Pediatric Nephrology

, Volume 21, Issue 11, pp 1640–1652 | Cite as

Utility of ambulatory blood pressure monitoring in children and adolescents

Editorial Commentary


Diagnosis of hypertension is critically dependent on accurate blood pressure measurement. “Accurate” refers to carefully following the guidelines for blood pressure measurement laid out for children and adults to minimize observer and subject errors that commonly occur in clinical blood pressure measurement. Accurate blood pressure measurement is more important in children and adolescents as the misdiagnosis of hypertension may have a life-long adverse impact on insurability and employment. Automated blood pressure measurement offers multiple advantages in achieving high-quality blood pressure determinations by reducing observer errors. The most commonly used form of automated blood pressure measurement is 24-h ambulatory blood pressure measurement (ABPM). Information on ABPM in children has grown exponentially over the last decade. Normative data exists for diagnosis of hypertension in children using ABPM including a novel method for determining normal values with the LMS method. There is further information about the utility of different determinants of 24-h blood pressure such as dipping status, morning surge and blood pressure load. ABPM has been able to detect significant differences in blood pressure in many disease states in children including chronic renal failure, polycystic kidney disease, solitary functioning kidney, and after renal transplantation. Increasingly nonambulatory automated blood pressure determinations have been used in management of hypertension in children. Although nonambulatory automated readings lack information about nocturnal blood pressure or blood pressure during daily activity, studies have suggested that home automated blood pressure measurements are a helpful adjunct to the usual office blood pressure reading.


Ambulatory blood pressure measurement Hypertension in children Accurate blood pressure 


  1. 1.
    National High Blood Pressure Education Program Working Group on Hypertension Control 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 98:649–658Google Scholar
  2. 2.
    National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (2004) The fourth report on the diagnosis, evaluation and treatment of high blood pressure in children and adolescents. Pediatrics 114 (2 Suppl):555–576Google Scholar
  3. 3.
    de Man SA, Andre JL, Bachmann H, Grobbee DE, Ibsen KK, Laaser U, Lippert P, Hofman A (1991) Blood pressure in childhood: pooled findings of six European Studies. J Hypertens 9:109–114PubMedGoogle Scholar
  4. 4.
    Menghetti E, Virdis R, Strambi M, Patriarca V, Riccioni MA, Fossali E, Spagnolo A (1999) Blood pressure in childhood and adolescence the Italian normal standards. J Hypertens 17:1363–1371PubMedGoogle Scholar
  5. 5.
    McKay DW, Raju MK, Campbell NRC (1992) Assessment of blood pressure measuring techniques. Med Educ 26:208–212PubMedGoogle Scholar
  6. 6.
    Drevenhorn E, Hakansson A, Petersson K (2001) Blood pressure measurement: an observational study of 21 public health nurses. J Clin Nurs 10:189–194PubMedGoogle Scholar
  7. 7.
    Grim CE, Li J, Grim CM (1999) Entering medical students who say they have been trained to take blood pressure do not follow American Heart Association guidelines. Am J Hypertens 12:150A (A014) (Abstract)Google Scholar
  8. 8.
    Reeves RA (1995) Does this patient have hypertension? How to measure blood pressure. JAMA 273:1211–1218PubMedGoogle Scholar
  9. 9.
    Cushman WC, Cooper KM, Horne RA, Meydrech EF (1990) Effect of back support and stethoscope head position on seated blood pressure determinations. Am J Hypertens 3:240–241PubMedGoogle Scholar
  10. 10.
    Netea RT, Smits P, Lenders JWM, Thien T (1998) Does it matter whether blood pressure measurements are taken sitting or supine? J Hypertens 16:263–268PubMedGoogle Scholar
  11. 11.
    Silverberg DS, Shemesh E, Iaina A (1977) The unsupported arm: a cause of falsely raised blood pressure readings. Br Med J 19:1331Google Scholar
  12. 12.
    Manning DM, Kuchirka C, Kaminski J (1983) Miscuffing: inappropriate blood pressure cuff application. Circulation 68:763–766PubMedGoogle Scholar
  13. 13.
    Iyriboz Y, Hearon CM, Edwards K (1994) Agreement between large and small cuffs in sphygmomanometer: a quantitative assessment. J Clin Monit 10:127–133PubMedCrossRefGoogle Scholar
  14. 14.
    Souchek J, Stamler J, Dyer AR, Paul O, Lepper MH (1979) The value of two or three versus a single reading of blood pressure at a first visit. J Chronic Dis 32:197–210PubMedGoogle Scholar
  15. 15.
