Clinical profile and outcome of Ambulatory Blood Pressure Monitoring (ABPM) in young adults referred from peripheral hospitals for evaluation of hypertension in North India
Ashutosh Chaturvedi, Adil Ashraf, Manish Kumar, Gautam Singh
A
BSTRACT
Background:
Ambulatory blood pressure monitoring (ABPM) provides repeated out-of-office measurements and can identify sustained and nocturnal blood pressure elevation that may not be adequately characterized by a single clinic measurement.
Objective:
To describe the clinical profile and ambulatory blood pressure findings of young adults referred from peripheral hospitals for evaluation of hypertension in North India.
Methods:
This prospective observational study included 200 consecutive adults aged 18–40 years referred for 24-hour ABPM between November 2024 and March 2026. Blood pressure (BP) was recorded at 20-minute intervals for 24 hours. Participants were classified as normotensive or hypertensive using BP thresholds based on the European Society of Hypertension framework used in the submitted study. Demographic characteristics, body mass index (BMI), cardiovascular risk factors, comorbidities, and ambulatory blood pressure parameters were summarized using descriptive statistics and Student’s
Results:
A total of 200 participants studied, 122 (61%) were male and 78 (39%) were female. Based on the study’s ambulatory classification, 55 (27.5%) participants were normotensive and 145 (72.5%) were hypertensive. Hypertension was associated with higher BMI and a greater proportion of dyslipidaemia (65% versus 35%,
Conclusion:
In this study ABPM identified a substantial proportion classified as hypertensive and demonstrated clear differences in 24-hour, daytime, and nighttime blood pressure profiles. The findings support the use of out-of-office BP assessment when hypertension is suspected, while the referral-based design limits estimation of population prevalence.