European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring

Gianfranco Parati*, George Stergiou, Eoin O'Brien, Roland Asmar, Lawrence Beilin, Grzegorz Bilo, Denis Clement, Alejandro de la Sierra, Peter de Leeuw, Eamon Dolan, Robert Fagard, John Graves, Geoffrey A Head, Yutaka Imai, Kazuomi Kario, Empar Lurbe, Jean-Michel Mallion, Giuseppe Mancia, Thomas Mengden, Martin MyersGbenga Ogedegbe, Takayoshi Ohkubo, Stefano Omboni, Paolo Palatini, Josep Redon, Luis M Ruilope, Andrew Shennan, Jan A Staessen, Gert vanMontfrans, Paolo Verdecchia, Bernard Waeber, Jiguang Wang, Alberto Zanchetti, Yuqing Zhang, European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Given the increasing use of ambulatory blood pressure monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on blood pressure monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physicians. The present article details the requirements and the methodological issues to be addressed for using ABPM in clinical practice, The clinical indications for ABPM suggested by the available studies, among which white-coat phenomena, masked hypertension, and nocturnal hypertension, are outlined in detail, and the place of home measurement of blood pressure in relation to ABPM is discussed. The role of ABPM in pharmacological, epidemiological, and clinical research is also briefly mentioned. Finally, the implementation of ABPM in practice is considered in relation to the situation of different countries with regard to the reimbursement and the availability of ABPM in primary care practices, hospital clinics, and pharmacies.

Original languageEnglish
Pages (from-to)1359-66
Number of pages8
JournalJournal of Hypertension
Issue number7
Publication statusPublished - Jul 2014


  • Adolescent
  • Adult
  • Atrial Fibrillation
  • Blood Pressure Monitoring, Ambulatory
  • Child
  • Female
  • Humans
  • Hypertension
  • Male
  • Masked Hypertension
  • Obesity
  • Practice Patterns, Physicians'
  • Software
  • White Coat Hypertension


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