    US Environmental Protection Agency (1997) Mercury study report to congress, volume I: executive summary. Publication EPA-452/R-97-003. Environmental Protection Agency, Washington, DC Google Scholar
  16. 16.
    Hospitals for a Healthy Environment. Mercury. Available at: Accessibility verified January 10, 2003
  17. 17.
    Canzanello VJ, Jensen PL, Schwartz GL (2001) Are aneroid sphygmomanometers accurate in hospital and clinic settings? Arch Intern Med 161:729–731PubMedGoogle Scholar
  18. 18.
    Looney J (1978) Blood pressure by oscillometry. Med Electron 4:57–63Google Scholar
  19. 19.
    Rose D, Arnett DK, Ellison RC, Heiss G (2000) Skip patterns in DINAMAP-measured blood pressure in 3 epidemiological studies. Hypertension 35:1032–1036PubMedGoogle Scholar
  20. 20.
    O’Brien E, Petrie J, Littler W, de Swiet M, Padfield PL, O’Malley K, Jamieson M, Altman D, Bland M (1990) The British Hypertension Society protocol for the evaluation of automated and semi-automated blood pressure measuring devices with special reference to ambulatory systems. J Hypertens 8:608–619Google Scholar
  21. 21.
    O’Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J, Mengden T, Imai Y, Waeber B, Palatini P, Gerin W, Working Group on Blood Pressure Monitoring of the European Society of Hypertension (2002) Working Group on Blood Pressure Monitoring of the European Society of Hypertension international protocol for validation of blood pressure measuring devices in adults. Blood Press Monit 7:3–17PubMedGoogle Scholar
  22. 22.
    O’Sullivan JJ, Derrick G, Griggs PE, Wren C (1998) Validation of the Takeda 2421 ambulatory blood pressure monitor in children. J Med Eng Technol 22:101–105PubMedCrossRefGoogle Scholar
  23. 23.
    Bald M, Kubel S, Rascher W (1994) Validity and reliability of 24h blood pressure monitoring in children and adolescents using a portable oscillometric device. J Hum Hypertens 8:363–366PubMedGoogle Scholar
  24. 24.
    Second International Symposium on Hypertension in Children (1988) Recommendations for blood pressure measurement in children and adolescents. Clin Exp Hypertens A8:903Google Scholar
  25. 25.
    Bald M, Westhues R, Bonzel KE (1996) Blood pressure monitoring at the wrist: is it reliable in children and adolescents? Z Kardiol Suppl 3:106–108Google Scholar
  26. 26.
    Wankum PC, Thurman TL, Holt SJ, Hall RA, Simpson PM, Heulitt MJ (2004) Validation of a noninvasive blood pressure monitoring device in normotensive and hypertensive pediatric intensive care patients. J Clin Monit Comput 18:253–263PubMedGoogle Scholar
  27. 27.
    Mattu GS, Heran BS, Wright JM (2004) Comparison of the automated oscillometric blood pressure monitor (BpTRU) with the auscultatory mercury sphygmomanometer in a pediatric population. Blood Press Monit 9:39–45PubMedGoogle Scholar
  28. 28.
  29. 29.
    Van Popele NM, Bos WJW, de Beer NAM, van der Kuip DAM, Hofman A, Grobbee DE, Witteman JCM (2000) Arterial stiffness as an underlying mechanism of disagreement between an oscillometric blood pressure monitor and a sphygmomanometer. Hypertension 36:484–488PubMedGoogle Scholar
  30. 30.
    Jones DW, Frohlich ED, Grim CM, Grim CE, Taubert KA (2001) Mercury sphygmomanometers should not be abandoned: an advisory statement from the Council for High Blood Pressure Research, American Heart Association. Hypertension 37:185–186PubMedGoogle Scholar
  31. 31.
    Portman RJ, Yetman RJ (1994) Clinical uses of ambulatory blood pressure monitoring. Pediatr Nephrol 8:367–376PubMedGoogle Scholar
  32. 32.
    Staessen JA, O’Brien E, Amery AK, Atkins N, Baumgart P, De Cort P, Degaute JP, Dolenc P, De Gaudemaris R, Endstrom I (1994) Ambulatory blood pressure in normotensive and hypertensive subjects: results from and international database. J Hypertens 12 (Suppl 7):S1–S12Google Scholar
  33. 33.
    Mancia G, Sega R, Grassi G, Cesana GC, Zanchetti A (2001) Defining ambulatory and home blood pressure normality: further considerations from the PAMELA study. J Hypertens 19:995–999PubMedGoogle Scholar
  34. 34.
    Ohkubo T, Imai Y, Nagai K, Ito Sadayoshi, Satoh H, Hisamichi S (1998) Reference values for 24 hour ambulatory blood pressure monitoring based on a prognostic criteria. Hypertension 32:255–259PubMedGoogle Scholar
  35. 35.
    Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003) The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JAMA 289:2560–2572Google Scholar
  36. 36.
    Portman RJ, Yetman RJ, West MS (1991) Efficacy of 24-hour ambulatory monitoring in children. J Pediatr 118:842–849PubMedGoogle Scholar
  37. 37.
    Harshfield GA, Alpert BS, Pulliam DA, Somes GW, Wilson DK (1994) Ambulatory blood pressure recordings in children and adolescents. Pediatrics 94:180–184PubMedGoogle Scholar
  38. 38.
    Lurbe E, Redon J, Liao Y, Tacons J, Cooper RS, Alvarez V (1994) Ambulatory blood pressure in normotensive children. J Hypertens 12:1417–1423PubMedGoogle Scholar
  39. 39.
    Reichert H, Lindinger A, Frey O, Mortzeck J, Kiefer J, Busch C, Hoffman W (1995) Ambulatory blood pressure monitoring in healthy schoolchildren. Pediatr Nephrol 9:282–286PubMedGoogle Scholar
  40. 40.
    Weng KP, Hsieh KS, Huang SH, Lin CC (2002) Oscillometric ambulatory blood pressure values in healthy children. Acta Paediatr Taiwan 43:15–20PubMedGoogle Scholar
  41. 41.
    Soergel M, Kirschstein M, Busch C, Danne T, Gellerman J, Holl R, Krull F, Reichert H, Reusz GS, Rascher W (1997) Oscillometric twenty four hour ambulatory blood pressure values in healthy children and adolescents. J Pediatr 130:178–184PubMedGoogle Scholar
  42. 42.
    O’Sullivan JJ, Derrick G, Griggs P, Foxall R, Aitkin M, Wren C (1999) Ambulatory blood pressure in children. Arch Dis Child 80:529–532PubMedCrossRefGoogle Scholar
  43. 43.
    Wasilewski A, Zoch-Zwierz W, Tomaszenka B, Biernacka A (2004) Reference values of 24 hour ambulatory blood pressure in healthy children in Poland. Pol Merkuriusz Lek 17:451–456Google Scholar
  44. 44.
    Cole TJ, Green PJ (1992) Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11:1305–1319PubMedGoogle Scholar
  45. 45.
    Wuhl E, Witte K, Soergel M, Mehls O, Schaefer F, for the German Working Group on Pediatric Hypertension (2002) J Hypertens 20:1995–2007PubMedGoogle Scholar
  46. 46.
    Graves JW, Sheps SG (2004) Does evidence-based medicine suggest that physicians should not be measuring blood pressure in the hypertensive patient? Am J Hypertens 17:354–360PubMedGoogle Scholar
  47. 47.
    Zachariah PK, Sheps SG, Ilstrup DM, Long CR, Bailey KR, Wiltgen CM, Carlson CA (1988) Blood pressure load- a better determinant of hypertension. Mayo Clin Proc 63:1085–1091PubMedGoogle Scholar
  48. 48.
    White WB, Dey HM, Schulman P (1989) Assessment of the daily blood pressure load as a determinant of cardiac function in patients with mild to moderate hypertension. Am Heart J 118:782–795PubMedGoogle Scholar
  49. 49.
    White WB, Schulman P, McCabe EJ, Dey HM (1989) Average daily blood pressure, not office blood pressure determines cardiac function in patients with hypertension. JAMA 261:873–877PubMedGoogle Scholar
  50. 50.
    Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves JW, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ (2005) Recommendations for blood pressure measurement in humans and experimental animals. Part 1: measurement in humans a statement for professionals from the subcommittee of professional and public education of the American Heart Association Council on High Blood Pressure Research. Hypertension 45:142–161PubMedGoogle Scholar
  51. 51.
    O’Brien E, Asmar R, Beilin L, Imai Y, Mancia G, Mengden T, Myers M, Padfield P, Palatini P, Parati G, Pickering T, Redon J, Staessen J, Stergiou G, Verdecchia P (2005) Practice guidelines of the European Society of Hypertension for clinic, ambulatory and self blood pressure measurement. J Hypertens 23:697–701PubMedGoogle Scholar
  52. 52.
    Staessen JA, Asmar R, De Buyzere M, Iami Y, Parati G, Shimada K, Stergiou G, Redon J, Verdecchia P, for the participants of the 2001 consensus conference on ambulatory blood pressure monitoring (2001) Blood Press Monit 6:355–370PubMedGoogle Scholar
  53. 53.
