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[Ambulatory blood pressure values in healthy children]

Dusan Paripović, Amira Peco-Antić

    Srpski Arhiv Za Celokupno Lekarstvo
    |July 21, 2006
    PubMed

    Insights

    This study establishes normal ambulatory blood pressure (ABP) values for children aged 4-6 years. Findings provide preliminary reference ranges for daytime and nighttime systolic and diastolic blood pressure in this age group.

    Area of Science:

    • Pediatric Cardiology
    • Clinical Physiology

    Context:

    • Childhood hypertension diagnosis relies on ambulatory blood pressure monitoring (ABPM).
    • Normal ABPM values for children aged 4-6 years (height 100-120 cm) are not well-established.
    • Establishing normative data is crucial for accurate hypertension diagnosis in pediatric populations.

    Purpose:

    • To determine normal ambulatory blood pressure (ABP) ranges in children aged 4-6 years with body heights between 100 and 120 cm.
    • To provide a preliminary reference for daytime and nighttime blood pressure readings in this specific pediatric cohort.
    • To assess diurnal variations in blood pressure and heart rate.

    Summary:

    • 40 normotensive children (4-6 years) underwent 24-hour ABPM using an oscillometric device.
    • Mean daytime SBP/DBP: boys 108/67 mmHg, girls 105/66 mmHg.
    • Mean nighttime SBP/DBP: boys 98/56 mmHg, girls 97/56 mmHg.
    • Significant differences observed between day and night readings, indicating a nocturnal fall.

    Impact:

    • Provides essential preliminary reference data for pediatric ambulatory blood pressure monitoring.
    • Highlights the need for larger, multicenter studies to establish definitive normal ABP ranges for children.
    • Aids clinicians in the accurate diagnosis and management of hypertension in young children.

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