Background: Arterial hypertension in children and adolescents is an important medical problem with a prevalence rising over the last ten years from 1 to 4.5%. Aim: To assess the usefulness of ambulatory blood pressure monitoring (ABPM) in diagnosis of arterial hypertension in children and adolescents. Methods: Two hundred and twelve children with elevated blood pressure (BP) and 81 healthy controls participated in this study. In all children from the study and control groups standard BP measurement and ABPM were performed. Results: With the use of standard BP measurement, 168 (79.2%) children were diagnosed as hypertensive and the remaining 44 (20.8%) as prehypertensive. When the ABPM was used, arterial hypertension was diagnosed in 143 (67.4%) cases and white coat hypertension in the remaining 69 (32.6%) subjects. In 7 (8.7%) control children elevated BP in ABPM was detected, and masked hypertension were diagnosed. Conclusions: 1. Ambulatory blood pressure monitoring is a useful tool in diagnosis of arterial hypertension in children and adolescents. 2. Systolic hypertension is a major form of hypertension in childhood. 3. Ambulatory blood pressure monitoring is helpful to identify patients with white coat hypertension. 4. Further studies are necessary to establish uniform indications, standards and rules for interpretation of ABPM in children and adolescents.
机构:
Univ Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy
Lubrano, Riccardo
Paoli, Sara
论文数: 0引用数: 0
h-index: 0
机构:
Univ Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy
Paoli, Sara
Spiga, Sara
论文数: 0引用数: 0
h-index: 0
机构:
Univ Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy
Spiga, Sara
Falsaperla, Raffaele
论文数: 0引用数: 0
h-index: 0
机构:
Policlin Vittorio Emanuele Univ Hosp, Pediat Operat Unit, Catania, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy
Falsaperla, Raffaele
Vitaliti, Giovanna
论文数: 0引用数: 0
h-index: 0
机构:
Univ Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy
Vitaliti, Giovanna
Gentile, Isotta
论文数: 0引用数: 0
h-index: 0
机构:
Univ Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy
Gentile, Isotta
Elli, Marco
论文数: 0引用数: 0
h-index: 0
机构:
Luigi Sacco Univ Milan, DiBiC Biomed & Clin Sci Dept, Milan, ItalyUniv Roma La Sapienza, Pediat Nephrol Unit, Dept Pediat, I-00161 Rome, Italy