Measurement of Blood Pressure in Children and Adolescents Outside the Office for the Diagnosis of Hypertension.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2025-01-18 DOI:10.1007/s11886-024-02178-4

James T Nugent

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引用次数: 0

Abstract

Purpose of review: To review the benefits of ambulatory blood pressure monitoring and home blood pressure monitoring in children and to discuss implementation of guideline-recommended ambulatory blood pressure monitoring.

Recent findings: Compared with office blood pressure, ambulatory blood pressure monitoring and home blood pressure monitoring provide superior accuracy, reproducibility, and stronger associations with target organ damage although future work is needed to determine the utility of home blood pressure monitoring to predict hypertension status on ambulatory blood pressure monitoring. Due to the benefits of out-of-office blood pressure measurement, ambulatory blood pressure monitoring has been recommended to confirm the diagnosis of hypertension in children and adolescents since publication of the 2017 American Academy of Pediatrics clinical practice guidelines on hypertension. However, access to ambulatory blood pressure monitoring remains limited to the subspecialty setting and novel care pathways are needed to improve guideline-concordant use of ambulatory blood pressure monitoring. Nocturnal home blood pressure monitoring may be a practical alternative when ambulatory blood pressure monitoring is not available.

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高血压诊断办公室外儿童和青少年血压测量。

回顾目的：回顾儿童动态血压监测和家庭血压监测的好处，并讨论指南推荐的动态血压监测的实施。最近的研究发现：与办公室血压相比，动态血压监测和家庭血压监测提供了更高的准确性、可重复性和与靶器官损伤更强的相关性，尽管需要进一步的工作来确定家庭血压监测在动态血压监测中预测高血压状态的效用。由于室外血压测量的好处，自2017年美国儿科学会高血压临床实践指南出版以来，动态血压监测一直被推荐用于确认儿童和青少年高血压的诊断。然而，获得动态血压监测仍然局限于亚专科设置，需要新的护理途径来改善与指南一致的动态血压监测使用。夜间家庭血压监测可能是一个实用的替代，当动态血压监测是不可用的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.