Page Banner
Reaching a definitive diagnosis of hypertension

24-Hour Ambulatory Blood Pressure Monitoring (ABPM)

How is the test performed?

A small device is worn for 24-hours

Email me a patient package

Blood Pressure
Blood pressure is the force against your blood vessels as blood is pumped from your heart throughout your body. High blood pressure occurs when there is too much pressure in your blood vessels. Over time this pressure can damage blood vessels and organs and lead to serious health problems.

Hypertension
Hypertension and high blood pressure are frequently used interchangeably. However, hypertension is a specific condition in which blood pressure is consistently higher than normal. Many people are not even aware if they have hypertension as it has no warning signs or symptoms and can only be diagnosed through blood pressure monitoring. Hypertension can affect anyone and usually once it’s developed it lasts for life and requires on-going management.

Uncontrolled hypertension increases the risk of:

  • Stroke
  • Kidney disease
  • Heart attack
  • Eye problems
  • Heart failure
  • Erectile dysfunction
  • Dementia
  • Diabetes

Ambulatory Blood Pressure Monitoring (ABPM) requires you to wear a small device that monitors your blood pressure over the course of 24-hours. The device measures and records your blood pressure at regular intervals (typically every 15-30 minutes). Recording your blood pressure over a set period of time can provide a more reliable measurement than one single reading. This information helps to provide vital information including:

  • An estimate of true or mean blood pressure
  • The diurnal rhythm (your usual sleeping and awake cycle) of blood pressure
  • Blood pressure variability

Hypertension doesn’t usually have early warning signs or symptoms until your blood pressure has reached a critical stage. You should speak to your healthcare provider about Ambulatory Blood Pressure Monitoring if you have a family history of hypertension, have been diagnosed with high blood pressure, or have other risk factors for cardiovascular disease.

Your healthcare provider may order Ambulatory Blood Pressure Monitoring if:

  • They are unable to obtain an accurate blood pressure reading in their office (e.g. fluctuating reading, episodic or white-coat hypertension)
  • They suspect drug-resistant hypertension
  • You have hypotensive symptoms with antihypertensive therapy
  • You are exhibiting autonomic dysfunction

Ambulatory Blood Pressure Monitoring is available at select LifeLabs Patient Service Centres across Ontario and British Columbia. Your healthcare provider will give you the LifeLabs location details with ABPM services closest to you to arrange for the testing.

An appointment to set up the monitor, along with a signed requisition from your healthcare provider is required.

For booking your ABPM appointment, call:

Ontario: 1-877-849-3637
British Columbia: 1-855-412-4495

A small, lightweight and quiet blood pressure monitor with a 100% latex-free cuff is placed on your upper arm. Over 24-hours, the cuff will inflate every 15-30 minutes and take a blood pressure reading. While wearing the monitor you can go about your day as normal, while keeping a diary of what you were doing at the time of the reading

When the monitor is placed on your arm, a LifeLabs staff member will set it up and provide you with a complete set of instructions.

For more information, please download the ABPM information brochure.
Check out the Ontario brochure here Check out the BC brochure here

Test results will be provided directly to your healthcare provider for discussion with you.

Ambulatory Blood Pressure Monitoring (ABPM) measures blood pressure at regular intervals (typically, every 15-30 minutes) throughout the day and night. As per Hypertension Canada’s 2018 guidelines1, ABPM is especially useful to evaluate:

  • Suspected white-coat hypertension in patients with hypertension and no target organ damage
  • Apparent drug-resistant hypertension, in which BP is not below target despite receiving appropriate chronic antihypertensive therapy
  • Hypotensive symptoms with antihypertensive therapy
  • Episodic hypertension or fluctuating office BP readings
  • Autonomic dysfunction

ABPM is considered the gold standard test for diagnosing white coat hypertension and should be performed if this entity is suspected. ABPM is useful to determine whether the blood pressure falls at night compared to daytime values. As a nighttime fall is normal, absence of a night time dip is associated with increased cardiovascular disease risk and other end-organ damage.

