High-Risk Conditions for Which ABPM May Be Useful

Secondary HTNSevere ambulatory HTN or nocturnal HTN indicates higher likelihood of secondary HTN161,167
CKD or structural renal abnormalitiesEvaluate for MH or nocturnal HTN,168172 better control delays progression of renal disease173
T1DM and T2DMEvaluate for abnormal ABPM patterns,174,175 better BP control delays the development of MA176178
Solid-organ transplantEvaluate for MH or nocturnal HTN, better control BP179188
ObesityEvaluate for WCH and MH23,189192
OSASEvaluate for nondipping and accentuated morning BP surge43,46,193,194
Aortic coarctation (repaired)Evaluate for sustained HTN and MH58,112,113
Genetic syndromes associated with HTN (neurofibromatosis, Turner syndrome, Williams syndrome, coarctation of the aorta)HTN associated with increased arterial stiffness may only be manifest with activity during ABPM58,195
Treated hypertensive patientsConfirm 24-h BP control155
Patient born prematurelyEvaluate for nondipping196
Research, clinical trialsTo reduce sample size197