We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Comparison of ambulatory blood pressure and Task Force criteria to identify pediatric hypertension.
- Authors
Díaz, Leila N.; Garin, Eduardo H.
- Abstract
The aim of this study was to assess the level of agreement between central European ambulatory blood pressure monitoring (ABPM) and American Task Force (TF) criteria when applied to blood pressure (BP) measurements collected by ABPM to evaluate patients with hypertension. In 169 patients, we applied both sets of criteria and calculated mean daytime and nighttime BP and daytime BP loads. The frequency of hypertension for daytime systolic BP was significantly higher when TF criteria were used ( p ≤ 0.001). However, the frequency of hypertension for nighttime systolic BP was significantly increased when ABPM criteria were applied ( p ≤ 0.01). Therefore, with daytime ABPM measurements, hypertension was overdiagnosed with TF criteria, while nighttime hypertension was underdiagnosed using TF criteria. In contrast with previous reports, 40% of our patients with essential hypertension showed absence of nighttime dipping, regardless of the criteria used. The number of hypertensive patients was significantly higher using ABPM compared to TF criteria when patients with BP load ≥50% were evaluated ( p ≤ 0.01). Therefore, current recommendations for ABPM use in children such as to define white coat hypertension or as a screening tool to differentiate between primary and secondary hypertension need to be validated using yet to be produced normative ABPM criteria in American children.
- Subjects
AMBULATORY blood pressure monitoring; OUTPATIENT medical care; HYPERTENSION in children; BLOOD pressure measurement; PEDIATRIC nephrology; CHILDREN'S health
- Publication
Pediatric Nephrology, 2007, Vol 22, Issue 4, p554
- ISSN
0931-041X
- Publication type
Article
- DOI
10.1007/s00467-006-0372-3