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Ambulatory Blood Pressure Monitor (ABPM):

This procedure involves the fitting of a blood pressure cuff to your nondominant arm, which is connected to a small monitor. Both the cuff and the monitor must remain fitted to you (the patient) for a period of 24 hours.

The cuff will inflate automatically at scheduled intervals to accurately measure your blood pressure, the monitor will beep prior to inflation. When you hear this beep and the cuff begin to inflate it is important to keep your arm straight and as still as possible, providing it is safe to do. This helps the monitor take an accurate measurement and reduces the chance of an error reading. If too many errors occur your doctor may request for you to repeat the test.

Inflation will occur every thirty minutes between when you are fitted with the monitor and 10pm. After 10pm until 7am the monitor will turn to silent mode, in which there will be no beep of the monitor prior to inflation, and inflation will occur every hour.

What do you have to do?

There are two appointments with this procedure, the first appointment is to fit the monitor and the second is the following day to remove the monitor after it has been worn for 24 hours.

A patient diary is issued to record details during the 24 hours such as any physical/strenuous activity, medication use, sleep times and any symptoms experienced. There are two options for a patient diary, the first being a paper document provided by us or the alternative being via the phone application in which you will write notes on. The application is called “symptoms – spacelabs eclipse and can be downloaded in the application store.

During the time which you are wearing the monitor it must not get wet, therefore no showering or bathing for the duration of the 24 hours with the monitor.

 

What happens after?

 

You will need to make a follow-up appointment with your doctor to go through your results. Allow 2 to 3 working days after having your monitor removed before returning to see your doctor regarding the results. Your doctor should contact you if any urgent follow-up is required.

 

Frequently Asked Questions:

If you have any questions or concerns during the 24-hour monitoring period,
please do not hesitate to contact us so we can assist you. The below FAQ’s may be able to assist in providing an answer as well.
If you are experiencing pain or tingling in your arm, notice bruising or have other
medical concerns and are unable to contact us, please remove the cuff from your
arm and seek medical attention if required.
If you become unwell during this period and or have concerns regarding your
health, please seek medical assistance from your doctor or hospital.

Most of your normal activities can be maintained while you are wearing the
monitor, and this is recommended so that your doctor can see what happens to your blood pressure on a typical day.
However, there are some restrictions – you cannot shower, bathe or swim until the monitor is removed as it must not get wet.
As a rule, you can continue to play sport/exercise if this is a typical activity for you, except for any water-based activities and contact sports as it can lead to damage of the monitor. Depending on the activity you are doing, errors may occur if you are unable to keep still with your arm by your side whilst a measurement is being taken.
If you do exercise or play sport, be sure to record the details in your diary.

It is strongly recommended that you reschedule any imaging appointments to when you are not wearing the blood pressure monitor. If the scan you require is
urgent, please let us know and we can rebook your blood pressure check.

The green button acts as a power button which turns the monitor on and off.
Both buttons have different functions depending on the mode the monitor is in.
We will use the buttons to program the device for your recording period and start your test.
During the monitoring 24hr period, you can press either button to:

• Record an event → If you become unwell or experience any symptoms press either button. This will trigger an additional blood pressure measurement and will be noted on your results so your doctor can pay particular attention to this. Don’t forget to record this event in your diary including the time, what you were doing and how you were feeling.

•  Stop an automatic reading from occurring → If a measurement becomes particularly painful or there is a need to stop the measurement, you can
press either button. This will stop the measurement and the cuff will deflate. Record in your diary the details of the reason why you stopped the measurement. The monitor will then attempt another measurement on
the scheduled half-hour (day) or hour (night). If too many measurements
are intentionally stopped and there is insufficient information to make a
diagnosis, you may need to repeat the test.

For your safety, it is important you remove the monitor pouch and strap from around your neck or waist when you go to sleep. Place the monitor next to you on the bed or another nearby surface. Ensure there are no kinks in the tubing as this can prevent blood pressure measurements being recorded.

Yes, you can continue to use your C-PAP machine. Care should be taken to ensure the tubing connected to the blood pressure cuff does not become entangled with your C-PAP cables.

It is essential that the cuff is fitted securely to your arm to ensure that accurate blood pressure measurements are being recorded. If the cuff comes loose during
the monitoring period, it is important that it is adjusted as soon as possible.

You can adjust the cuff yourself if you are comfortable doing so. Assistance from
another person can be helpful if available. During operational hours, you can contact the collection centre and return to have the cuff adjusted by a trained
collector if you prefer.
If adjusting the cuff yourself

•  Position the cuff so the ‘ART.’ marker sits just off centre to your elbow, towards the inside of your arm.
•  Wrap the cuff around your upper arm so the bottom edge of the cuff sits about 2-3cm above your elbow. You should still be able to bend your elbow. If any part of the cuff is covering your elbow, it is too low.

• Tighten the cuff and secure with the Velcro strip. The cuff should be tight enough that it does not move however loose enough that you can fit one finger underneath.
•  The tubing should point upwards to your shoulder and outside of your clothing. Do not place the tubing under bra straps as the straps will cause kinks/blockages in the hose and measurements will not be recorded.

I have tingling in my fingers when the cuff inflates. Is this normal?

Some people can experience tingling in their hand or fingers during a measurement, this can occur as the cuff tightens. It should be temporary and resolve quite quickly once the cuff has deflated and there is no longer pressure on the arm. If the tingling persists, is accompanied by pain, or if you have any concerns, please contact us (Kippax Medical Imaging).

If after hours, remove the cuff from your arm and discontinue the test. Seek medical care from your doctor or hospital if required.

Call us (Kippax Medical Imaging) as soon as possible so we can work on resolving the issue for you.
If it is after hours but measurements still appear to be occurring, continue to wear the device so we can try and obtain as many readings as possible for your doctor.
If the device completely shuts down and no measurements are being recorded (and the cuff is no longer inflating), you may remove the cuff from your arm.
Return to the centre for your scheduled removal appointment and advise the collector what occurred. It is also helpful if you can document this in your Patient Diary

If you have not been wearing the monitor for very long and it is during business hours, phone the collection centre where you had the monitor fitted to arrange a time to go back in and have them look at things.
If it is after hours and the collection centre is closed, remove the cuff, and monitor and keep them somewhere safe. Note this time in your diary. Attend your scheduled removal appointment and explain to the collector what occurred.

If your monitor is showing an error, please contact the imaging centre where you had the device fitted. If errors are occurring, the monitor will not be measuring and recording your blood pressure, so we need to resolve the problem as soon as possible. When contacting us, it is helpful if you can note the error number that displays on the monitor screen so we can identify the problem quickly. If there are too many errors your doctor may need you to repeat the test.

It is common for an error to occur if you move your arm whilst the monitor is taking a measurement. As soon as you hear the monitor pump and feel the cuff start to inflate, it’s important you keep your arm straight and as still as possible. If you are keeping your arm still during measurements and errors are still occurring, contact us straight away.

If after hours –

• Check for any kinks in the tubing
• That the tubing is still connected to the monitor and cuff
• That you have been remaining still during measurements
• Ensure the cuff is positioned correctly and secured well

If the errors continue and no measurements appear to be recording at all, remove the cuff from your arm and device from around your body. Return to the collection centre at your scheduled appointment time and advise the collector what occurred. Document the time, you removed the device and why in your Patient Diary.

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