24-hour blood pressure monitoring · Riga, Purvciems

ABPM in Riga — 24-hour ambulatory blood pressure monitoring

ABPM (ambulatory blood pressure monitoring) is a test in which a compact device with a cuff automatically measures your blood pressure over 24 hours while you go about your usual day. The doctor sees how your blood pressure changes during the day and at night, rather than relying on a single reading in the consulting room.

  • No referral needed
  • The device is worn for 24 hours
Blood pressure measurement: a cuff on the patient’s arm and a doctor at the device

What the doctor receives

What ABPM shows

The device records your blood pressure over 24 hours. From this data the doctor can assess several parameters.

  • Icon: daytime and night-time blood pressure

    Daytime and night-time blood pressure

    Average blood pressure, calculated separately for the day and for the night.

  • Icon: 24-hour blood pressure graph

    24-hour graph

    How your blood pressure changed over the 24 hours: when it rose and when it fell.

  • Icon: pulse

    Pulse

    The device also records your pulse during each measurement.

  • Icon: blood pressure variability

    Blood pressure variability

    How much your blood pressure fluctuates over the 24 hours.

  • Icon: night-time blood pressure dip

    Night-time dip

    The doctor checks whether your blood pressure falls during sleep. The absence of a night-time dip is taken into account when assessing nocturnal hypertension.

  • Icon: how medicines work over 24 hours

    How medicines work over 24 hours

    The data help the doctor assess how well your blood pressure treatment works throughout the day and night.

Good to know. The device records the data, but the conclusions are drawn by the doctor: the results are assessed together with your symptoms and other tests. Whether you need ABPM is decided by the doctor.

Indications

When a doctor may recommend ABPM

ABPM is carried out when there are indications for it. Whether you need it is decided by the doctor.

  • Diagnosis of arterial hypertensionThe doctor may recommend ABPM to assess your blood pressure over 24 hours.
  • “White coat hypertension”The test helps rule out blood pressure that rises only during a visit to the doctor.
  • “Masked hypertension”Blood pressure is normal at the doctor’s but raised in everyday life.
  • Assessment of antihypertensive treatmentHelps assess how effectively the prescribed treatment is working.
  • Daily fluctuations and night-time blood pressureAnalysis of blood pressure fluctuations over 24 hours and detection of nocturnal hypertension — when blood pressure does not dip at night.
  • Assessment of the risk of complicationsThe data are used when assessing the risk of cardiovascular complications.
  • How often to have ABPMThere is no single schedule that suits everyone: whether a repeat test is needed, and when, is decided by the doctor.

Sudden severe chest pain, sudden shortness of breath or loss of consciousness are not reasons for a routine appointment. In such cases, call the emergency medical service straight away on 113 (or 112).

Who performs the examination

Doctors who perform ABPM

ABPM at Grand Medical is performed by the clinic’s cardiologists. If you are not sure which doctor to see, our reception will help you choose a doctor and a convenient time.

Elena Shafro, cardiologist at Grand Medical

Elena Shafro

Certified cardiologist

Cardiology consultations and echocardiography for adults, including Doppler measurements.

More about the doctor →

Galina Blumentale, cardiologist at Grand Medical

Galina Blumentale

Cardiologist

Diagnostic cardiologist with many years of experience. Echocardiography (echo) for adults.

More about the doctor →

Polina Andersone — Grand Medical

Polina Andersone

Certified cardiologist

Cardiologist: hypertension and rhythm disorders. Sees adults and teenagers from age 12.

More about the doctor →

Step by step

How ABPM works

The test lasts 24 hours: the device is fitted at the clinic and removed the next day. Here is what it looks like, from booking to receiving the data.

  1. Booking

    Online, by phone or on WhatsApp. No referral is needed. When you book, please agree on a time to come back the next day to have the device removed.

  2. Fitting the device

    A clinic specialist selects a cuff of the right size, puts it on and sets up the device. Fitting takes about 5 minutes.

  3. 24 hours of normal life

    The device measures your blood pressure on its own: every 30 minutes during the day and every 60 minutes at night. You work, go for walks, rest and sleep as usual.

  4. Return visit

    The next day you come back to the clinic: the specialist removes the device, and the data are recorded and handed to you.

What the patient feels. The test is painless. During each measurement the cuff on your arm tightens for a short time — this is how blood pressure monitors work. The device is not removed at night: you sleep with the cuff on, as night-time measurements are part of the test.

Quick guide

Preparation and rules while wearing the device

No special preparation is needed. There are just a few simple rules to follow while you wear the device.

