Related Experiment Video
Updated: May 25, 2025
05:51
Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
17.3K
Youth Blood Pressure and Target Organ Injury Markers: The SHIP AHOY Study
Gilad Hamdani1, Elaine M Urbina2, Stephen R Daniels3
1Schneider Children's Medical Center, Petah Tikvah, Israel (G.H.).
Hypertension (Dallas, Tex. : 1979)
|February 27, 2025
Summary
Adolescent hypertension, even when mild, is linked to early signs of organ damage. Higher blood pressure levels and specific hypertension types (white-coat, masked, sustained) correlate with more markers of cardiovascular injury in young people.
Area of Science:
- Cardiology
- Pediatrics
- Public Health
Background:
- Adolescent hypertension is a growing concern.
- Subclinical target organ injury is associated with hypertension in adolescents.
- Understanding blood pressure thresholds and their impact on organ injury is crucial.
Purpose of the Study:
- To determine if different blood pressure thresholds are associated with an increasing number of target organ injury markers in healthy adolescents.
- To investigate the relationship between ambulatory blood pressure phenotypes and target organ injury.
Main Methods:
- 244 adolescents (mean age 15.5 years) were categorized into low, mid, and high-risk blood pressure groups based on clinic and ambulatory readings.
- Ambulatory blood pressure phenotypes included normotensive, white-coat, masked, and sustained hypertension.
- Target organ injury was assessed through left ventricular mass, cardiac function, and vascular stiffness.
Main Results:
- 31.2% of participants had at least one target organ injury marker.
- The number of injury markers increased with higher blood pressure risk groups (P=0.02 for clinic BP, P<0.001 for ambulatory BP).
- White-coat, masked, and sustained hypertension were significantly associated with more injury markers compared to normotension (P<0.001).
Conclusions:
- Elevated clinic and ambulatory blood pressure are independently linked to increased subclinical cardiovascular injury markers in adolescents.
- Specific ambulatory blood pressure phenotypes (white-coat, masked, sustained hypertension) are associated with a greater number of injury markers.
- These findings highlight the importance of monitoring blood pressure and identifying hypertension phenotypes in adolescents to prevent cardiovascular complications.
Related Concept Videos
01:28Special considerations while measuring blood pressure
697
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
697
01:28Factors affecting Blood pressure
2.9K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
2.9K
01:18Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
518
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
518
01:25Errors occurring during blood pressure monitoring
583
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
583
01:17Measurement of Blood Pressure
802
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
802