Ambulatory Blood Pressure Monitoring in Pediatrics

Patel, Sonali S.; Daniels, Stephen R.

doi:10.1007/s11906-019-0976-1

Cited by 20 publications

(11 citation statements)

References 90 publications

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“…ABPM is an indispensable tool in the diagnosis and management of paediatric hypertension. 31 The value of ABPM-based blood pressure control has been confirmed in a single-centre study of paediatric kidney transplant recipients, who had no increase in carotid intima-media thickness and a low prevalence of left ventricular hypertrophy with controlled hypertension during follow-up of 9 years. 32 Inhibitors of the renin-angiotensin-aldosterone system (RAAS) are used as first-line drugs in the pharmacological treatment of children with CKD.…”

Section: Overall Importance Of Blood Pressure Controlmentioning

confidence: 90%

“…Hypertension is a modifiable risk factor, and a significant improvement in blood pressure control seems all important to prevent target organ damage in children with CKD of all stages, including patients after kidney transplantation. ABPM is an indispensable tool in the diagnosis and management of paediatric hypertension 31 . The value of ABPM‐based blood pressure control has been confirmed in a single‐centre study of paediatric kidney transplant recipients, who had no increase in carotid intima‐media thickness and a low prevalence of left ventricular hypertrophy with controlled hypertension during follow‐up of 9 years 32 .…”

Section: Lessons Learned From Children With Ckdmentioning

confidence: 93%

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Cardiovascular disease in childhood and adolescence: Lessons from children with chronic kidney disease

Querfeld

2020

Acta Paediatrica

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Children suffering from chronic kidney disease (CKD) have the apparent highest risk for the development of cardiovascular disease (CVD) at a young age. While symptoms of CVD are characteristically absent in childhood and adolescence, remodelling of the myocardium, medium and large‐sized arteries and of the microcirculation is clinically significant and can be assessed with non‐invasive technology. Kidney disease and its progression are the driver of CVD, mediated by an unparalleled accumulation of risk factors converging on several comorbid conditions including hypertension, anaemia, dyslipidaemia, disturbed mineral metabolism and chronic persistent inflammation. Large prospective paediatric cohorts studies have provided valuable insights into the pathogenesis and the progression of CKD‐induced cardiovascular comorbidity and have characterised the cardiovascular phenotype in young patients. They have also provided the rationale for close monitoring of risk factors and have defined therapeutic targets. Recently discovered new biomarkers could help identify the individual risk for CVD. Prevention of CVD by aggressive therapy of modifiable risk factors is essential to enable long‐term survival of young patients with CKD.

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Section: Overall Importance Of Blood Pressure Controlmentioning

confidence: 90%

Section: Lessons Learned From Children With Ckdmentioning

confidence: 93%

Cardiovascular disease in childhood and adolescence: Lessons from children with chronic kidney disease

Querfeld

2020

Acta Paediatrica

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“…People without T1D typically have a dip in nocturnal systolic and diastolic blood pressure by approximately 10%-20% from daytime blood pressure [201]. However, research using ABPM has consistently shown that patients with T1D often do not have this normal dip or have less dipping than youth without T1D [207,209,218,221,222,224,[230][231][232][233][234].…”

Section: Using Abpm To Measure Outcomesmentioning

confidence: 99%

“…Cardiovascular disease is a significant concern in patients with T1D. Unfortunately, in-office blood pressure measurements only capture a snapshot of blood pressure, which changes continuously throughout the day [201]. In-office monitoring is also influenced by masked hypertension (patients can have normal in-office blood pressure but elevated when measured 24 hours per day out of the office) and the white-coat phenomenon (patients have elevated blood pressure when measured in the office but have normal blood pressure in daily life) [202].…”

Section: Introductionmentioning

confidence: 99%

“…Importantly, a more accurate determination of heart function using the EMA tool could lead to a more appropriate use of blood pressure medications [206]. ABPM is typically measured via an ambulatory blood pressure cuff every 15-20 minutes during the day and every 20-30 minutes at night (varying by study), providing a large amount of information on blood pressure and heart rate variability in varying contexts [201].…”

Section: Introductionmentioning

confidence: 99%

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Technological Ecological Momentary Assessment Tools to Study Type 1 Diabetes in Youth: Viewpoint of Methodologies

Ray¹,

McMichael²,

Rivera-Santana³

et al. 2021

JMIR Diabetes

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Type 1 diabetes (T1D) is one of the most common chronic childhood diseases, and its prevalence is rapidly increasing. The management of glucose in T1D is challenging, as youth must consider a myriad of factors when making diabetes care decisions. This task often leads to significant hyperglycemia, hypoglycemia, and glucose variability throughout the day, which have been associated with short- and long-term medical complications. At present, most of what is known about each of these complications and the health behaviors that may lead to them have been uncovered in the clinical setting or in laboratory-based research. However, the tools often used in these settings are limited in their ability to capture the dynamic behaviors, feelings, and physiological changes associated with T1D that fluctuate from moment to moment throughout the day. A better understanding of T1D in daily life could potentially aid in the development of interventions to improve diabetes care and mitigate the negative medical consequences associated with it. Therefore, there is a need to measure repeated, real-time, and real-world features of this disease in youth. This approach is known as ecological momentary assessment (EMA), and it has considerable advantages to in-lab research. Thus, this viewpoint aims to describe EMA tools that have been used to collect data in the daily lives of youth with T1D and discuss studies that explored the nuances of T1D in daily life using these methods. This viewpoint focuses on the following EMA methods: continuous glucose monitoring, actigraphy, ambulatory blood pressure monitoring, personal digital assistants, smartphones, and phone-based systems. The viewpoint also discusses the benefits of using EMA methods to collect important data that might not otherwise be collected in the laboratory and the limitations of each tool, future directions of the field, and possible clinical implications for their use.

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Do children with solitary or hypofunctioning kidney have the same prevalence for masked hypertension?

et al. 2021

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Ambulatory Blood Pressure Monitoring in Pediatrics

Cited by 20 publications

References 90 publications

Cardiovascular disease in childhood and adolescence: Lessons from children with chronic kidney disease

Cardiovascular disease in childhood and adolescence: Lessons from children with chronic kidney disease

Technological Ecological Momentary Assessment Tools to Study Type 1 Diabetes in Youth: Viewpoint of Methodologies

Do children with solitary or hypofunctioning kidney have the same prevalence for masked hypertension?

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