Key result
Adult ABPM criteria without BP load simplify classification and improve LVH prediction in adolescents.
Why the study?
Despite increased clinical use of pediatric ABPM, important questions remain about how to define ambulatory hypertension in children.
May support adopting adult ABPM thresholds in adolescents ≥13 years for better LVH prediction; challenges pediatric percentile norms and leaves open prospective validation.
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.
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Mitsnefes et al. (2021) conducted a review in Pediatric hypertension. ACC/AHA adult ambulatory blood pressure criteria vs. Pediatric percentile-based criteria was evaluated. Adopting ACC/AHA adult ambulatory blood pressure criteria for children 13 years and older and eliminating blood pressure load simplifies classification and improves prediction of left ventricular hypertrophy.
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