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Published on: January 24, 2012
Ambulatory blood pressure measurements
1Section of Nephrology and Hypertension, Department of Pediatrics, University of Texas-Houston, Medical School, Houston, Texas 77030, USA. jonathan.m.sorof@uth.tmc.edu
Current Opinion in Pediatrics
|April 24, 2001
Summary
Ambulatory blood pressure monitoring (ABPM) offers valuable insights into pediatric hypertension. Studies show ABPM detects early abnormalities and correlates with end-organ damage, improving long-term care for children.
Area of Science:
- Pediatric Cardiology
- Clinical Hypertension Research
- Diagnostic Technologies
Background:
- Pediatric hypertension diagnosis traditionally relies on casual blood pressure measurements.
- Establishing normative data for 24-hour ambulatory blood pressure monitoring (ABPM) in children is crucial for accurate assessment.
- Current understanding of hypertension's impact on pediatric end-organ health requires further refinement.
Purpose of the Study:
- To highlight the utility of ambulatory blood pressure monitoring (ABPM) in pediatric hypertension assessment.
- To discuss the development of reference databases for pediatric ABPM.
- To explore the clinical implications of ABPM findings in children, including white coat hypertension and end-organ damage.
Main Methods:
- Utilizing ambulatory blood pressure monitoring (ABPM) for 24-hour blood pressure profiling in pediatric populations.
- Comparing ABPM data with established reference values and clinical outcomes.
- Analyzing circadian blood pressure patterns in children, including those at high risk for hypertension.
Main Results:
- Pediatric studies using ABPM reveal a prevalence of white coat hypertension similar to adults.
- 24-hour ABPM parameters demonstrate a correlation with hypertensive end-organ injury, such as left ventricular hypertrophy.
- ABPM enables detailed assessment of circadian blood pressure patterns, identifying subtle abnormalities in high-risk children.
Conclusions:
- Ambulatory blood pressure monitoring (ABPM) is a vital tool for diagnosing and managing pediatric hypertension.
- ABPM findings contribute to evidence-based practice, enhancing the long-term care of pediatric patients.
- Further development of pediatric ABPM databases will refine diagnostic criteria and improve patient outcomes.
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