Alongside ABPM, through LifeLabs you can order all the tests recommended by Hypertension Canada’s 2018 guidelines to aid in the preliminary investigation of hypertension in a single visit:

  1. Urinalysis
  2. Blood chemistry (potassium, sodium and creatinine)
  3. Fasting blood glucose and/or glycated hemoglobin (A1c)
  4. Serum total cholesterol, low-density lipoprotein (LDL), high density lipoprotein (HDL), non-HDL cholesterol, and triglycerides
  5. Standard 12-lead ECG

Ambulatory Blood Pressure Monitoring is available at select LifeLabs Patient Service Centres across Ontario and British Columbia.

In Ontario, please indicate ‘ABPM’ in the ‘Other Tests’ section of the standard OHIP requisition.

In British Columbia, please indicate ‘ABPM’ in the ‘Other Tests’ section of the standard LifeLabs requisition for your region.

Appointments for your patients can be booked by calling our customer care at:

Ontario: 1-877-849-3637
BC: 1-855-412-4495

Ontario Locations

Brampton

200 – 36 Vodden Street East

Mississauga

406 – 2300 Eglinton Avenue West

Burlington

102 – 3155 Harvester Road

Mississauga

105 – 1420 Burnhamthorpe Road East

Etobicoke

111 – 1436 Royal York Road

Mississauga

138 – 101 The Queensway

Etobicoke

403 – 3101 Bloor Street West

North York

108-109 – 1100 Sheppard Avenue East

Georgetown

102 – 99 Sinclair Avenue

Oakville

B08 – 1235 Trafalgar Road

Hamilton

1007 – 989 Fennell Avenue East

Oakville

205 – 3075 Hospital Gate

Hamilton

280 Queenston Road

St. Thomas

25 Elm Street

London

1350 Fanshawe Road

St. Thomas

417 Wellington Street

London

746 Baseline Road

Toronto

491 Lawrence Ave West

London

1150 Richmond Street

Toronto

104 – 2425 Bloor Street West

London

470 Springbank Road

Toronto

101 – 688 Coxwell Avenue

London

124 Barker Street

Toronto

3 – 526 St. Clair Avenue West

London

279 Wharncliffe Road

Toronto

401 – 340 College Street

London

450 Central Avenue

Toronto

206 – 600 Sherbourne Street

London

140 Oxford Street East

Toronto

630 – 115 Humber College Boulevard

BC Locations

Aldergrove 6310 Fraser Highway Suite 610
Brickyard PSC 6010 Brickyard Rd Suite 203
Buswell PSC 6451 Buswell St Suite 170
Campbell River PSC 465 Merecroft Road, Unit B-5B
Champlain Square PSC 3150 E. 54th Ave Suite 340
Clearbrook PSC 2825 Clearbrook Road Suite 207
Dawson Creek PSC 705 103rd Ave Suite 2
Douglas Crescent PSC 5503 206th Street Suite 209
Dunbar PSC 3540 W. 41st Ave Suite 112
Dundarave PSC 2419 Bellevue Ave Suite 115
Eagleridge PSC 1194 Lansdowne Drive Suite 313
East Hastings PSC 1506 E. Hastings Street
Fairmont PSC 750 W. Broadway Suite 701
Fort PSC 1900 Richmond Road Suite 130 
Gibsons PSC 1100 Sunshine Coast Hwy Suite 118
Gordon PSC 3001 Gordon Ave Suite 208
Ingram PSC 149 Ingram St Suite 102
King Edward PSC 972 West King Edward Avenue
Maple Ridge PSC 11743 224th Street Suite 101
Millstream PSC 2401G Millstream Rd Suite 125
No 2 Road PSC 6180 Blundell Rd Suite 172
Park Gate PSC 3650 Mt Seymour Parkway Suite 201
Parksville PSC 489 Alberni Hwy Unit 110
Port Alberni PSC 3949 Maple Way Suite 106
Port Place PSC 650 S. Terminal Ave Suite 106
Prince George PSC 1669 Victoria St Suite 110
Quesnel PSC 665 Front St Suite 15
Regent PSC 2184 W. Broadway Suite 290
Satnam Place PSC 7130 120th St Suite 113
Scott Road PSC 12080 Nordel Way Suite 201
St Paul PSC 546 St Paul St Suite 135
Sunwood PSC 6345 120th Street Suite 122
Terrace PSC 4634 Park Ave. Suite 105
Tranquille PSC 685 Tranquille Rd Suite 1
Westshore PSC 2945 Jacklin Road Suite 131
Willowbrook PSC 19653 Willowbrook Drive Suite 130