    Bilo G, Giglio A, Styczkiewz K, Caldara G, Kawecka-Jaszcz K, Mancia G, Parati G (2005) How to improve the assessment of 24 hour blood pressure variability. Blood Press Monit 10:321–324PubMedGoogle Scholar
  54. 54.
    Sorof JM, Portman RJ (2000) White coat hypertension in children with elevated casual blood pressure. J Pediatr 137:493–497PubMedGoogle Scholar
  55. 55.
    Khan IA, Gajaria M, Stephens D, Balfe JW (2000) Ambulatory blood pressure monitoring in children: a large center’s experience. Pediatr Nephrol 14:802–805PubMedGoogle Scholar
  56. 56.
    Koshy S, MacArther C, Luthra S, Gajaria M, Geary D (2005) Ambulatory blood pressure monitoring: mean blood pressure and blood pressure load. Pediatr Nephrol 20:1484–1486PubMedGoogle Scholar
  57. 57.
    Angeli F, Verdecchia P, Gattobigio R, Sardone M, Reboldi G (2005) White coat hypertension in adults. Blood Press Monit 10:301–305PubMedGoogle Scholar
  58. 58.
    Verdecchia P, Angeli F, Reboldi G, Gattobigio R, Sardone M, Porcellati C (2005) Diagnosis of white coat hypertension based solely on systolic blood pressure. The PIUMA Study. Am J Hypertens 18:46A (Abstract) Google Scholar
  59. 59.
    Verdecchia P, Porcellati C, Schillaci G, Borgioni C, Ciucci A, Battistelli M, Guerrieri M, Gatteschi C, Zampi I, Santucci A (1994) Ambulatory blood pressure: an independent predictor of prognosis in essential hypertension. Hypertension 24:793–801PubMedGoogle Scholar
  60. 60.
    Kario K, Shimada K, Schwartz JE, Matsuo T, Hoshide S, Pickering TG (2001) Silent and clinically overt stroke in older Japanese subjects with white coat and sustained hypertension. J Am Coll Cardiol 38:238–245PubMedGoogle Scholar
  61. 61.
    Pierdomenico SD, Lapenna D, Bucci A, Di Iorio A, Neri M, Cuccurullo F, Mezzetti A (2004) Cardiovascular and renal events in uncomplicated mild hypertension patients with sustained and white coat hypertension. Am J Hypertens 17:876–881PubMedGoogle Scholar
  62. 62.
    Verdecchia P, Reboldi GP, Angeli F, Schillaci G, Schwartz JE, Pickering TG, Imai Y, Ohkubo T, Kario K (2005) Short and long term incidence of stroke in white coat hypertension. Am J Hypertens 45:203–208Google Scholar
  63. 63.
    Parati G, Mancia G (2006) Assessing the white coat effect: which blood pressure measurement should be considered? J Hypertens 24:29–31PubMedCrossRefGoogle Scholar
  64. 64.
    Hornsby JL, Mongan PF, Taylor T, Treiber FA (1991) “White coat hypertension” in children. J Fam Pract 33:617–623PubMedGoogle Scholar
  65. 65.
    Stabouli S, Kotsis V, Toumandis S, Papamichael C, Constantopoulos A, Zakopoulos N (2005) White coat and masked hypertension in children: associated with target organ damage. Pediatr Nephrol 20:1151–1155PubMedGoogle Scholar
  66. 66.
    Kouidi E, Fahadidou-Tsiligiroglou A, Tassoulas E, Deligiannis A, Coats A (1999) White coat hypertension detected during screening of male adolescent athletes. Am J Hypertens 17:585–595Google Scholar
  67. 67.
    Sorof JM, Poffenbarger T, Franco K, Portman R (2001) Evaluation of white coat hypertension in children: importance of definitions of normal ambulatory blood pressure and the severity of hypertension. Am J Hypertens 14:855–860PubMedGoogle Scholar
  68. 68.
    Backer HD, Decker L, Ackerson L (2003) Reproducibility of increased blood pressure during an emergency department or urgent care visit. Ann Emerg Med 41:507–512PubMedGoogle Scholar
  69. 69.
    Matsuoka S, Kawamura K, Honda M, Awazu M (2002) White coat effect and white coat hypertension in pediatric patients. Pediatr Nephrol 17:950–953PubMedGoogle Scholar
  70. 70.
    Pickering TG, Davidson K, Gerin W, Schwartz JE (2002) Masked hypertension. Hypertension 40:795–796PubMedGoogle Scholar
  71. 71.
    Mancia G (2002) Reversed white coat hypertension: mechanisms, and prognostic implications. J Hypertens 20:579–581PubMedGoogle Scholar
  72. 72.
