What question did this study set out to answer?

To establish normal 24-hour ambulatory blood pressure values in healthy schoolchildren and assess blood pressure profiles in pediatric patients with hypertension or kidney disease.

February 1, 1994Archives of Disease in ChildhoodOpen Access

24 hour blood pressure monitoring in healthy and hypertensive children.

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=180). Intervention: 24-hour ambulatory blood pressure monitoring (ABPM) vs. Healthy controls. Primary outcome: Daytime and nighttime blood pressure and circadian rhythm disturbance.

View Full Paper

Ask AI

Bookmark

Key result

24-hour ambulatory blood pressure monitoring established normal circadian BP values in healthy children (109/66 mmHg daytime, 96/52 mmHg nighttime) and detected disturbed rhythms in hypertensive cases.

Why the study?

Does 24-hour ABPM accurately measure daily blood pressure and detect circadian rhythm disturbances in healthy and hypertensive children?

Population

180 children, including 123 healthy schoolchildren, 24 with borderline or mild hypertension, 17 with renal…

Design

Cross-sectional

Follow-up

24 hours

Authors

GRGyörgy ReuszSemmelweis University MHM HóborSemmelweis University TTTivadar TulassaySemmelweis University

Discussion

Member takes

Implication

May inform pediatric ABPM interpretation; leaves open whether thresholds improve outcomes or guide therapy.

Key Points

To establish normal 24-hour ambulatory blood pressure values in healthy schoolchildren and assess blood pressure profiles in pediatric patients with hypertension or kidney disease.
Conducted 24-hour ambulatory blood pressure monitoring (ABPM) in 123 healthy children (mean age 12.5 years), 24 with borderline/mild hypertension, 17 with renal hypertension, 10 with chronic renal failure, and 6 with a renal allograft.
Validated monitor accuracy against a mercury column manometer across 60 comparisons and repeated ABPM in 8 children with renal disease following treatment modification.
Normal blood pressure for 123 healthy children averaged 109 (7)/66 (8) mmHg during daytime and 96 (8)/52 (7) mmHg during nighttime.
Elevated blood pressure was detected in 14 of 24 children with borderline/mild hypertension, and circadian rhythm was disturbed in 3 of 24 borderline cases, 4 of 17 with renal hypertension, and 5 of 16 with renal failure or transplant.
Monitor validation showed mean differences of -0.19 (1.75) mmHg systolic and -0.21 (2.11) mmHg diastolic, and all 8 re-evaluated renal patients had lower average blood pressure after treatment adjustment.

Study Design

Type

Cross-Sectional (n=180)

Structured PICO

Does 24-hour ABPM accurately measure daily blood pressure and detect circadian rhythm disturbances in healthy and hypertensive children?

Population

180 children, including 123 healthy schoolchildren and 57 with various forms of hypertension, evaluated using 24-hour ambulatory blood pressure monitoring.

Exposure

24-hour ambulatory blood pressure monitoring (ABPM)

Outcome

Daytime and nighttime blood pressure values and circadian rhythm patternssurrogate

24-hour ABPM is a reproducible and accurate method for establishing normal blood pressure values and detecting circadian rhythm disturbances in pediatric patients.

Cite This Study

Reusz et al. (1994) conducted a cross-sectional in Hypertension (n=180). 24-hour ambulatory blood pressure monitoring (ABPM) vs. Healthy controls was evaluated on Daytime and nighttime blood pressure and circadian rhythm disturbance. 24-hour ambulatory blood pressure monitoring established normal circadian BP values in healthy children (109/66 mmHg daytime, 96/52 mmHg nighttime) and detected disturbed rhythms in hypertensive cases.

synapsesocial.com/papers/6a9c69ac3a405cc3ac5d29fe https://doi.org/10.1136/adc.70.2.90

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark

February 1, 1994Archives of Disease in ChildhoodOpen Access

24 hour blood pressure monitoring in healthy and hypertensive children.

View Full Paper

Ask AI

Bookmark

Key result

Why the study?

Does 24-hour ABPM accurately measure daily blood pressure and detect circadian rhythm disturbances in healthy and hypertensive children?

Population

180 children, including 123 healthy schoolchildren, 24 with borderline or mild hypertension, 17 with renal…

Design

Cross-sectional

Follow-up

24 hours

Authors

GRGyörgy ReuszSemmelweis University MHM HóborSemmelweis University TTTivadar TulassaySemmelweis University

Discussion

Member takes

Implication

May inform pediatric ABPM interpretation; leaves open whether thresholds improve outcomes or guide therapy.

Key Points

To establish normal 24-hour ambulatory blood pressure values in healthy schoolchildren and assess blood pressure profiles in pediatric patients with hypertension or kidney disease.
Conducted 24-hour ambulatory blood pressure monitoring (ABPM) in 123 healthy children (mean age 12.5 years), 24 with borderline/mild hypertension, 17 with renal hypertension, 10 with chronic renal failure, and 6 with a renal allograft.
Validated monitor accuracy against a mercury column manometer across 60 comparisons and repeated ABPM in 8 children with renal disease following treatment modification.
Normal blood pressure for 123 healthy children averaged 109 (7)/66 (8) mmHg during daytime and 96 (8)/52 (7) mmHg during nighttime.
Elevated blood pressure was detected in 14 of 24 children with borderline/mild hypertension, and circadian rhythm was disturbed in 3 of 24 borderline cases, 4 of 17 with renal hypertension, and 5 of 16 with renal failure or transplant.
Monitor validation showed mean differences of -0.19 (1.75) mmHg systolic and -0.21 (2.11) mmHg diastolic, and all 8 re-evaluated renal patients had lower average blood pressure after treatment adjustment.

Study Design

Type

Cross-Sectional (n=180)

Structured PICO

Does 24-hour ABPM accurately measure daily blood pressure and detect circadian rhythm disturbances in healthy and hypertensive children?

Population

180 children, including 123 healthy schoolchildren and 57 with various forms of hypertension, evaluated using 24-hour ambulatory blood pressure monitoring.

Exposure

24-hour ambulatory blood pressure monitoring (ABPM)

Outcome

Daytime and nighttime blood pressure values and circadian rhythm patternssurrogate

24-hour ABPM is a reproducible and accurate method for establishing normal blood pressure values and detecting circadian rhythm disturbances in pediatric patients.

Cite This Study

synapsesocial.com/papers/6a9c69ac3a405cc3ac5d29fe https://doi.org/10.1136/adc.70.2.90

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark