Factors associated with probability of patient rejecting a repeat 24 h ambulatory blood pressure monitoring, despite recommendation by the physician.
OBJECTIVE
The aim of our study was to find out factors associated with patient acceptance of repeat 24 h ambulatory blood pressure monitoring (ABPM) using the Mobil-O-Graph ambulatory blood pressure monitor.


METHODS
Six hundred and fifty patients had ABPM performed between July 1999 and Oct 2000. Following 24 h ABPM patients were asked to complete 13-item questionnaire.


RESULTS
Ninety-five percent of the patients were willing to have 24 h ABPM repeated. There was no relation to patient's refusal to further ABPM with gender, age, height, weight, BMI, arm circumference, clinic blood pressure or 24 h ABPM profile. Patients were unlikely to have 24 h ABPM repeated if they found the monitor heavy and cumbersome (68%), if the monitor interfered with sleep (45%), or if they were so disturbed by the 24 h ABPM that they considered switching the monitor off (93%).


CONCLUSIONS
Most patients were willing to have repeat ABPM using the Mobil-O-Graph and reported few problems with monitor noise, heaviness and interference with sleep. These factors however still remain significant and need more technological attention and innovation from the manufacturers.
Elliot
Lindsey
L
Chesterfield and North Derbyshire Hypertension Clinic, Chesterfield and North Derbyshire Royal Hospital NHS Trust, Chesterfield, UK.
Iqbal
Pervaiz
P
D000368:Aged; D018660:Blood Pressure Monitoring, Ambulatory / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D012890:Sleep; D012893:Sleep Wake Disorders / Q000209:etiology; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology*