Pediatric Ambulatory Blood Pressure Classification: The Case for a Change

Author:

Mitsnefes Mark1ORCID,Flynn Joseph T.2ORCID,Brady Tammy3ORCID,Baker-Smith Carissa4,Daniels Stephen R.5,Hayman Laura L.6,Tran Andrew7ORCID,Zachariah Justin P.8ORCID,Urbina Elaine M.1ORCID

Affiliation:

1. Cincinnati Children’s Hospital Medical Center, University of Cincinnati, OH (M.M., E.M.U.).

2. University of Washington and Seattle Children’s Hospital (J.T.F.).

3. Johns Hopkins University, Baltimore, MD (T.B.).

4. Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE (C.B.-S.).

5. Colorado Children’s Hospital, Aurora (S.R.D.).

6. University of Massachusetts, Boston (L.L.H.).

7. Nationwide Children’s Hospital, The Ohio State University, Columbus (A.T.).

8. Texas Children’s Hospital, Baylor College of Medicine, Houston (J.P.Z.).

Abstract

In 1997, Soergel et al 1 published the first set of normative values for ambulatory blood pressure monitoring (ABPM) in children. Since then, the clinical utility of ABPM has increased dramatically, and now, ABPM is accepted as the standard method to confirm the diagnosis of hypertension in children. Despite significant progress in the field of pediatric ABPM, many important questions remain unanswered. One of the most controversial issues is how to define ambulatory hypertension in children. The purpose of this review is to discuss the limitations of the current pediatric ABPM classification scheme and to provide the justification and rationale for a new classification.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Internal Medicine

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