    Ben-Dov IZ, Ben-Arie LB, Mekler J, Bursztyn M (2005) In clinical practice masked hypertension is as common as isolated clinic hypertension: predominance of younger men. Am J Hypertens 18:589–593PubMedGoogle Scholar
  73. 73.
    Ohkubo T, Kikuya M, Metoki H, Asayama K, Obara T, Hashimoto J, Totsune K, Hoshi H, Satoh H, Imai Y (2005) Prognosis of masked hypertension and white coat hypertension detected by 24 hour ambulatory blood pressure monitoring 10 year follow up of Ohasama study. J Am Coll Cardiol 46:508–515PubMedGoogle Scholar
  74. 74.
    Stergiou GS, Yiannes N, Rarra VC, Alamara C (2005) White coat hypertension and masked hypertension in children. Blood Press Monit 10:297–300PubMedGoogle Scholar
  75. 75.
    Bobrie G, Chatellier G, Genes N, Clerson P, Vaur L, Vaisse B, Menard J, Mallion JM (2004) Cardiovascular prognosis of “masked hypertension” detected by blood pressure self measurement in elderly treated hypertensive patients. JAMA 291:1342–1349PubMedGoogle Scholar
  76. 76.
    Matsuoka S, Awazu M (2004) Masked hypertension in children and young adults. Pediatr Nephrol 19:651–654PubMedGoogle Scholar
  77. 77.
    Lurbe E, Torro I, Alvarez V, Nawrot T, Paya R, Redon J, Staessen JA (2005) Prevalence, persistence and clinical significance of masked hypertension in youth. Hypertension 45:493–498PubMedGoogle Scholar
  78. 78.
    Stergiou GS, Alamara CV, Kalkana CB, Vaindirilis IN, Stefanidis CJ, Dacou-Voutetaki C, Mountokalakis TD (2004) Out of office blood pressure in children and adolescents: disparate findings by using home or ambulatory monitoring. J Hypertens 22 (Suppl 2):S3Google Scholar
  79. 79.
    Mansoor GA, McCabe EJ, White WB (1994) Long term reproducibility of ambulatory blood pressure. J Hypertens 12:703–708PubMedGoogle Scholar
  80. 80.
    Wendelin-Saarenhovi M, Isaho R, Hartiala J, Helenius H, Kivela SL, Hietanen E (2001) Long term reproducibility of ambulatory blood pressure in unselected elderly subjects. Clin Physiol 21:316–322PubMedGoogle Scholar
  81. 81.
    Omboni S, Parati G, Palatini P, Vanasia A, Muiesan M, Cuspidi C, Mancia G (1998) Reproducibility and clinical value of nocturnal hypertension: prospective evidence from the SAMPLE Study. J Hypertens 16:733–738PubMedGoogle Scholar
  82. 82.
    Cuspidi C, Meani S, Salerno M, Valerio C, Fusi V, Severgnini B, Fusi B, Corti C, Salerno M, Valerio C, Magrini F, Zanchetti A (2004) Reproducibility of nocturnal blood pressure fall in early phases of hypertension: a prospective study. J Hum Hypertens 18:503–509PubMedGoogle Scholar
  83. 83.
    Covic A, Mititiluc I, Gusbeth-Tatomir P, Goldsmith DJ (2002) The reproducibility of circadian BP rhythm in treated hypertensive patients with polycystic kidney disease and mild chronic renal impairment- a prospective ABPM study. J Nephrol 15:497–506PubMedGoogle Scholar
  84. 84.
    Lurbe E, Cremades B, Concepcion R, Torro MI, Alvarez V, Redon J (1999) Factors related to quality of ambulatory monitoring in a pediatric population. Am J Hypertens 12:929–933PubMedGoogle Scholar
  85. 85.
    Rucki S, Feber J (2001) Repeated ambulatory blood pressure monitoring in adolescents with mild hypertension. Pediatr Nephrol 16:911–915PubMedGoogle Scholar
  86. 86.
    O’Sullivan JJ, Derrick G, Foxall R (2000) Tracking of 24 hour and casual blood pressure: a one year follow up study in adolescents. J Hypertens 18:1193–1196PubMedGoogle Scholar
  87. 87.
    Stergiou GS, Alamara CV, Salgami EV, Vaindirlis IN, Dacou-Voutetakis C, Mountokalakis TD (2005) Reproducibility of home and ambulatory blood pressure in children and adolescents. Blood Press Monit 10:143–147PubMedGoogle Scholar
  88. 88.
    Flynn JT (2002) Differentiation between primary and secondary hypertension in children using ambulatory blood pressure monitoring. Pediatrics 110:89–93PubMedGoogle Scholar
  89. 89.
