Pediatric Nephrology

, Volume 20, Issue 12, pp 1766–1768 | Cite as

Agreement on reporting of ambulatory blood pressure monitoring in children

  • Sean E. Kennedy
  • Fiona E. Mackie
  • Andrew R. Rosenberg
  • Elizabeth Craig
  • Gad Kainer
Original Article

Abstract

The use of ambulatory blood pressure monitoring (ABPM) can improve the accuracy of paediatric BP measurement and may better correlate with end-organ injury than office BP measurement. However, the interpretation of ABPM may be influenced by several variables. We sought to ascertain the agreement among three paediatric nephrologists when reporting 92 ABPM sessions performed on patients aged 5 to 18 years. All three nephrologists were in agreement on the presence or absence of hypertension in 64% of cases. They were less likely to concur about records where hypertension was borderline or if the ABP record contained fewer BP readings. These results highlight the need for evidence-based consensus regarding the interpretation of ABPM in children.

Keywords

Ambulatory blood pressure Hypertension Diagnosis 

References

  1. 1.
    Woroniecki RP, Flynn JT (2005) How are hypertensive children evaluated and managed? A survey of North American pediatric nephrologists. Pediatr Nephrol 20:791–797CrossRefPubMedGoogle Scholar
  2. 2.
    Sorof JM, Portman RJ (2000) Ambulatory blood pressure monitoring in the pediatric patient. J Pediatr 136:578–586CrossRefPubMedGoogle Scholar
  3. 3.
    Simckes AM, Srivastava T, Alon US (2002) Ambulatory blood pressure monitoring in children and adolescents. Clin Pediatr (Phila) 41:549–564Google Scholar
  4. 4.
    Harshfield GA, Alpert BS, Pulliam DA, Somes GW, Wilson DK (1994) Ambulatory blood pressure recordings in children and adolescents. Pediatrics 94:180–184Google Scholar
  5. 5.
    O’Sullivan JJ, Derrick G, Griggs PE, Foxall R, Aitken M, Wren C (1999) Ambulatory blood pressure in schoolchildren. Arch Dis Child 80:529–532PubMedGoogle Scholar
  6. 6.
    Soergel M, Kirschstein M, Busch C, Danne T, Gellermann J, Holl R, Krull F, Reichert H, Reusz GS, Rascher W (1997) Oscillometric 24-h ambulatory blood pressure values in healthy children and adolescents: a multicenter trial including 1,141 subjects. J Pediatr 130:178–184PubMedGoogle Scholar
  7. 7.
    Lurbe E, Cremades B, Torro MI, Rodriguez C, Alvarez V, Redon J (2000) Reference values of ambulatory blood pressure in children and adolescents. Am J Hypertens 13:265ACrossRefGoogle Scholar
  8. 8.
    Sorof JM, Cardwell G, Franco K, Portman RJ (2002) Ambulatory blood pressure and left ventricular mass index in hypertensive children. Hypertension 39:903–908CrossRefPubMedGoogle Scholar
  9. 9.
    Mancia G, Parati G (2003) The role of blood pressure variability in end organ damage. J Hypertens 21:S17–S23Google Scholar
  10. 10.
    Cuspidi C, Macca G, Sampieri L, Fusi V, Severgnini B, Michev I, Salerno M, Magrini F, Zanchetti A (2001) Target organ damage and non-dipping pattern defined by two sessions of ambulatory blood pressure monitoring in recently diagnosed essential hypertensive patients. J Hypertens 19:1539–1545CrossRefPubMedGoogle Scholar
  11. 11.
    Lurbe E, Sorof JM, Daniels SR (2004) Clinical and research aspects of ambulatory blood pressure monitoring in children. J Pediatr 144:7–16CrossRefPubMedGoogle Scholar
  12. 12.
    Task Force Report on High Blood Pressure in Children and Adolescents (1996) Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents: a working group report from the National High Blood Pressure Education Program. Pediatrics 98:649–58PubMedGoogle Scholar
  13. 13.
    Daniels SR (2002) Cardiovascular sequelae of childhood hypertension. Am Heart J 15:61S–63SGoogle Scholar
  14. 14.
    Li S, Chen W, Srinivasan SR, Berenson GS (2004) Childhood blood pressure as a predictor of arterial stiffness in young adults. The Bogalusa Heart Study. Hypertension 43:541–546CrossRefPubMedGoogle Scholar
  15. 15.
    Wühl E, Witte K, Soergel M, Mehls O, Schaefer F, for the German Working Group on Pediatric Hypertension (2002) Distribution of 24-h ambulatory blood pressure in children: normalized reference values and role of body dimensions. J Hypertens 20:1995–2007CrossRefPubMedGoogle Scholar
  16. 16.
    Varda NM, Gregoriè A (2005) Twenty-four-hour ambulatory blood pressure monitoring in infants and toddlers. Pediatr Nephrol 20:798–802CrossRefPubMedGoogle Scholar

Copyright information

© IPNA 2005

Authors and Affiliations

  • Sean E. Kennedy
    • 1
    • 2
  • Fiona E. Mackie
    • 1
  • Andrew R. Rosenberg
    • 1
  • Elizabeth Craig
    • 1
  • Gad Kainer
    • 1
  1. 1.Department of NephrologySydney Children’s HospitalSydneyAustralia
  2. 2.NephrologyPrince of Wales HospitalRandwickAustralia

Personalised recommendations