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Home blood pressure monitoring in paediatric chronic hypertension

E A Furusawa1, U D Filho, V H Koch

  • 1Pediatric Nephrology Unit, Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. erika.furusawa@icr.usp.br

Journal of Human Hypertension
|March 13, 2009
PubMed

Insights

Home blood pressure monitoring (HBPM) is a reliable method for evaluating hypertension in children and adolescents. This study found HBPM comparable to office blood pressure measurements, supporting its use in managing pediatric hypertension.

Area of Science:

  • Pediatric Nephrology
  • Cardiovascular Research
  • Hypertension Management

Background:

  • Accurate blood pressure (BP) measurement is crucial for diagnosing and managing arterial hypertension.
  • Home blood pressure monitoring (HBPM) offers a patient-centered approach to BP assessment.
  • Validating HBPM in pediatric populations is essential for clinical practice.

Purpose of the Study:

  • To compare office blood pressure (BP) measurements with home blood pressure monitoring (HBPM) in children and adolescents diagnosed with chronic arterial hypertension.
  • To assess the reliability and consistency of HBPM over a 14-day period in a pediatric cohort.
  • To determine if HBPM is an acceptable methodology for evaluating BP in hypertensive children and adolescents.

Main Methods:

  • A 14-day home blood pressure monitoring (HBPM) protocol was implemented for 40 children and adolescents (mean age 12.1 years) with chronic arterial hypertension.
  • Patients or guardians performed three daytime and three night-time BP measurements daily, with 1-minute intervals.
  • Systolic blood pressure (SBP) and diastolic blood pressure (DBP) data from HBPM were compared against office BP readings.

Main Results:

  • Average systolic HBPM (daytime and night-time) showed no significant difference compared to average office BP.
  • Average diastolic HBPM (daytime and night-time) was statistically lower than office BP readings.
  • While individual diastolic BP differences declined over the study, mean daytime and night-time SBP and DBP remained stable, indicating consistent HBPM readings.

Conclusions:

  • Home blood pressure monitoring (HBPM) is confirmed as an acceptable and stable methodology for BP evaluation in hypertensive children and adolescents.
  • HBPM provides valuable data that complements traditional office BP measurements for managing pediatric hypertension.
  • Further research may explore the clinical implications of lower diastolic HBPM readings compared to office measurements.

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