during the day and once an hour at night. The interval between measurements can vary up or down. The indicators depend on the decision of the doctor and the model of the device.

After a beep indicating the start of air supply to the cuff, the patient should lower the relaxed arm down and, if possible, stop. This position will allow you to get the most accurate results. After the second beep, you can continue to go about your business.

During the examination period, it is desirable to lead a normal life. Be sure to keep a diary in which, indicating the time, you should record information about the daily routine, medications taken and general well-being.

• take a bath or shower, as water can damage the daily pressure meter;
• subject the body to serious physical and emotional stress;
• eat foods that provoke an increase or decrease in blood pressure (, excessively or fatty foods, smoked meats, strong,);
• drink and smoke.

The smart device must not be exposed to too high and low temperatures, wet, try to disassemble. It is necessary to monitor the position of the cuff and the connecting tube. They must be in their places.

If during the measurement the cuff begins to squeeze the arm too much, the operation of the device can be stopped by pressing a special button. In this case, it is recommended to re-take readings in a few minutes, and make an entry in the diary about the failure.

The main disadvantage of SMAD is inconvenience. Patients note that:

• the cuff does not allow to fully bend the arm, as it is attached slightly above the elbow joint;
• smart device interferes with sleep at night;
• due to prolonged wearing of the cuff on the arm, diaper rash or allergic rashes appear;
• during the day you can not take a bath or go to the shower;
• sometimes the device stops working normally;
• they experience emotional discomfort, as they are forced to constantly monitor the position of the device or are afraid of damaging it.

In addition, unscrupulous patients can influence the results of daily monitoring by using means to increase or decrease blood pressure. However, an experienced specialist in the process of deciphering the results immediately recognizes abnormal jumps and prescribes a second procedure, but already in a hospital setting.

The indicators that were obtained using the devices in one day are not always characteristic of the patient. Therefore, sometimes it is necessary to repeat the monitoring.

The inconvenience of the examination is compensated by the availability and accuracy. The advantages also include:

• non-invasive method;
• simplicity of the procedure;
• undergoing diagnostics at home;
• the ability to get a complete picture of pressure fluctuations over a long period of time, which is important for effective diagnostics.

ABPM can detect hypertension at an early stage. For this reason, for most patients, this method of examination is recognized as the most effective.

The doctor begins to decipher the readings of the daily monitoring of blood pressure on the day the diagnosis is completed. The survey results indicate:

• mean systolic blood pressure (SBP);
• mean diastolic blood pressure (DBP);
• difference between daytime and nighttime SBP and DBP results;
• the degree of pressure reduction at night;
• variability of indicators.

Cost of the procedure

Public clinics offer long-term blood pressure monitoring free of charge. However, in small towns there is often not enough equipment for everyone who wants to be examined, so the wait is delayed for several months.

If the procedure is required urgently, you should think about visiting a private medical institution. The cost of the service varies depending on the size of the city and the popularity of the clinic.

When choosing a private clinic, you need to carefully read the price list for services, as some institutions charge a separate fee for deciphering the results of the examination.

Contraindications for SMAD include:

• a period of exacerbation of vascular diseases affecting the condition of the arteries and veins of the upper extremities;
• mental disorders;
• injury to a non-working hand;
• dermatological diseases, the exacerbation of which can provoke the wearing of a cuff;
• tendency to bruising with any squeezing of the skin;
• age up to 3 years;
• complications that appeared after the previous procedure;
• diseases that affect the accuracy of diagnosis, for example, impaired vascular patency.

A referral for examination is issued by a therapist or cardiologist. After completing the diagnosis and deciphering the results, the doctor develops a treatment program or offers the patient a set of preventive measures.

Scope of Research

• filling out a receipt for receiving the monitor
• getting a patient diary
• cuff overlay
• system performance check (at least 2 measurements)
• 24 hour BP measurement record
• processing of the record, its analysis, preparation and execution of a report and conclusion based on the results of the study by a doctor

The cost of a complete examination (24-hour blood pressure monitoring) - 5000 rubles

Introduction to long-term blood pressure monitoring
(AH) is one of the most common conditions currently encountered, it can be detected in approximately 20% of the representatives of the modern population. This makes it possible to refer to it as the largest non-infectious pandemic of our time. The control of the level of blood pressure and the correction (reduction) of its elevated level are reasonably considered to be one of the most important components in the system for preventing the development of major vascular events - acute myocardial infarction and cerebral stroke.
Determination of blood pressure can be carried out directly (not used in wide practice), auscultatory (listening to tones according to the Korotkov method) or oscillometrically. The most accurate method is invasive, i.e. with the introduction into the lumen of the artery, pressure measurement. All the rest, in comparison with the above, have a number of shortcomings, introducing some inaccuracies in measurements.
ABPM - ambulatory blood pressure (BP) monitoring - a method of functional diagnostics that allows you to discretely record the level of systemic arterial pressure in the brachial artery for 24 hours. It is more correct to call this method of blood pressure analysis long-term monitoring. , since the registration time is not fixed and depends on the specific tasks that need to be solved.

With long-term monitoring of blood pressure, an oscillometric method for its determination is used. The latter is based on the determination of pressure fluctuations (and volume) due to the passage of various volumes of blood through the lumen of the brachial artery compressed by a pneumatic cuff into systole and diastole. For obvious reasons, a direct measurement cannot be made in this case, therefore, a special (and different) sequence of measurements and transformations is used - an algorithm.
Blood pressure measurements during long-term monitoring of blood pressure by the oscillometric method without violating the established procedure are considered to be quite accurate, comparable to the Korotkov method of listening to tones, and give reliable results. In this case, the natural limitation is the various movements of the arm (and cuff) at the time of analysis, as well as the discreteness of the determinations with a given periodicity in time: the longer the established intervals, the greater the probability of missing episodes of an increase or decrease in pressure.

Why is blood pressure monitoring required?
Despite the relatively low cost of this diagnostic procedure, before it is carried out, it is necessary to imagine for what purpose it is required. Obviously, the level of blood pressure is characterized by a fairly wide variability in the norm - depending on the time of day, the presence and severity of physical activity, etc. In conditions of deviation from the average level, an increase (hypertension) and a decrease (hypotension) in blood pressure, if present, may constant, but often intermittent. The latter significantly complicates the identification of such fluctuations. For example, blood pressure may increase mainly at night or mainly in the early morning hours, at the time of psycho-emotional and (or) physical exertion, in the form of a reaction to a doctor's appointment (“white coat”), etc. In these cases, long-term monitoring of blood pressure is the best diagnostic method. In addition, for people with previously diagnosed arterial hypertension, taking medications that reduce blood pressure, it is extremely important how evenly this process is carried out over the time of day. The latter is essential for the correction of treatment by a doctor. There are also a number of diagnostically important situations (syncope, respiratory disorders - sleep apnea, etc.).
The procedure for long-term monitoring of blood pressure

The procedure is carried out in the following sequence. First, the patient fills out a receipt for receiving a blood pressure recorder (monitor), after which the wearable device initialized in the workstation is fixed on the body. The patient is given a diary. which must be filled out, entering information about your actions, taking medications, etc. during the entire registration process. As a rule, to obtain an objective picture, it is sufficient to conduct blood pressure monitoring for a duration of 24 hours, sometimes a longer time is required.

After registration is completed, the patient can independently remove the monitor according to the instructions that are provided to him by the staff upon receipt of the registrar, or, preferably, do it at the clinic. The blood pressure record from the removed monitor is transferred to a workstation equipped with the appropriate software, the device memory is reset, after which it can be used for the next procedure. The analysis of the results of the study is carried out by a certified doctor of functional diagnostics or a doctor of a clinical specialty who has the appropriate training. Based on the results of the study, a protocol and conclusion are formed, which are issued to the patient. Preparation of the protocol and conclusion, depending on the current workload of specialists, can take from several hours to 3 working days. In the Multidisciplinary Professorial Medical Center "Vascular Clinic at the Patriarch's", the procedure for long-term monitoring of blood pressure is unified, it includes all the above components, including the protocol with the doctor's opinion as an integral part of it.

If necessary (if there are significant changes in blood pressure in the process of its determination), the analyzing doctor has the right to give recommendations on further tactics.
Things to consider when planning long-term blood pressure monitoring
preparation for the study is not required

• registration is preferable on a working day; night sleep must be included during the registration period; weekend monitoring is not ruled out, however, the data obtained during this may be less valuable, because. during this period of time you are deprived of your usual workloads, which no doubt affect the level of blood pressure
• when monitoring blood pressure, compression (compression) of the brachial artery is required at the level of the shoulder, where the cuff is applied; pressure is created by pumping air with a compressor, the operation of which is accompanied by a low noise
• depending on the estimated blood pressure figures, an individual threshold for air injection into the cuff is set and the higher the pressure, the higher it is, this creates unpleasant sensations of strong shoulder clamping, including at night
• the time of setting up the monitor should be calculated based on the fact that in a day it must be taken to the clinic (personal presence is not required)
• before starting the study, you will need to issue a receipt for the temporary use of a registrar representing a certain value; passport data is entered into the receipt, and its execution takes 10-15 minutes
• the recording device is an expensive electronic device; it cannot be wetted, subjected to mechanical stress, etc.
• during the study, interrupt the recording, remove the monitor, press the buttons is prohibited
• deciphering the record by a doctor and forming a conclusion ranges from several hours to days after the delivery of the monitor, depending on the workload of doctors

What to do next after receiving the results?