 

Ambulatory blood pressure monitoring (ABPM) is not covered by the provincial health insurance plan (OHIP). Please call LifeLabs customer care at 1-877-849-3637 (ON) or 1-855-412-4495 (BC) to obtain fee information and arrange for an appointment.

Payment may be made by the patient when the monitor is set up at one of our Patient Service Centres. For convenience, Visa, Mastercard and Debit Cards are accepted.

Patients are encouraged to check with their private health care provider to see if coverage is provided.

Following the completion of the monitoring period, the recordings are transmitted to interpreting specialists for analysis and reporting. The report is provided to the requesting physician usually within 5-10 days from the end of the monitoring period.

You will receive a detailed visual report showing:

  • Thresholds for hypertension diagnosis based on ABPM
  • Technical details including the average values of readings
  • Graphs and bar charts of SBP and DBP over 24-hours
  • Interpretation of readings in visual display showing high, acceptable and normal ranges.

We have a wealth of medical experts available to support you in interpreting test results. Consults with our experts are available upon request. Request medical consultation.

People who looked at the 24-Hour Ambulatory Blood Pressure Monitoring (ABPM) were also interested in:

Featured
Services

Nervous about needles? Not anymore!

At LifeLabs, we’re always looking for ways to make your experience more comfortable. In select locations, LifeLabs will be offering Pain Ease®; a topical spray that cools the skin, temporarily reducing the pain and discomfort associated with needles, for only $4.95.
Take the guesswork out of your diet

IgG Food Sensitivity Testing

Symptoms associated with food sensitivities develop slowly over time and can create inflammation and contribute to symptoms of a variety of diseases. The RMA FST™ IgG Food Sensitivity test can help identify potential food sensitivities and take the guesswork out of your diet.
Colorectal Cancer Screening

Fecal Immunochemical Test (FIT)

FIT is a safe and painless at-home cancer screening test. FIT checks someone’s stool (poop) for tiny amounts of blood, which could be caused by colon cancer and some pre-cancerous polyps (growths in the colon or rectum that can turn into cancer over time). When colon cancer is found and treated early, the chances of successful treatment are better.
Colorectal Cancer Screening

Fecal Immunochemical Test (FIT)

FIT is a safe and painless stool-based test used for screening people at average risk of developing colorectal cancer. FIT checks for the presence of occult blood in the stool, which can be an early sign of colorectal cancer and/or pre-cancerous lesions. When colorectal cancer is found and treated early, the chances of successful treatment are better. Healthcare providers should fax the FIT requisition to 1-833-676-1427
(Omega 3 Score)

Omega-3 Fatty Acid

The Omega 3 ScoreTM Test quantifies the fatty acids present in a sample of a patient’s whole blood. Specific levels of long-chain omega-3 polyunsaturated fatty acids, specifically Eicosapentaenoic acid (EPA) and Docosahexaenoic acid (DHA) in the blood have been associated with a lower risk of sudden death from cardiovascular disease (CVD).
Helping Naturopathic Doctors Gain a Better View of the Health Status of their Patients

