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Laughter balances your stress hormones, reduces inflammation in your arteries, and increases HDL or “good” cholesterol. These effects last at least 24 hours, according to the American Heart Association.

24-Hour BP Monitoring

24-Hour BP Monitoring or Ambulatory Blood Pressure Monitoring (ABPM) is a continuous test that measures the patient’s blood pressure as they do their normal daily routine. The test takes 24 hours normally, it uses a small digital blood pressure device that is attached to a belt around your body that is connected to a cuff around the patient’s upper arm. The device measures the blood pressure at regular intervals throughout the day in order to calculate the patient’s average blood pressure.

01. White Coat Hypertension

White coat hypertension can result in misdiagnosis of patients whose BP is actually normal. When ambulatory monitoring yields readings within the normal range outside the doctor’s office, patients usually do not need to take antihypertensive drugs.

03. Sustained Hypertension

It refers to BP readings that are elevated whether the patient is in the doctor’s office or at home. This condition has been linked to an increased likelihood of heart and kidney damage.

02. Masked Hypertension

The condition where the patient’s BP is normal when checked in the doctor’s office but is elevated when the patient is at home. It may occur in up to 20% of people who are being treated for hypertension.



It is important to make sure that the tube to the device is not twisted or bent. The device will beep before the monitor is about to take a reading and the patient needs to keep the cuff at the same level as the heart and the arm remain steady. The patient will be asked to keep a diary of the activities he/she do during the test. Any uncomfortable or distracting feeling when the readings are being made should be referred to the doctor or nurse for it may affect the reading.


During Test

Normally, the device is fitted to the patient at the hospital or clinic. The device takes blood pressure readings at regular intervals throughout the day: usually, every 15-30 minutes during the daytime and 30-60 minutes at night and the patient needs to keep the monitor on through the night. It is important that the patient do their normal daily routine during the test except going swimming, taking a shower or bath – or anything that gets the device wet.



Ambulatory BP monitoring can detect abnormal fluctuations in BP that might go unnoticed when blood pressure is only measured in the doctor’s office. It is a very useful way to detect white coat hypertension, masked hypertension, and sustained hypertension of the patient.  After 24 hours, the patient can remove the device and BP cuff and return the equipment to the clinic or doctor’s office then a computer can analyze the readings and generates results.

24-hour BP Monitoring

In some cases, antihypertensive drugs do not control BP effectively throughout the entire day and night. An ambulatory BP monitoring can be used to determine how well some antihypertensive drugs used by patients can control high BP. Depending on the patient’s BP pattern, the doctor may need to adjust the dosage prescribed or the time that the medication is given. In other cases, more than one drug may be required to stabilize BP.

Ambulatory monitoring can rule out white coat hypertension diagnosis, so that patients are not given unnecessary prescriptions for BP-lowering drugs. The test can also detect masked hypertension, so that patients receive the medications needed for high blood pressure. The incidence of stroke, heart disease, and organ damage due to hypertension can be reduced among those patients. Ambulatory monitoring may also be useful in evaluating a patient’s response to long-acting antihypertensive medications.

Understanding your heart

Six Important Things About Your Heart

Adult heart beats about 10,000 times each day 01.

Do the math, and that’s at least about one beat per second, or 60 to 100 times per minute, according to American Heart Association.

Age and fitness level affect your heart rate 02.

Generally, as children grow or adults get fitter, the heart rates gets slower.

Heart disease isn’t only the number one killer of men, it’s also the top killer for women 03.

Your heart doesn’t care if you’re from Mars or Venus.

Dr Janssens Consulting Services

04. Want to know how big your heart is? Make a fist.

Heart size depends on the size of the person as well as the condition of their heart. Generally speaking, a healthy heart is about the size of the person’s fist.

05. Your heart rate drops while you sleep.

At night, it’s common for heart rates to drop below 60bpm.

06. Heart attack symptoms are different for men and women.

Although heart disease is an equal opportunity killer, symptoms of heart attack show up differently in men versus women.

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