Pediatric Nephrology

, Volume 23, Issue 9, pp 1399–1408

Ambulatory blood pressure monitoring: a versatile tool for evaluating and managing hypertension in children

Review

DOI: 10.1007/s00467-008-0766-5

Cite this article as:
Acosta, A.A. & McNiece, K.L. Pediatr Nephrol (2008) 23: 1399. doi:10.1007/s00467-008-0766-5

Abstract

In recent years, pediatric practitioners have increasingly used ambulatory blood pressure (ABP) monitoring for evaluating blood pressure (BP) abnormalities in children. ABP monitoring in adults is superior to casual BP measurements for predicting cardiovascular morbidity and mortality, and whereas the association with target-organ damage in children is not as definitive, early evidence does seem to parallel the adult data. In addition to confirming hypertension at diagnosis, ABP monitoring may be useful for identifying isolated nocturnal hypertension, characterizing BP patterns, and assessing response to therapeutic interventions. This article reviews current evidence supporting the use of ABP monitoring in children and discusses limitations in our understanding of this technology, specifically focusing on indications for its use and interpretation of the large quantity of data obtained by ABP monitoring.

Keywords

Hypertension Ambulatory blood pressure monitoring White-coat hypertension Masked hypertension Circadian BP patterns Pediatrics 

Abbreviations

ABP

ambulatory blood pressure

BP

blood pressure

CMS

Centers for Medicare and Medicaid Services

CV

cardiovascular

HTN

hypertension

LVH

left ventricular hypertrophy

Copyright information

© IPNA 2008

Authors and Affiliations

  1. 1.Department of Pediatrics, Division of Pediatric Nephrology and HypertensionUniversity of Texas Medical School at HoustonHoustonUSA
  2. 2.Department of Pediatrics, Division of Pediatric NephrologyUniversity of Arkansas for Medical Sciences & Arkansas Children’s HospitalLittle RockUSA

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