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Ambulatory Blood Pressure Monitoring in Pediatric Renal Transplantation

  • Pediatric Hypertension (JT Flynn, Section Editor)
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Abstract

Hypertension is a common and serious complication after renal transplantation. It is an important risk factor for graft loss and adverse cardiovascular outcomes. Blood pressure (BP) in transplanted children should be measured not only by clinic BP (cBP) measurement, but also by ambulatory blood pressure monitoring (ABPM), because ABPM has distinct advantages over cBP, specifically the ability to reveal nocturnal, masked or white-coat hypertension. These types of hypertension are common in transplanted children (nocturnal hypertension 36–71 %, masked hypertension 24–45 %). It may also reveal uncontrolled hypertension in treated children, thereby improving control of hypertension. Regular use of ABPM and ABPM-guided therapy of hypertension may help to decrease cardiovascular and renal target organ damage in transplanted children. Therefore, ABPM should be routinely performed in all transplanted children at least once a year, regardless of the values of cBP.

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Acknowledgments

T. Seeman is supported by the project CZ.1.05/2.1.00/03.0076 from European Regional Development Fund and by the project (Ministry of Health, Czech Republic) for conceptual development of research organization 00064203 (University Hospital Motol, Prague, Czech Republic).

Disclosure

T. Seeman has received a grant from the Internal Grant Agency of the Ministry of Health of the Czech Republic, has served as a consultant to Otsuka Pharmaceuticals, and has received payment for lectures, including service on speaker bureaus from the Pediatric Academic Societies.

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  1. Department of Pediatrics and Transplantation Center, University Hospital Motol, Charles University Prague, 2nd Faculty of Medicine, V Úvalu 84, 15006, Prague, Czech Republic

    Tomáš Seeman

  2. Biomedical Centre, Faculty of Medicine in Plzen, Charles University in Prague, Plzen, Czech Republic

    Tomáš Seeman

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Correspondence to Tomáš Seeman.

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Seeman, T. Ambulatory Blood Pressure Monitoring in Pediatric Renal Transplantation. Curr Hypertens Rep 14, 608–618 (2012). https://doi.org/10.1007/s11906-012-0301-8

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