    Barnes VA, Johnson MH, Dekkers C, Treiber FA (2002) Reproducibility of ambulatory blood pressure in African Americans. Ethn Dis 12:S3101–S3106Google Scholar
  90. 90.
    Harshfield GA, Treiber FA, Wilson ME, Kapuku GK, Davis HC (2002) A longitudinal study of ethnic differences in ambulatory blood pressure patterns in youth. Am J Hypertens 15:525–530PubMedGoogle Scholar
  91. 91.
    Chase HP, Garag SK, Icaza G, Carmain JA, Walravens CF, Marshall G (1997) 24-h ambulatory blood pressure monitoring in healthy young adult Anglo, Hispanic, and African American subjects. Am J Hypertens 10:18–23PubMedGoogle Scholar
  92. 92.
    Harshfield GA, Barbeau P, Richey PA, Alpert BS (2000) Racial differences in the influence of body size on ambulatory blood pressure in youths. Blood Press Monit 5:59–63PubMedGoogle Scholar
  93. 93.
    Amoore JN, Dewar D, Gough K, Padfield PL (2005) Do Spacelabs ambulatory non-invasive blood pressure recorders measure blood pressure consistently over several years use? Blood Press Monit 10:51–56PubMedGoogle Scholar
  94. 94.
    Kennedy SE, Mackie FE, Rosenberg AR, Craig E, Kainer G (2005) Agreement on reporting of ambulatory blood pressure monitoring in children. Pediatr Nephrol 20:1766–1768PubMedGoogle Scholar
  95. 95.
    Sokolow M, Werdegar D, Kain HK, Hinman AT (1966) Relationship between level of blood pressure measured casually and by portable recorders and severity of complications in essential hypertension. Circulation 34:279–298Google Scholar
  96. 96.
    Clement DL, De Buyzere ML, De Bacquer DA, de Leeuw PW, Duprez DA, Fagard RH, Gheeraert PJ, Missault LH, Braun JJ, Six RO, Van Der Niepen P, O’Brien E, Office versus Ambulatory Pressure Study Investigators (2003) Prognostic value of ambulatory blood pressure recordings in patients with treated hypertension. N Engl J Med 348:2407–2415PubMedGoogle Scholar
  97. 97.
    Dolan E, Stanton A, Thijis L, Hinedi K, Atkins N, McClory S, Den Hond E, McCormack P, Staessen JA, Obrien E (2005) Superiority of ambulatory over clinic blood pressure measurement in predicting mortality. The Dublin Outcome Study Hypertension 46:156–161Google Scholar
  98. 98.
    Ohkubo T, Imai Y, Tsuji I, Nagai K, Watanabe N, Minami N, Kato J, Kikuchi N, Nishiyama A, Aihara A, Sekino M, Satoh H, Hisamichi S (1997) Relationship between nocturnal decline in blood pressure and mortality: the Ohasama Study. Am J Hypertens 10:1201–1207PubMedGoogle Scholar
  99. 99.
    Kobrin I, Oigman W, Kumar A, Ventura HO, Messerli FH, Frohlich ED, Dunn FG (1994) Diurnal variation of blood pressure in elderly patients with essential hypertension. J Am Geriat Soc 32:896–899Google Scholar
  100. 100.
    Opsahl JA, Abraham PA, Halstenson CE, Keane WF (1988) Correlation of office and ambulatory blood pressure measurements with urinary albumin and N-acetyl-beta-D-glucosaminidase excretion in essential hypertension. Am J Hypertens 1:1175–1205Google Scholar
  101. 101.
    Shimada K, Kawamoto A, Matsubayashi K, Ozawa T (1990) Silent cerebrovascular disease in the elderly: correlation with ambulatory pressure. Hypertension 16:692–699PubMedGoogle Scholar
  102. 102.
    Verdecchia P, Shillaci G, Guerrieri M, Gotteschi C, Beurio G, Boldrini F, Porcellati C (1990) Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 81:528–536PubMedGoogle Scholar
  103. 103.
    Verdecchia P, Schillaci G, Gatteschi C, Zampi I, Battistelli M, Bartoccini C, Porcellati C (1993) Blunted nocturnal fall in blood pressure in hypertensive women with future cardiovascular morbid events. Circulation 88:986–992PubMedGoogle Scholar
  104. 104.
    Kuwajima I, Mitani K, Miyao M, Suzuki Y, Kuramoto K, Ozawa T (1995) Cardiac implications of the morning surge in blood pressure in elderly hypertensive patients: relation to arising time. Am J Hypertens 8:29–33PubMedGoogle Scholar
  105. 105.
