Ambulatory Blood Pressure Monitoring at Delban Advanced Cardiovascular Clinic

What is ambulatory blood pressure monitoring?

Ambulatory blood pressure monitoring is an advanced portable device that records the patient's blood pressure continuously over 24 to 48 hours. Unlike traditional blood pressure measurement in the office, ambulatory blood pressure monitoring makes it possible to record blood pressure changes in real-life conditions (sleep, daily activity, stress, and so on).

Key uses and diagnoses

1. Diagnosis of variable hypertension

• Identification of blood pressure fluctuations that cannot be detected with routine measurements.
• Diagnosis of white coat hypertension, in which the patient's blood pressure rises in the office but is normal in everyday settings.
• Diagnosis of masked hypertension, in which blood pressure is normal in the office but elevated outside the office.

2. Assessment of medication effectiveness

• Evaluation of blood pressure response to antihypertensive medications throughout the day and night.
• Helping adjust medication dose and timing for optimal blood pressure control.

3. Identification of abnormal blood pressure patterns

• Recording nocturnal blood pressure, an important marker for predicting cardiovascular risk.
• Diagnosis of a non-dipper pattern, which is associated with increased risk of stroke and heart failure.

4. Blood pressure evaluation in special patient groups

• Patients with kidney failure, diabetes, vascular disease, and pregnant women.
• Patients with dizziness, syncope, or symptoms caused by blood pressure fluctuations.

Why ambulatory blood pressure monitoring at Delban Clinic?

At Delban Advanced Cardiovascular Clinic, this service is provided under the direct supervision of Dr. Seyed Mohsen Jahromi-Moghadam (specialist in non-surgical cardiac procedures and subspecialist in vascular diseases). The advantages of ambulatory blood pressure monitoring at Delban Clinic include:

• New-generation devices with high accuracy and the ability to record blood pressure and heart rate simultaneously.
• Expert interpretation by the cardiovascular team, taking into account the patient's full history and other diagnostic tests.
• Integration with the clinic's AI-Care™ intelligent system, enabling analysis of blood pressure patterns and prediction of cardiovascular event risk.
• A comprehensive and understandable report for the patient and treating physician, including charts of blood pressure changes throughout the day and night.

Steps of ambulatory blood pressure monitoring

1. Device placement

• A blood pressure cuff (similar to a standard device) is attached to the patient's arm, and a small recorder is attached to the patient's belt or pocket.
• The patient is taught how to continue normal activities during the recording period and how to complete an event diary for sleep times, physical activity, medication use, and specific symptoms.

2. Recording period (usually 24 to 48 hours)

• The device automatically measures and stores blood pressure at set intervals (usually every 15 to 30 minutes during the day and every 30 to 60 minutes at night).

3. Data analysis

• After the recording period ends, data are extracted from the device and analyzed using specialized software.
• The final report includes average daytime/nighttime blood pressure, percentage of time with elevated pressure, nocturnal dipping pattern, and more.

4. Results interpretation session

• The results are interpreted by Dr. Jahromi-Moghadam or one of the clinic's cardiologists, and treatment recommendations (medication adjustment, lifestyle changes, future follow-ups) are provided.

Ambulatory blood pressure monitoring in the AI-Care™ comprehensive smart check-up

Ambulatory blood pressure monitoring is part of Delban Clinic's AI-Care™ comprehensive smart check-up package, which includes:

• Electrocardiogram (ECG)
• Exercise Stress Test
• Specialized echocardiography
• Peripheral vascular assessment with the SOT AngioExperience™ device
• Spirometry and Body Analyzer
• Cardiovascular subspecialist visit
• Integrated intelligent interpretation by the AI-Care™ system

This package enables estimation of cardiovascular event risk over the next ten years and provides a comprehensive assessment of cardiovascular health.

Frequently asked questions (FAQ)

Is ambulatory blood pressure monitoring painful?

No. The device only uses an arm cuff that inflates intermittently and does not cause pain.

Can I shower or exercise during the recording period?

Yes. The device is water-resistant and the patient can continue normal activities. Direct contact with hot water or high-pressure water should be avoided.

How quickly are the results ready?

Data analysis and report preparation are usually completed on the same day the recording ends, and the interpretation session is scheduled within the next 24 to 48 hours.

Can ambulatory blood pressure monitoring be used for children?

Yes. With pediatric cuffs, this service can also be provided for younger ages.

Conclusion

Ambulatory blood pressure monitoring is a noninvasive, accurate, and practical diagnostic tool for managing blood pressure and preventing cardiovascular complications. At Delban Advanced Cardiovascular Clinic, this service is provided with the highest technical standards and expert interpretation by Dr. Seyed Mohsen Jahromi-Moghadam, and it is part of the AI-Care™ comprehensive smart check-up for integrated care of your heart health.05132042 - 09003204200