Key result
24-hour ABPM fails to increase hypertension detection over office measurement in children with solitary kidneys.
Why the study?
Children with a solitary kidney are at risk of developing hypertension due to decreased nephron number and hyperfiltration, and ABPM is helpful in detecting hypertension in high-risk patients.
Does ambulatory blood pressure monitoring (ABPM) improve the detection of hypertension in children with a solitary kidney?
Cross-Sectional (n=23)
No
Does ambulatory blood pressure monitoring (ABPM) improve the detection of hypertension in children with a solitary kidney?
Ambulatory blood pressure monitoring is highlighted as a helpful tool for detecting hypertension in children with a solitary kidney who are at risk due to hyperfiltration.
Answers are grounded in this paper and cite their sources.
ABPM may detect more hypertension than office BP in children with solitary kidneys; leaves open whether routine use improves outcomes.
Children with a solitary kidney are at risk of developing hypertension due to decreased nephron number with a consequence of hyperfiltration of the remnant. In patients with high-risk conditions, ambulatory blood pressure monitoring (ABPM), which records blood pressure (BP) for 24 hours, is helpful in detecting hypertension.
No takes yet. Share an insight, caveat, or question.
Kanjaporn et al. (2022) conducted a cross-sectional in Solitary kidney (n=23). 24-h Ambulatory blood pressure monitoring (ABPM) vs. Office blood pressure (OBP) measurement was evaluated on Prevalence of hypertension (p=0.13). 24-hour ambulatory blood pressure monitoring detected hypertension in 47.8% of children with a solitary kidney, compared to 26.1% detected by standard office blood pressure measurement.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: