Specialist Medicine Toowoomba

The list of clinical indications is based on the 2018 ESC/ESH Guidelines for the management of arterial hypertension: a) Conditions in which white-coat hypertension is more common, for example: i. Grade I hypertension on office blood pressure measurement ii. Marked office blood pressure elevation without hypertension-mediated organ damage (HMOD) b) Conditions in which masked hypertension is more common, for example: i. High-normal office blood pressure ii. Normal office blood pressure in individuals with HMOD or at high total cardiovascular (CV) risk c) Postural and post-prandial hypotension in untreated and treated patients d) Evaluation of resistant hypertension e) Evaluation of blood pressure control, especially in treated higher-risk patients f) Exaggerated blood pressure response to exercise g) When there is considerable variability in the office blood pressure h) Evaluating symptoms consistent with hypotension during treatment i) Specific indications for ABPM rather than HBPM: i. Assessment of nocturnal blood pressure values and dipping status (for example, suspicion of nocturnal hypertension, such as in sleep apnea, chronic kidney disease (CKD), diabetes, endocrine hypertension, or autonomic dysfunction) These recommendations are in accordance with the the 2017 ACC/AHA/AAPA/ABC/ACPM/ AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults as well.