Improving patient outcomes with ambulatory blood pressure monitoring in elderly with hypertension

Purpose: The purpose of this article is to review the current knowledge regarding ambulatory blood pressure monitoring (ABPM) use in clinical practice and to provide example cases for its use in a hypertension (HTN) specialty clinic. Data sources: Published research trials, medical literature, and cases from the Center for Senior Hypertension. Conclusions: The knowledge of ABPM benefits to using ABPM are substantial and improves the care and management of many conditions, including white coat HTN, white coat normotension, resistant, borderline, episodic, paroxysmal HTN, and finally orthostatic hypotension. Third-party payers only cover ABPM for "white coat" HTN. Implications for practice: This article reviews previous studies and explains the benefit to changing our current practice to match the knowledge we have gained through research through case studies.