Key result
Adolescents diagnosed with hypertension in the clinic were more frequently normotensive outside the office on ambulatory monitoring compared to adult and elderly patients.
Why the study?
Does ambulatory blood pressure monitoring reveal differences in out-of-office blood pressure profiles between adolescents and older adults diagnosed with hypertension?
Observational (n=80)
Does ambulatory blood pressure monitoring reveal differences in out-of-office blood pressure profiles between adolescents and older adults diagnosed with hypertension?
Adolescents diagnosed with hypertension in the clinic frequently exhibit white-coat hypertension (normotension outside the office) compared to older patients, highlighting the importance of ambulatory blood pressure monitoring in this population.
Adolescent clinic hypertension may reflect white-coat effect more than in adults; leaves open age-specific ambulatory thresholds for prospective validation.
Ambulatory blood pressure profiles were obtained with the portable semi-automatic blood pressure recorder Remler M2000 in groups of 20 adolescents, 20 young and 20 middle-aged adults and 20 elderly untreated patients, all considered by their physician to be hypertensive. It was found that adolescents who are hypertensive when seeing their physician are more often normotensive outside the physician's office than adult and elderly patients under similar conditions. The increased heart rate variability which was detected in adolescents was not associated with an enhanced blood pressure variability.
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Waeber et al. (1986) conducted an observational in Untreated hypertension (n=80). Adolescent age vs. Adult and elderly patients was evaluated on Normotension outside the physician's office. Adolescents diagnosed with hypertension in the clinic were more frequently normotensive outside the office on ambulatory monitoring compared to adult and elderly patients.
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