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The key differences between these 2 methods of office BP measurement is whether the health care professional remains in the room with the patient during the read- ings (OBPM) or not (AOBP), and whether multiple read- ings are automatically performed and averaged (AOBP) or not (OBPM).
Table 1 Blood pressure levels (mm Hg)OptimalNormalDaytime
OBPM is measured by a nurse or doctor with a conventional calibrated mercury sphygmomanometer or an electronic device in the clinic. HBPM, also called self-BP monitoring, is performed by the patient or a family member in a familiar environment, providing at-home long-term BP values.
Are ambulatory blood pressure monitors accurate? Yes. Ambulatory blood pressure monitoring is an accurate and effective way to measure your blood pressure. It gives your healthcare provider better data compared with only measuring your BP at your medical appointments.
Such readings are called automated office blood pressure (AOBP) and they are both more accurate than conventional manual office BP and not associated with the white coat phenomena. AOBP readings are also similar to the awake ambulatory BP and home BP, both of which are relatively good predictors of cardiovascular risk.
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Automated Office Blood Pressure (AOBP) Monitoring for Diagnosis of Hypertension.
Definition. Ambulatory Blood Pressure Monitoring (ABPM) provides an accurate and reliable measurement of blood pressure throughout the day and night, thus providing valuable diagnostic information beyond what is routinely provided in-clinic or with home blood pressure monitoring.
Importance Automated office blood pressure (AOBP) measurement involves recording several blood pressure (BP) readings using a fully automated oscillometric sphygmomanometer with the patient resting alone in a quiet place.

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