Comparative Effectiveness of ABPM and HBPM
Diagnostic Accuracy and Prognostic Value
- The U.S. Preventive Services Task Force (USPSTF) recommends ABPM as the reference standard for confirming hypertension diagnosis based on superior cardiovascular outcome prediction 1, 2, 3, 4
- Elevated 24-hour ambulatory systolic blood pressure is consistently and significantly associated with increased risk for fatal and nonfatal stroke and cardiovascular events, independent of office blood pressure, according to the USPSTF 1, 2, 3, 4
- Elevated home blood pressure is significantly associated with increased risk for cardiovascular events, stroke, and all-cause mortality, independent of office blood pressure, as found by the USPSTF 1, 2, 3, 4
- The PAMELA Study found that risk thresholds differed significantly between office, home, and ambulatory BP, with lower cut-off levels recommended for home BP than office BP 5, 6
- ABPM detected masked hypertension with a prevalence of 25.8%, while HBPM detected masked hypertension with a prevalence of 11.1%, according to the Masked Hypertension Detection Study 7, 8
- ABPM was more sensitive in detecting masked hypertension than HBPM, as found by the Masked Hypertension Detection Study 7, 8