ABPM Induced Alarm Reaction: A Possible Cause of Overestimation of Daytime Blood Pressure Values Reduced By Treatment with Beta-Blockers

Salvo, F.; Lonati, Chiara; Albano, M.; Fogliacco, P.; Errani, A.R.; Vallo, C.; Berardi, Michele; Meinero, V.; Muzzulini, C.L.; Morganti, Alberto

doi:10.1007/s40292-016-0161-4

Cited by 2 publications

(1 citation statement)

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“…On the other hand, widely mentioned explanations such as the emotional factor, triggered by a reaction to the unusual ABPM device or the greater physical activity, characterizing the young age, could give an explanation. 26 However, those factors referring to emotions or physical activity are not compatible with the noticeable office minus daytime (heart rate, −4.1 bpm; P <0.0001) with a poor correlation with the BP differences (R 2 =0.07).…”

Section: Discussionmentioning

confidence: 95%

Insights From Matched Office and Ambulatory Blood Pressure in Youth: Clinical Relevance

et al. 2022

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Background: Information on the relationship between ambulatory blood pressure (ABP) and concurrently office blood pressure (BP) values in youth still suffers from limitations. We provide information on the differences between office BP and ABP, the factors related, and the clinical implications. Methods: Three thousand six hundred ninety matched measurements of office BP and ABP on the same day, from 2390 children, aged 5 to 15 years, of both sexes were eligible. Office BP was measured using an oscillometric device (Omron 705 IT) and 24-hour ABP using oscillometric SpaceLabs 90207. Average of office, 24-hour, daytime, nighttime, systolic, and diastolic BP and heart rate was calculated. BP categories according to the European guidelines and phenotype of mismatch office BP versus ABP were defined. Results: Both daytime systolic and diastolic BP were higher than office BP with a progressive reduction of the differences from 5 to 15 years. The office minus daytime BP differences were the largest in normotensive subjects, less at high-normal, and reversed in hypertensive ones, independently of age and weight status. White coat and masked hypertension covered no more than 13.6% at all ages. Conclusions: In youth, it is inaccurate to obtain reference values for ABP by extrapolating from office BP values. The differences between office BP and ABP are minimal in children with office BP values in the range of hypertension, reinforcing the recommendation to use ABP measurement at the time to confirm hypertension.

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Section: Discussionmentioning

confidence: 95%

Insights From Matched Office and Ambulatory Blood Pressure in Youth: Clinical Relevance

et al. 2022

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Non-dipping status and selected adipokines concentration in children with primary arterial hypertension

Jędzura¹,

Adamczyk

Bjanid³

et al. 2017

Clinical and Experimental Hypertension

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The concentration of leptin and apelin in HT-OB children was significantly higher than in the C and HT-NW group. A similar finding for leptin level was demonstrated in comparison of HT-NW with C group. In children with HT-OB, the lack of decline in nocturnal DBP was associated with significantly higher BMI and the Cole's Index value. Children with HT-OB and lack of decline in nocturnal SBP showed lower leptin and insulin concentrations, and lower values of HOMA-IR as compared with dipping children. Positive correlation in the whole study group was found between adipokines levels and BP measurements. In conclusion, children with primary HT show higher concentration of adipokines compared with their healthy peers. The data on relationship of serum adipokines levels with anthropometric and BP parameters in children may be helpful to clarify the sequence of disturbances in the cardiovascular system in adults, which requires further examination.

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ABPM Induced Alarm Reaction: A Possible Cause of Overestimation of Daytime Blood Pressure Values Reduced By Treatment with Beta-Blockers

Abstract: In some patients ABPM is not free from WCE. WCE may affect the overall estimation of BP profile and is longer but less blunted by beta-blockers in females than in males.

Cited by 2 publications

References 20 publications

Insights From Matched Office and Ambulatory Blood Pressure in Youth: Clinical Relevance

Insights From Matched Office and Ambulatory Blood Pressure in Youth: Clinical Relevance

Non-dipping status and selected adipokines concentration in children with primary arterial hypertension

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