24 Hour Blood Pressure Monitor
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What is 24-Hour Blood Pressure Monitoring?
24-Hour Blood Pressure Monitoring is a test that measures your blood pressure repeatedly over a 24-Hour period while you go about your normal daily activities and sleep.
At WA Cardiology, 24 hour BP Monitoring is used to obtain a more accurate picture of your blood pressure than a single reading taken in a clinic.
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Why has my doctor ordered a 24-Hour BP Monitor?
Your doctor may request a 24-Hour BP Monitor to:
- Confirm or exclude high blood pressure (hypertension)
- Investigate white-coat hypertension (high readings only in medical settings)
- Detect masked hypertension (normal clinic readings but high blood pressure at home)
- Assess blood pressure control over the entire day and night
- Review response to blood pressure medications
- Assess blood pressure patterns during sleep
- Investigate symptoms such as dizziness or fainting related to blood pressure changes
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How does the monitor work?
A small recording device is attached to a blood pressure cuff which is then fitted to your upper arm. Blood pressure readings are taken automatically every 30 minutes during the day and every 60 minutes overnight. The device records and stores all readings for later analysis.
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What does the test show?
24-Hour BP Monitoring provides information about:
- Average daytime and night-time blood pressure
- Blood pressure variability throughout the day
- Whether blood pressure falls normally during sleep (night-time dipping)
- Effectiveness of blood pressure medications over 24 hours
This helps guide accurate diagnosis and treatment decisions.
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Is 24-Hour BP Monitoring safe?
Yes, a 24 Hour BP Monitor is safe. The device only measures blood pressure, involves no radiation, and can be worn safely during normal activities and sleep.
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Do I need to prepare for the test?
Preparation is simple:
- Wear loose, comfortable clothing
- Avoid tight sleeves on the arm with the cuff
- Continue your usual medications unless advised otherwise
- Shower before your appointment, as you cannot shower while wearing the monitor
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What happens when the monitor is fitted?
A small recording device is programmed and attached to a cuff fitted around your upper arm. An initial reading will be taken by the technician, and you will be given instructions and a symptom/activity diary. Fitting usually takes 10–15 minutes.
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What should I do while wearing the monitor?
While wearing the monitor, you should:
- Go about your normal daily routine
- Keep your arm still when the cuff inflates
- Avoid getting the monitor wet (no showers, baths, or swimming)
- Record activities, sleep times, and any symptoms in the diary provided
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Will it be uncomfortable?
You will feel the cuff inflate regularly, which may be slightly uncomfortable, particularly overnight. This is normal and brief, and most people tolerate it well.
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Can I sleep while wearing the monitor?
Yes. Night-time readings are an important part of the test. Try to sleep as normally as possible.
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Can I exercise while wearing it?
Light activity is usually fine. However, avoid vigorous exercise that may dislodge the cuff, damage the device, or interfere with accurate readings.
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What if the cuff feels too tight or slips?
- Adjust it gently if possible.
- Note the issue in your diary.
- Contact WA Cardiology on 6169 2016 if the problem persists.
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What if I feel unwell while wearing the monitor?
- Record your symptoms in the diary.
- Seek urgent medical attention if symptoms are severe.
- In an emergency, call 000.
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What if I need to cancel or reschedule?
If you need to change your appointment, please contact WA Cardiology as early as possible so the monitor can be allocated to another patient.
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Who can I contact if I have questions?
If you have questions before, during, or after your 24-Hour BP Monitoring, please contact WA Cardiology on 6169 2016 during business hours. Our clinical and administrative team are happy to help.