Blood Pressure keeping it in check www.snp.com.au SULLIVAN NICOLAIDES PTY LTD • ABN 38 078 202 196 24-hour Blood Pressure Monitoring achieving a true reading High blood pressure (hypertension) is one of the biggest risk factors in heart disease, stroke and many other health problems. It’s often called the ‘silent killer’ because it has no real symptoms. If you have hypertension it needs to be diagnosed, monitored and treated. Blood pressure testing is most effective when carried out continuously over a 24-hour period (Ambulatory Blood Pressure Monitoring – ABPM). Why? Because a single reading may not be enough to give an accurate picture. Blood pressure goes up and down and follows a natural pattern throughout the day. It falls in the evening, is at its lowest during sleep and starts to rise in the early hours just before you wake. It’s also higher when you’re active, excited or nervous, and for many people the stress of a visit to the doctor may push it up, a phenomenon known as the ‘white coat effect’. People whose blood pressure surges excessively in the morning or doesn’t fall in the evening are at a higher risk of stroke, heart failure and other cardiac problems. Why high is bad Your heart has to work harder and the arteries and blood vessels are put under a strain. The force of the blood flow creates microscopic tears in the artery walls that your body mends with scar tissue. This is lumpy and provides a lodging place for particles of LDL cholesterol and other fatty substances that build up, creating plaque which narrows the arteries and restricts blood flow. Blood clots (bits of plaque that dislodge from the artery) can result in a heart attack or stroke, while narrowing of the arteries restricts oxygen flow to other organs leading to brain, eyes and kidney damage. As you age, your arteries naturally harden and become less elastic over time. This happens to everyone. High blood pressure speeds up the process. The heart muscle becomes thicker and stiffer because it has to work harder which puts you at risk of an enlarged heart. Sullivan Nicolaides Pathology Ambulatory Blood Pressure Monitoring service It is important that you talk to your doctor about blood pressure at your next visit. Your doctor may refer you for 24hr ABPM if you have: high blood pressure that is difficult to control borderline high blood pressure that is hard to pin down high blood pressure readings due to 'white coat effect’ fainting spells a higher than normal risk of heart disease or stroke How it works Once your doctor has given you a referral (a form is included in this brochure) it’s just a matter of making an appointment to be fitted with a monitor. A lightweight electronic device is worn to measure and record the pattern of your blood pressure and your heart rate at regular intervals as you go about your routine activities throughout the day and night. Readings are automatically taken every half hour during the day and every hour during the night. You are asked to record your activities and any medication in a diary and key into the monitor the times you go to bed and wake up in the morning. This produces a record of all activities, including sleep, providing an excellent history of your blood pressure. The device is worn for 24 hours. The following day you return to the centre and the monitor is removed. The information is correlated and a report and a copy of the readings are sent to your doctor. How to make an appointment Blood pressure monitors are fitted by appointment only. To find out where you can be fitted with an Ambulatory Blood Pressure Monitor go to our website at www.snp.com.au|locations|collection centres, select ‘blood pressure monitor’ from the list of specialised tests. Appointment date Appointment time Collection Centre Preparations • Shower before the test (as you will not be able to shower for 24 hours). • You will be asked to return in 24 hours for monitor removal. • Please bring with you a complete medication list. • Ladies may wish to wear loose 2 piece clothing for easy attachment and removal of device. Duration 30 minutes to attach — 15 minutes to detach Appointment Ambulatory Blood Pressure Monitoring is performed at designated collection centres. Please visit the website for the centre closest to you. Sullivan Nicolaides Pathology collection centres that offer this service are located in the following regions. Queensland • Brisbane • Caboolture • Emerald • Gladstone • Gold Coast • Ipswich • Logan • • • • • • Mackay Rockhampton Roma Sunshine Coast Toowoomba Townsville New South Wales • Coffs Harbour • Grafton • Lismore For a full list of collection centres and the opening hours, visit snp.com.au. With your webenabled camera phone scan the QR Code with a QR Code reader application. Item 09873 August 2012 Locate our collection centres Ambulatory Blood Pressure Monitoring Request form Laboratory Number You must bring the completed request form with you to your appointment PATIENT DETAILS First Name: Date of Birth: Middle Initial: / Last Name: Gender: Female Male / Address: Phone: Mobile Home: Work: Medicare No. (to assist with patient identification) Ambulatory Blood Pressure Monitoring (24hr) CLINICAL HISTORY REFERRER DETAILS Provider No: Name: Address: Signature: Date: / / Please nominate other doctors to receive a copy of these results Name: Address: Office use only Pay Cat Con Code Monitor attached Time Staff ID/Location code/collection type stamp : Fees There is no Medicare rebate available for this service. You will have an out-of-pocket payment of $95* or $47.50* if you are a concession card holder (Pensioners, Health Care Card, DVA and Commonwealth Senior Card). You will receive an account in the mail. Your results Your results will be sent to your doctor. Paying your account Australia Post Office. Your receipt will be issued at the Post Office. BPay Internet Banking. Your receipt will be mailed to you. Online credit card www.snp.com.au. Your receipt will be mailed to you. Phone Credit Card 1300 957 969. Phone facility 24 hours per day, 7 days per week. Your receipt will be mailed to you. Account enquiries If you need assistance please contact our Patient Services Support Team on 1300 732 030. SULLIVAN NICOLAIDES PTY LTD • ABN 38 078 202 196 a subsidiary of Sonic Healthcare Limited • ABN 24 004 196 909 134 WHITMORE STREET • TARINGA • QLD 4068 • AUSTRALIA TEL (07) 3377 8666 • FAX (07) 3870 0549 P O BOX 344 • INDOOROOPILLY • QLD 4068 • AUSTRALIA *Correct at time of printing, subject to change without notice. Further information visit our website www.snp.com.au. Applicable to outpatient pathology services. ©Sullivan Nicolaides Pty Ltd 2012
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