Patient Assessment Panels

Patient Assessment Panels enable you to provide your Naturopathic Doctor with a complete picture of your health. Now you can access the blood work required to make informed decisions on how to be your healthiest you!
1. Convenient
2. Comprehensive
3. Cost-effective
Personalized Risk Assessment of Prostate Cancer

SelectMDx Testing

Learning you have elevated PSA can be alarming news, but elevated PSA does not mean you have clinically significant disease and require a biopsy or treatment. SelectMDx is a novel decision support tool and provides your urologist with additional important information on the likelihood of finding aggressive cancer upon biopsy.
Fecal Calprotectin Testing

Differentiating Between
IBS and IBD

Canada has one of the highest incidence and prevalence rates of inflammatory bowel disease and irritable bowel syndrome in the world. With symptoms of these two conditions appearing similar, Fecal Calprotectin testing can provide an accurate diagnosis in many patients with chronic diarrhea without the need of doing invasive diagnostic procedures.
QuantiFERON®-TB Gold Plus (QFT-Plus)

QUANTIFERON-TB GOLD Plus (FOR TB SCREENING)

QuantiFERON®-TB Gold Plus (QFT-Plus) is a simple blood test that aids in the detection of Mycobacterium tuberculosis, the bacteria which causes tuberculosis (TB). Like its predecessor, QFT-Plus is an interferon gamma release assay, commonly known as an IGRA, and is a modern alternative to the tuberculin skin test (TST). Unlike the TST, QFT-Plus is a controlled laboratory test that requires only one patient visit and works on patients who have previously been vaccinated against TB with the Bacille Calmette-Guerin (BCG) vaccination.
Know Your Risk for Heart Attacks

PULS (Protein Unstable Lesion Signature Test) Cardiac Test™

The second leading cause of death among Canadians, heart attacks are often a silent killer with no signs or symptoms before they strike. Often resulting from coronary heart disease, heart attacks can be predicted and even prevented if you know and manage your risk.
Early Detection of Prostate Cancer

Prostate-Specific Antigen (PSA) Test

One in seven men in Canada will be diagnosed with prostate cancer in their lifetime. The third leading cause of cancer death, when prostate cancer is detected early, the more likely it can be successfully treated.
Determine your risk of bone fractures

Osteoporosis

Known as the “silent thief”, osteoporosis is responsible for the loss of bone mass without obvious symptoms until a bone is broken. By knowing your risk through a Serum CTX Test, you can prevent, delay or reduce bone loss.
Early Detection of Cervical Cancer

HPV Testing

About 75% of sexually active women will get a least one HPV infection in their lifetime. With HPV the primary cause of cervical cancer, the HPV test detects the presence of high-risk HPV strain(s).
Diagnosing Celiac Disease

Celiac Disease

Celiac disease can arise at any age creating damage to your intestines and starving your body of critical nutrients. With a range of symptoms commonly associated with other conditions, knowing if you are celiac, or simply have a gluten allergy or intolerance, is key to ensuring you’re on the right path to health.
Detecting Rheumatoid Arthritis

Anti-CCP

The daily pain, stiffness and swelling of rheumatoid arthritis can go undiagnosed for months causing permanent damage to your body. Diagnosing rheumatoid arthritis at its earliest stages can prevent damage and improve long-term quality of life.
Fertility Test

Anti-Müllerian Hormone (AMH)

With one in six couples across Canada experiencing difficulty in becoming pregnant, AMH levels can provide valuable insight into predicting a response for IVF treatment.
Vitamin Levels

25-Hydroxy Vitamin D Test

Vitamin D helps your body absorb calcium and phosphorus and is essential
for proper growth and healthy teeth and bones throughout your life.
Page Banner

LifeLabs Comes to You!

Price

Only $60 for up to three people of your choice serviced at the same location and appointment time.

Services offered

Blood tests, ECG monitoring, Holter monitoring

Locations

Now serving all of Toronto and, select areas in York, Peel and Halton regions, Newmarket and more!