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Ambulatory Blood Pressure Monitoring Methodology and Norms in Children

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Pediatric Hypertension

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Abstract

Over the last decades, ambulatory blood pressure monitoring (ABPM) has become the method of choice for the diagnosis and therapeutic monitoring of arterial hypertension in adult and pediatric patients. ABPM allows a more representative observation of blood pressure throughout day and night in a nonmedical environment compared with office blood pressure measurements and allows for an assessment of the circadian and even ultradian blood pressure variability. ABPM provides the ability to detect white coat and masked hypertension, better reproducibility of measurements and superior prediction of target organ damage. The use, interpretation, and limitations of ABPM in children and adolescents will be discussed in this chapter.

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Abbreviations

ABPM:

Ambulatory blood pressure monitoring

BP:

Blood pressure

cIMT:

Carotid intima-media thickness

CKD:

Chronic kidney disease

CV:

Cardiovascular

CVD:

Cardiovascular disease

DBP:

Diastolic blood pressure

HBP:

Home blood pressure measurement

LVH:

Left ventricular hypertrophy

LVM:

Left ventricular mass

MAP:

Mean arterial blood pressure

MH:

Masked hypertension

OBP:

Office (or casual) blood pressure measurement

SBP:

Systolic blood pressure

TOD:

Target organ damage

WCH:

White coat hypertension

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Authors and Affiliations

  1. Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany

    Elke Wühl

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  1. Elke Wühl
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Correspondence to Elke Wühl .

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Editors and Affiliations

  1. Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA

    Joseph T. Flynn

  2. Pediatric Nephrology Unit, Mass General for Children at MGB Harvard Medical School, Boston, MA, USA

    Julie R. Ingelfinger

  3. Department of Pediatrics Division of Pediatric Nephrology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Tammy M. Brady

Section Editor information

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

    Tammy Brady MD

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Wühl, E. (2023). Ambulatory Blood Pressure Monitoring Methodology and Norms in Children. In: Flynn, J.T., Ingelfinger, J.R., Brady, T.M. (eds) Pediatric Hypertension. Springer, Cham. https://doi.org/10.1007/978-3-031-06231-5_44

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