title: The role of ambulatory blood pressure measurements in adolescence and young adults.
abstract: BACKGROUND
  Ambulatory blood pressure measurements (ABPM) are currently used for the diagnosis and treatment of hypertension. It is widely recognized that the casual/clinic blood pressure is less representative of the true blood pressure than the average ABP.
  
  
  METHODS
  Among the 15 records for 14 patients analyzed, 80% were obtained from type I diabetics. The overall age, ranged between 11 and 23 years (mean = 17.2 years). ABPM was performed using the Quiet Trak 98 model by Welch Allyn automatic auscultatory sphygmomanometer for a 24-hour period, for those with clinic documented hypertension. The BP was considered high if recorded as systolic > 140 and diastolic > 90 for the whole period or for period I (7 am to 11 pm), and >120 systolic and >85 diastolic for period II (11 pm to 7 am), or >130 systolic and >85 diastolic for diabetic patients.
  
  
  RESULTS
  The BP was recorded as normal in 20% of the patients; in 33% it was normal during the daytime but high during the nighttime, and 80% of the diabetic patient were found to be nondippers during night time.
  
  
  CONCLUSIONS
  ABPM is helpful to exclude White coat hypertension and nondippers especially among diabetic patients.
authors.affiliation: Pediatrics, Department, Salmaniya Medical Complex, Primary Health Care, Manama, Kingdom of Bahrain. alhermbadria@hotmail.com
authors.forename: B
authors.initials: B
authors.lastname: Al-Hermi
authors.forename: B
authors.initials: B
authors.lastname: Abbas
mesh_terms: D000293:Adolescent; D000328:Adult; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods*; D003971:Diastole / Q000502:physiology*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D013599:Systole / Q000502:physiology*
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors