Ambulatory Blood Pressure Monitoring in Pediatrics

Curr Hypertens Rep. 2019 Jul 26;21(9):71. doi: 10.1007/s11906-019-0976-1.

Abstract

Purpose of review: This is a review of ambulatory blood pressure monitoring (ABPM) use in pediatrics, summarizing current knowledge and uses of ABPM.

Recent findings: Updated guidelines from the American Academy of Pediatrics have emphasized the value of ABPM. ABPM is necessary to diagnose white coat hypertension, masked hypertension, and nocturnal hypertension associated with specific conditions. There is growing evidence that ABPM may be useful in these populations. ABPM has been demonstrated to be more predictive of end-organ damage in pediatric hypertension compared to office blood pressure. ABPM is an important tool in the diagnosis and management of pediatric hypertension. Routine use of ABPM could potentially prevent early cardiovascular morbidity and mortality in a wide variety of populations.

Keywords: ABPM; Ambulatory blood pressure monitoring; Hypertension in children and adolescents; Pediatric cardiovascular disease; Pediatric hypertension.

Publication types

  • Review

MeSH terms

  • Aortic Coarctation / complications
  • Blood Pressure
  • Blood Pressure Monitoring, Ambulatory / methods*
  • Blood Pressure Monitoring, Ambulatory / standards
  • Child
  • Diabetes Complications / complications
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / etiology
  • Hypertension / physiopathology
  • Kidney Transplantation / adverse effects
  • Organ Transplantation / adverse effects
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / therapy
  • Sleep Apnea, Obstructive / complications