{
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  "id": "cardio:ambulatory-bp-monitoring",
  "owner": "cardio",
  "kind": "intervention",
  "slug": "ambulatory-bp-monitoring",
  "name": "Ambulatory blood pressure monitoring (ABPM)",
  "aliases": [
    "ABPM"
  ],
  "atlases": [
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  "summary_plain": "Taking repeated blood pressure readings while a person goes about a normal waking day, to check whether a high reading in the clinic is confirmed.",
  "summary_technical": "NICE NG136 recommendation 1.2.3 offers ABPM to confirm a diagnosis of hypertension when clinic blood pressure is between 140/90 and 180/120 mmHg. Recommendation 1.2.6 asks for at least 2 readings an hour across the waking day and uses the average of at least 14 readings. MeSH D018660 is Blood Pressure Monitoring, Ambulatory. The devices used, their accuracy and their validation are outside this record, and so is any use in pregnancy. Recommendations are in the linked claims.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-13",
  "last_evidence_check": "2026-10-11",
  "next_review_due": null,
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  "navigation": {
    "cardio": {
      "system": [
        "blood-vessels"
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      "condition-area": [
        "hypertension"
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    }
  },
  "payload": {
    "subtype": "test",
    "mechanism": "Readings are taken repeatedly across the person's normal waking day, and the average of the readings is used (NICE recommendation 1.2.6).",
    "taxonomy_codes": [
      {
        "system": "MeSH",
        "version": "MeSH linked-data descriptor record fetched on 2026-10-11, lastUpdated 2015-06-22; the record states no yearly MeSH release",
        "code": "D018660",
        "label": "Blood Pressure Monitoring, Ambulatory"
      }
    ]
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      "category": "recommendation",
      "statement": "NICE guideline NG136 recommends offering ambulatory blood pressure monitoring (ABPM) to confirm a diagnosis of hypertension in adults whose clinic blood pressure is between 140/90 and 180/120 mmHg.",
      "context": {
        "id": "cardio:ctx-nice-adults-suspected-hypertension",
        "label": "Adults with suspected hypertension, clinic blood pressure 140/90 to 180/120 mmHg (NICE NG136 1.2)",
        "recipient": "adult",
        "population": "Adults aged 18 and over who are assessed for hypertension, with or without type 2 diabetes. Recommendations 1.2.3 and 1.2.4 concern a clinic blood pressure between 140/90 mmHg and 180/120 mmHg. Recommendation 1.2.8 concerns a clinic reading of 140/90 mmHg or higher followed by ambulatory or home monitoring.",
        "care_setting": "Clinic measurement first, then ambulatory or home blood pressure monitoring (NICE recommendations 1.2.3, 1.2.4 and 1.2.8)",
        "geography": "England, from clause 6 of the NICE terms and conditions, which presents the information as support for people in England who make decisions about funding care. Clause 8 adds that NICE does not write its content as a basis for decisions outside the United Kingdom. The NG136 page itself states no jurisdiction.",
        "life_stage": "Adult (aged 18 and over)",
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (recommendation context)",
        "eligibility": {
          "inclusion": [
            "Adult aged 18 and over (NICE NG136 Overview chapter)",
            "Clinic blood pressure between 140/90 mmHg and 180/120 mmHg (recommendations 1.2.3 and 1.2.4)",
            "With or without type 2 diabetes (introductory text to the NG136 recommendations)"
          ],
          "exclusion": [
            "Pregnancy is outside this atlas context. NICE has a separate guideline on hypertension in pregnancy, and the fetched diagnosis recommendations state no separate pregnancy exclusion.",
            "A clinic blood pressure of 180/120 mmHg or higher is handled in the NG136 referral section, which this context does not cover."
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        }
      },
      "evidence_stage": "guidance",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "NICE gives no strength label for this recommendation. Its verb is offer. NICE says it uses that verb where the evidence of benefit is strong and leaves little doubt. How NICE applied that convention here was not verified. The NG136 page states no jurisdiction. NICE's terms present the information as support for people in England who make decisions about funding care, and say the content is not written as a basis for decisions outside the United Kingdom. The recommendation carries the year tag 2019, the year of NICE's evidence review. No NICE evidence review was read. A clinic reading of 180/120 mmHg or higher is handled in a separate NICE referral section. This claim records what NICE recommends. It does not say that ABPM is the only or best way to confirm the diagnosis.",
      "editorial_state": "draft",
      "checked_at": "2026-10-11",
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