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Methodology and Applicability of Home Blood Pressure Monitoring in Children and Adolescents

Home Blood Pressure Monitoring

Pediatric Hypertension

  • 4 Accesses

Abstract

Accumulating evidence suggests that in children and adolescents, home blood pressure (BP) monitoring is useful for out-of-office BP evaluation. Home BP monitoring has advantages similar to ambulatory monitoring, by offering multiple measurements in the individual’s usual environment, which avoid the white-coat and masked hypertension phenomena and are more reproducible than the conventional office measurements. Home BP appears to have similar diagnostic value in children as in adults and might be a useful adjunct to ambulatory monitoring in detecting white-coat and masked hypertension. In children and adolescents, home BP is lower than daytime ambulatory BP (in contrast to adults who have similar levels). In younger children it is higher than office BP, with progressive elimination of this difference with increasing age. Home BP monitoring is feasible in most children and has relatively low cost. Obtaining duplicate, morning and evening, BP measurements after a 5-min sitting rest for 6–7 days (minimum 3 days) is currently recommended for optimal home BP assessment in the initial evaluation of children with suspected hypertension and before each office visit in children with treated hypertension. Electronic upper arm-cuff devices, which have been validated specifically in children, must be used with cuff of appropriate size for each child. Preliminary normalcy data for home BP in children have been provided by two school-based studies. Data on its relationship with preclinical organ damage are accumulating. Home BP monitoring has considerable potential for improving the care of children with suspected or treated hypertension.

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Authors and Affiliations

  1. Third Department of Medicine, Sotiria Hospital, School of Medicine, Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, Athens, Greece

    George S. Stergiou & Angeliki Ntineri

Authors
  1. George S. Stergiou
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  2. Angeliki Ntineri
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Correspondence to George S. Stergiou .

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Editors and Affiliations

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

    Joseph T. Flynn

  2. Massachusetts General Hospital, Boston, MA, USA

    Julie R. Ingelfinger

  3. Johns Hopkins University, Baltimore, MD, USA

    Tammy Brady

Section Editor information

  1. Department of Pediatrics, Johns Hopkins University, Baltimore, MD, USA

    Tammy Brady MD

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Stergiou, G.S., Ntineri, A. (2022). Methodology and Applicability of Home Blood Pressure Monitoring in Children and Adolescents. In: Flynn, J.T., Ingelfinger, J.R., Brady, T. (eds) Pediatric Hypertension. Springer, Cham. https://doi.org/10.1007/978-3-319-31420-4_45-2

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  • DOI: https://doi.org/10.1007/978-3-319-31420-4_45-2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31420-4

  • Online ISBN: 978-3-319-31420-4

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  1. Latest

    Methodology and Applicability of Home Blood Pressure Monitoring in Children and Adolescents
    Published:
    21 May 2022

    DOI: https://doi.org/10.1007/978-3-319-31420-4_45-2

  2. Original

    Methodology and Applicability of Home Blood Pressure Monitoring in Children and Adolescents
    Published:
    08 February 2017

    DOI: https://doi.org/10.1007/978-3-319-31420-4_45-1

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