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Ambulatory Blood Pressure Monitoring in Children and Adolescents

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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

Twenty-four-hour ambulatory blood pressure monitoring (ABPM) is a safe and effective tool for evaluating blood pressure (BP) in the pediatric population. ABPM has been shown to be better correlated with end-organ damage such as left ventricular hypertrophy (LVH) than casual BP measurements in pediatrics. It has specific benefits in certain patient populations, such as children with secondary hypertension, chronic kidney disease (CKD), diabetes, and patients who have had kidney transplants or are on dialysis. In addition, ABPM allows for diagnosis of white coat hypertension and masked hypertension, which is not possible with casual BP measurement. There are some limitations for using ABPM in children, such as the generalizability of the accepted normative data and how younger children will tolerate wearing the device. Despite these limitations, ABPM has been increasingly recommended for evaluating blood pressures in children, and as more data is gathered, we expect that it will be an even more effective tool in the diagnosis and management of pediatric hypertension.

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Authors and Affiliations

  1. Division of Nephrology, Seattle Children’s Hospital, Seattle, WA, 98105, USA

    Ian Macumber M.D. & Joseph T. Flynn M.D., M.S.

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  1. Ian Macumber M.D.
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  2. Joseph T. Flynn M.D., M.S.
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Correspondence to Joseph T. Flynn M.D., M.S. .

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Editors and Affiliations

  1. Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, Connecticut, USA

    William B. White

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Macumber, I., Flynn, J.T. (2016). Ambulatory Blood Pressure Monitoring in Children and Adolescents. In: White, W. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Clinical Hypertension and Vascular Diseases. Humana Press, Cham. https://doi.org/10.1007/978-3-319-22771-9_12

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  • DOI: https://doi.org/10.1007/978-3-319-22771-9_12

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-22770-2

  • Online ISBN: 978-3-319-22771-9

  • eBook Packages: MedicineMedicine (R0)

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