Pediatric ambulatory blood pressure monitoring: indications and interpretations.
The prevalence of hypertension in children and adolescents is increasing, especially in obese and ethnic children. The adverse long-term effects of hypertension beginning in youth are known; therefore, it is important to identify young patients who need intervention. Unfortunately, measuring blood pressure (BP) is difficult due to the variety of techniques available and innate biologic variation in BP levels. Ambulatory BP monitoring may overcome some of the challenges clinicians face when attempting to categorize a young patient's BP levels. In this article, the authors review the use of ambulatory BP monitoring in pediatrics, discuss interpretation of ambulatory BP monitoring, and discuss gaps in knowledge in usage of this technique in the management of pediatric hypertension.
Division of Nephrology, Seattle Children's Hospital, Seattle, WA 98105, USA. joseph.flynn@seattlechildrens.org
Joseph T
JT
Flynn
Elaine M
EM
Urbina
D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory / Q000295:instrumentation / Q000379:methods*; D002648:Child; D002669:Child Welfare; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology; D010372:Pediatrics; D012307:Risk Factors; D014481:United States / Q000453:epidemiology