Take home message: Ambulatory BP is best

GPs are being encouraged to undertake more ambulatory blood pressure monitoring (ABPM), although questions remain about how it will be integrated into routine practice.

A position statement, prepared jointly by the High Blood Pressure Research Council of Australia (HBPRCA) and the National Heart Foundation, has been finalised and is set for release next month.

It will outline the mounting evidence in support of using ABPM in the management of hypertension, and the lower thresholds that apply for diagnosis, though the document stops short of addressing implementation.

“We are encouraging an increasing use of ABPM because of the evidence that it’s a more accurate measurement of the patient’s absolute blood pressure,” said Professor Geoff Head, chair of the committee that drafted the consensus statement.

“Exactly how it is going to be put together is the next stage… Certainly the provision of a