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SunTech Oscar 2 - AccuWin Pro v4 Manual

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80-0062-00-MO-RevH 2018-5-8 SunTech Oscar 2 User Manual | 4
1. Introduction to Ambulatory Blood Pressure Monitoring
Ambulatory blood pressure monitoring (ABPM) is an accepted clinical tool for collecting multiple blood pressure
measurements to better assist clinicians with the diagnosis and management of hypertension by providing data related
to: blood pressure variability, estimation of true blood pressure, overnight changes in blood pressure, Blood Pressure
Load, Sleep Dip, and morning surge in blood pressure.
1
In-clinic and home blood pressure measurements cannot provide
the same depth of information that a 24-hour study provides. Several studies have shown that ambulatory blood
pressure monitoring, when compared to clinic or home blood pressure measurement, is superior in predicting target
organ damage, morbid events, or cardiovascular risk.
1, 2, 3
The data obtained from ambulatory blood pressure monitors is accurate and useful for managing a wide variety of
hypertensive situations including:
• White-coat hypertension
• Resistant hypertension
• Masked hypertension
• Childhood hypertension
• Efficacy of anti-hypertensive drug therapy on a 24-hour basis
• Nocturnal hypertension
• Episodic hypertension and/or anxiety disorders
• Hypotensive symptoms
• Changes in diet and daily routine designed to reduce hypertension
2. Introduction to Central Blood Pressure Monitoring
Central blood pressure measurement derives the central aortic pressure waveform from cuff pulsations recorded non-
invasively at the brachial artery. Analysis of the waveform provides key parameters including central systolic pressure,
central pulse pressure and indices of arterial stiffness such as augmentation pressure and augmentation index.
Increased central systolic pressure and augmentation index have been shown to be markers of cardiovascular risk.
4
Additionally, research has shown its significance as a biomarker for guiding assessment of drug safety and efficacy and,
ultimately, patient treatment.
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