    White WB (2001) Cardiovascular risk and therapeutic intervention for the early morning surge in blood pressure and heart rate. Blood Press Monit 6:63–72PubMedGoogle Scholar
  106. 106.
    Kario K, Shimada K, Pickering TG (2003) Clinical implication of morning blood pressure surge in hypertension. J Cardiovasc Pharmacol 42(Suppl 1):S87–S91PubMedGoogle Scholar
  107. 107.
    Wright JT Jr, Redline S, Taylor AL, Aylor J, Clark K, O’Malia B, Graham G, Liao GS, Morton S (2001) Relationship between 24-h blood pressure and sleep disordered breathing in a normotensive community sample. Am J Hypertens 14:743–748PubMedGoogle Scholar
  108. 108.
    Chamontin B, Amar J, Begasse F, Tran MA, Senard JM, Montastruc JL, Salvador M (1994) Ambulatory measurement of blood pressure and plasma catecholamines in the study of orthostatic hypotension. Arch Mal Coeur Vaiss 87:1087–1091PubMedGoogle Scholar
  109. 109.
    Jacob P, Hartung R, Bohlender J, Stein G (2004) Utility of 24-h ambulatory blood pressure measurement in a routine clinical setting of patients with chronic renal disease. J Hum Hypertens 18:745–751PubMedGoogle Scholar
  110. 110.
    Staessen JA, Byttebier G, Buntix F, Celis H, O’Brien ET, Fagard R (1997) Antihypertensive treatment based on conventional or ambulatory blood pressure measurement. JAMA 278:1065–1071PubMedGoogle Scholar
  111. 111.
    Hadtstein C, Wuhl E, Soergel M, Witte K, Schaefer F, the German Study Group for Pediatric Hypertension (2004) Hypertension 43:547–554PubMedGoogle Scholar
  112. 112.
    Mitsnefes MM, Kimball TR, Daniels SR (2003) Office and ambulatory blood pressure elevation in children with chronic renal disease. Pediatr Nephrol 18:145–149PubMedGoogle Scholar
  113. 113.
    Seeman T, John U, Blahova K, Vondrichova H, Janda J, Misslewitz J (2001) Ambulatory blood pressure monitoring in children with unilateral multicystic dysplastic kidney. Eur J Pediatr 160:78–83PubMedGoogle Scholar
  114. 114.
    Seeman T, Dusek J, Vondrichova H, Kyncl M, John U, Misselwitz J, Janda J (2003) Ambulatory blood pressure correlates with renal volume and number of cysts in children with autosomal dominant polycystic kidney disease. Blood Press Monit 8:107–110PubMedGoogle Scholar
  115. 115.
    Patzer L, Seeman T, Luck C, Wuhl E, Janda J, Misslewitz (2003) Day and night blood pressure elevation in children with higher degrees of renal scarring. J Pediatr 117–122Google Scholar
  116. 116.
    Pomeranz A, Libman L, Pomeranz M, Uziel Y, Wolach B, Korzets Z (2002) Ambulatory blood pressure monitoring in children with isolated hematuria. Pediatr Nephrol 17:938–942PubMedGoogle Scholar
  117. 117.
    Seeman T, Dusek J, Simkova E, Kresinger J, Feber J, Janda J (2004) Ambulatory blood pressure monitoring in children after renal transplantation. Transplant Proc 36:1355–1356PubMedGoogle Scholar
  118. 118.
    Morgan H, Khan I, Hashmi A, Hebert D, McCrindle BW, Balfe JW (2001) Ambulatory blood pressure monitoring after renal transplantation in children. Pediatr Nephrol 16:843–847PubMedGoogle Scholar
  119. 119.
    Bald M, Lettgen A, Wingen M, Bonzel KE (1996) 24 hour blood pressure monitoring in children and adolescents after recovery from hemolytic uremic syndrome. Clin Nephrol 46:50–53PubMedGoogle Scholar
  120. 120.
    Yanagi S, Yoshinaga M, Horigome H, Tanaka Y, Fusazaki N, Matsuoka Y, Shimago A, Fukushige T, Eguchi T, Tokuda K, Nishi J, Kono Y, Nomura Y, Miyata K, Kawano Y (2004) Heart rate variability and ambulatory blood pressure monitoring in young patients with hypertrophic cardiomyopathy. Circ J 68:757–762PubMedGoogle Scholar
  121. 121.
    Nussinovitch N, Nussinovitch M, Peleg E, Rosenthal T (2005) 24 hour ambulatory blood pressure in children with familial dysautonomia. Pediatr Nephrol 20:507–511PubMedGoogle Scholar
  122. 122.