Before the examination

  • No special preparation is needed.
  • Wear loose clothing that the device can be worn under comfortably.
  • Ask about individual questions (for example, taking medicines on the day of the test) when you book.

While wearing the device

  • Do not shower, bathe or swim while wearing the device. Keep physical activity moderate.
  • Keep a diary: write down the medicines you take and how you feel.
  • If the device malfunctions or a measurement fails, come to the clinic and the device will be removed.

After the examination

Results and next steps

  • Data on a clinic form

    After the test, the data are recorded and handed to the patient on a clinic form — usually the next day.

  • The medical report — from a cardiologist

    A full medical report and a review of the readings are provided by a cardiologist at a consultation. This is a separate service: cardiologist consultation.

  • ABPM can be part of a Check-up

    ABPM can be done on its own; if indicated, it may be part of a comprehensive check-up. More about Check-up programmes.

  • The result is assessed as a whole

    The doctor considers the data together with your symptoms and other tests. Whether additional tests or a change in treatment are needed is decided by the doctor.

Equipment

Compact device and cuff

ABPM uses a compact device with a cuff. It automatically measures your blood pressure over 24 hours while you go about your usual day.

  • Compact deviceThe device is small and is worn throughout the test.
  • A cuff of the right sizeA clinic specialist selects a cuff that fits and sets up the device.
  • Automatic measurementsEvery 30 minutes during the day and every 60 minutes at night — no action needed from the patient.

Diagnostic methods

ABPM, Holter and ECG: what is the difference

These tests answer different questions. Which one you need is decided by the doctor for your specific situation.

  • This page

    24-hour blood pressure monitoring (ABPM)

    What it examines
    Blood pressure over 24 hours, day and night.
    Helps answer
    How your blood pressure changes over 24 hours and whether it falls at night.
  • Holter

    Holter monitoring

    What it examines
    An ECG recording over 24 hours or longer while you go about your usual activities.
    Helps answer
    Whether there are rhythm disturbances that do not appear on a short ECG recording.
  • ECG

    Electrocardiography (ECG)

    What it examines
    The heart’s electrical activity over a short period of time.
    Helps answer
    What the heart rhythm and conduction are at the time of the recording.

Price

Price and insurance

24-hour blood pressure monitoring (ABPM)

60 €

Booking without a referral. A cardiologist consultation and other services are paid for separately.

Health insurance

  • Balta insurance company / Apdrošināšanas sabiedrība Balta — Grand Medical partner
  • Seesam insurance company / Apdrošināšanas sabiedrība Seesam — Grand Medical partner
  • BTA insurance company / Apdrošināšanas sabiedrība BTA — Grand Medical partner

The clinic works with the insurance companies Balta, Seesam and BTA. Coverage depends on the terms of your policy — check with your insurer before your visit or ask reception when booking.

Grand Medical is entered in the register of medical institutions under number 001000286.

FAQ

Frequently asked questions

No. With ABPM the device automatically measures your blood pressure many times over 24 hours — every 30 minutes during the day and every 60 minutes at night — while you go about your usual day. Your doctor will advise which method is right for you.

No, you can book ABPM without a referral.

No, no special preparation is needed. Ask about individual questions (for example, taking medicines) when you book.

The device is worn for 24 hours; fitting takes about 5 minutes. Yes, you need to come back to the clinic the next day to have the device removed. Please agree on the time of this visit when you book.

No, the test is painless. During each measurement the cuff on your arm tightens for a short time.

After the test, the data are recorded and handed to you on a clinic form — usually the next day. A full medical report and a review of the results are provided by a cardiologist at a consultation — this is a separate service.

The clinic works with Balta, Seesam and BTA. Coverage depends on your policy — check with your insurer or ask reception when booking.

No. ABPM costs 60 €. A cardiologist consultation with a review of the results is a separate service. If you need one, ask about booking it when you get in touch.

Booking

Book ABPM

Choose a convenient way: a booking portal, phone, WhatsApp or a request on the website — reception will contact you and help find a time.

Book online

Can't find a suitable time, or are all slots taken? Contact us — we'll help you book an appointment.

Booking request

Leave your contact details — reception will contact you during working hours and confirm the visit. A request is not yet a booking for a specific time.

By submitting the request, you agree to the personal data processing policy.

Galvas un kakla asinsvadu doplerogrāfija (DUPLEX)

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Ļauj atklāt aterosklerozi, trombus, aneirismas un citas patoloģijas. Tiek izmantota slimību diagnosticēšanai, kā arī profilaktiskajiem izmeklējumiem, īpaši cilvēkiem ar riska faktoriem.