If the results of the study were necessary for your attending physician, the course of your further actions is determined. If you yourself “appointed” a procedure for yourself, the further depends on its results. As a rule, the analyzing doctor gives his recommendations for further examination (treatment is the exclusive prerogative of the clinician). In any case, we believe that it is best to contact the attending physician, to determine the profile of which we will help you decide.
In our clinic, if necessary, you can consult with, carry out, if necessary, undergo metabolic disorders.

The multidisciplinary professorial medical center Vascular Clinic at Patriarch's invites you for examination and treatment. Contacting our clinic is a guarantee of receiving specialized medical care according to the best international standards.

Indications for the study

• episodes of high blood pressure in young people
• variability in blood pressure levels on repeated measurements, visits to the doctor, or according to self-monitoring data
• high blood pressure values ​​in patients with a small number of risk factors and the absence of changes in target organs and (or) vessels characteristic of arterial hypertension (AH)
• normal blood pressure values ​​in patients with a large number of risk factors and (or) the presence of changes in target organs characteristic of hypertension
• significant differences in the value of blood pressure at the reception and according to self-monitoring data
• resistance (resistance) to antihypertensive therapy
• episodes of hypotension, especially in the elderly and diabetics
• arterial hypertension in pregnancy and suspicion of preeclampsia
• nephropathy and other pathology associated with arterial hypertension in pregnant women
• left ventricular myocardial hypertrophy
• obstructive sleep apnea syndrome
• episodes of hypotension during treatment (to optimize therapy)
• monitoring the effectiveness of therapy for arterial hypertension without hypotensive episodes
• other special indications (determined by the attending physician)

SMAD- a research method based on measuring and fixing blood pressure indicators for 24-72 hours at certain time intervals (from 15 to 120 minutes). Daily monitoring of blood pressure is prescribed to diagnose arterial hypertension and hypotension, identify the causes of fainting and dizziness, and select drug therapy to normalize blood pressure. The duration of the study is determined individually, on average it ranges from 1 to 3 days (rarely - up to 7). The cost of the procedure depends on the duration of blood pressure monitoring.

Training

SMAD does not require preparatory measures. Before starting the study, it is worthwhile to warn the doctor about the medications you are taking, as some of them may affect the results of the procedure.

What shows

During ABPM, blood pressure is measured and recorded at set time intervals for 1-3 days. A lot of indicators are subjected to statistical processing, as a result of which the doctor receives information about the average diastolic and systolic blood pressure, average night and daytime blood pressure indicators, the percentage of indicators above the norm, and blood pressure variability. ABPM data are used in the diagnosis of a number of pathologies:

• True arterial hypertension. In patients with true arterial hypertension, the average daily blood pressure is increased. Peak indicators are often determined in the morning, at night the pressure decreases more slowly than in healthy people. During the clinical measurement, an increase in blood pressure is also recorded.
• White coat hypertension. Patients with "doctor's coat" hypertension are stressed by the medical examination situation. They have high blood pressure values ​​with a single measurement in the presence of a doctor or nurse, but the average daily, daytime and nighttime values ​​are normal.
• Latent arterial hypertension. The key sign of occult arterial hypertension is an increase in the average daily blood pressure of more than 135/80 with a normal blood pressure obtained by traditional measurement. Another criterion is the average daily blood pressure above 130/80 and the normal value of the clinical indicator.
• symptomatic hypertension. In favor of the diagnosis of secondary hypertension, cases are considered in which the mean blood pressure at night is higher than during the day. This result indicates the need for additional diagnostic procedures, explains the low efficiency of drug treatment with antihypertensive drugs.
• Risk of cardiovascular pathologies. The high variability of daily values ​​indicates a high risk of heart and vascular diseases. In such patients, the likelihood of changes in the fundus vessels, atherosclerotic vascular lesions, and left ventricular myocardial hypertrophy increases. With an insufficient decrease in blood pressure at night, the risk of stroke and coronary heart disease is diagnosed.

ABPM is an additional diagnostic method and cannot replace the traditional procedure for measuring blood pressure at a doctor's appointment. The results of monitoring are considered in conjunction with the data of the examination, clinical interview and blood pressure tonometry.

Advantages

ABPM provides more BP recordings than the traditional technique. This increases the diagnostic value of the procedure in relation to vascular hypertension, predicting the risks of pathologies of the heart and blood vessels. Clinical single measurement of blood pressure is cheaper than ABPM, but less informative in differential diagnosis and detection of latent forms of hypertension. The disadvantages of ABPM are physical discomfort and movement restrictions due to wearing a pneumocuff, reduced accuracy of readings in supraventricular and ventricular arrhythmias.