    Giordano U, Matteucci MC, Calzolari A, Turchetta A, Rizzoni G, Alpert BS (2000) Ambulatory blood pressure monitoring in children with aortic coarctation and kidney transplantation. J Pediatr 136:520–523PubMedGoogle Scholar
  123. 123.
    Bald M, Neudorf U (2000) Arterial hypertension in children and adolescents after surgical repair of aortic coarctation defined by ambulatory blood pressure monitoring. Blood Press Monitor 5:163–167PubMedCrossRefGoogle Scholar
  124. 124.
    Amin Rs, Carroll JL, Jeffries JL, Grone C, Bean JA, Chini B, Bokulic R, Daniels SR (2004) Twenty four hour ambulatory blood pressure in children with obstructive sleep apnea. Am J Respir Crit Care Med 169:950–956PubMedGoogle Scholar
  125. 125.
    Varda NM, Gregoric A (2005) Twenty four hour ambulatory blood pressure monitoring in infants and toddlers. Pediatr Nephrol 20:798–802PubMedGoogle Scholar
  126. 126.
    Sheps SG, Canzanello VJ (1994) Current role of automated ambulatory blood pressure and self-measured blood pressure in clinical practice. Mayo Clin Proc 69:1000–1005PubMedGoogle Scholar
  127. 127.
    Parati G, Bilo G, Mancia G (2004) Blood pressure measurement in research and clinical practice: recent evidence. Curr Opin Nephrol Hypertens 13:343–357PubMedGoogle Scholar
  128. 128.
    Krakoff LR (2004) Ambulatory blood pressure monitoring for every hypertensive patient. It’s about time! J Clin Hypertens (Greenwhich) 6:708–710Google Scholar
  129. 129.
    White WB (2004) The argument against. J Clin Hypertens (Greenwhich) 6:710–713Google Scholar
  130. 130.
    Krakoff LR (2006) Cost-effectiveness of ambulatory blood pressure: a reanalysis. Hypertension 47:29–34PubMedGoogle Scholar
  131. 131.
    Flynn JT (2000) Impact of ambulatory blood pressure monitoring on the management of hypertension in children. Blood Press Monit 5:211–216PubMedGoogle Scholar
  132. 132.
    Carney S, Giles A, Garvey L, Smith A (2005) Direct comparison of repeated same day self and ambulatory blood pressure monitoring. Nephrology 0:151–156Google Scholar
  133. 133.
    Stegiou GS, Salgami EV, Tzamouranis DG, Roussias LG (2005) Masked hypertension assessed by ambulatory blood pressure versus home blood pressure measurement: is it the same phenomena? Am J Hypertens 18:772–778Google Scholar
  134. 134.
    Stergiou GS, Alamara CV, Vazeou A, Stefanidis CJ (2004) Office and out of office blood pressure measurement in children and adolescents. Blood Press Monit 9:293–296PubMedGoogle Scholar
  135. 135.
    Wuhl E, Hadstein C, Mehls O, Schafer F, and the ESCAPE trial group (2004) Home, clinic and ambulatory blood pressure monitoring in children with chronic renal failure. Pediatr Res 55:492–497PubMedGoogle Scholar
  136. 136.
    Canzanello VJ, Jensen PL, Schwartz LL, Worra JB, Klein LK (2005) Improved blood pressure control with physician nurse team and home blood pressure measurement. Mayo Clin Proc 80:31–36PubMedCrossRefGoogle Scholar
  137. 137.
    Bald M, Hoyer PF (2001) Measurement of blood pressure at home: survey amongst pediatric nephrologists. Pediatr Nephrol 16:1058–1062PubMedGoogle Scholar
  138. 138.
    Graves JW (2002) Distribution of 24 hour ambulatory blood pressure in children: normalized reference values and role of body dimensions. Editorial comment. J Hypertens 20:1939–1940PubMedGoogle Scholar
  139. 139.
    Graves JW, Nash C, Burger K, Bailey K, Sheps SG (2003) Clinical decision-making in hypertension using an automated (BpTRU (TM)) measurement device. J Hum Hypertens 17:823–827PubMedGoogle Scholar
  140. 140.
    Graves JW, Nash CA, Grill DE, Bailey KR, Sheps SG (2005) Limited (6-h) ambulatory blood pressure monitoring is a valid replacement for the office blood pressure by trained nurse clinician in the diagnosis of hypertension. Blood Press Monit 10:169–174PubMedGoogle Scholar

Copyright information

© IPNA 2006

Authors and Affiliations

  1. 1.Division of Nephrology and HypertensionMayo Clinic College of MedicineRochesterUSA
  2. 2.Faculty of MedicineCharles University in PragueHradec KraloveCzech Republic

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