Arterial HTN in children with T1DM-frequent and not easy to diagnose

Šuláková, Terezie; Janda, Jan; Černá, Jana; Janštová, Vlasta; Šuláková, A.; Slaný, Jaroslav; Feber, Janusz

doi:10.1111/j.1399-5448.2009.00514.x

Cited by 42 publications

(23 citation statements)

References 31 publications

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“…67 Other pediatric studies have reported the prevalence of WCH to be in the range of 22% to 32%. 68 Of note, Sorof et al 69 have suggested that the use of ABPM to rule out WCH should be limited to patients with borderline or mild clinical hypertension, because patients with higher office BP levels are more likely to be truly hypertensive.…”

Section: Usefulness Of Abpm To Classify Bpmentioning

confidence: 99%

Update: Ambulatory Blood Pressure Monitoring in Children and Adolescents

Flynn¹,

Daniels²,

Hayman³

et al. 2014

Hypertension

542

417

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Section: Usefulness Of Abpm To Classify Bpmentioning

confidence: 99%

Update: Ambulatory Blood Pressure Monitoring in Children and Adolescents

Flynn¹,

Daniels²,

Hayman³

et al. 2014

Hypertension

542

417

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“…ABPM is particularly useful in children with whitecoat and masked HTN as these conditions are not uncommon [88,89] and would not be diagnosed by the office BP. Masked HTN in children and adolescents is associated with a similar risk of end-organ damage as in established HTN [90,91].…”

Section: Abpmmentioning

confidence: 99%

“…Even white-coat HTN may lead to significant end-organ damage [92,93] and therefore represent a prehypertensive state [92]. The prevalence of both masked and white-coat HTN is not negligible, especially in children with chronic conditions, such as chronic kidney disease [94] and diabetes mellitus type 1 [89]. This further underlines the importance of ABPM in children.…”

Section: Abpmmentioning

confidence: 99%

Hypertension in children: new trends and challenges

2010

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Childhood HTN (hypertension) has become a widely investigated topic within the last decade due to its increasing prevalence. In the present review, we examine new developments and trends that have significantly contributed to aetiology, diagnosis, evaluation and management of childhood HTN. Many recent reports document an increasing prevalence of HTN, mainly essential HTN, in children worldwide. This is probably related to the increase of childhood obesity, although obesity is not the only factor. Evidence has been accumulating to suggest a rather complex interplay between obesity, uric acid level, dietary sodium intake, inflammation, inheritance and other factors, which lead to increased risk of developing HTN in childhood and adulthood. The detection and monitoring of HTN has significantly improved with the use of ABPM (ambulatory blood pressure monitoring), which allows not only for a more accurate classification and staging of HTN, but also for the calculation of more sophisticated parameters such as the AASI (ambulatory arterial stiffness index). Measurement of arterial stiffness enables assessment of arterial dysfunction, which may precede structural vascular changes evaluated by carotid intima media thickness. Sustained HTN eventually leads to end-organ damage [LVH (left ventricular hypertrophy), central nervous system], which in turn increases the risk of cardiovascular morbidity and mortality. New developments in childhood HTN, as outlined in the present review, will hopefully contribute to better screening and management of HTN in children.

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“…The association of elevated BP and abnormal circadian BP pattern with early markers of kidney damage suggests the involvement of both renal mechanisms and central regulation of arterial pressure [102][103][104][105]. The metabolic disorders resulting from chronic hyperglycaemia leading to atherosclerosis and increased arterial stiffness are also involved in the development of hypertension in diabetic patients [106][107][108][109].…”

Section: Pathogenesis Of Hypertension In Children With Diabetesmentioning

confidence: 99%

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Litwin

Niemirska

Obrycki

et al. 2018

Arterial Hypertension

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Presented recommendations are an extended and actualized version of paediatric recommendations of Polish Society of Hypertension published in 2015. Since then, new studies have appeared on this subject, introducing a new classification of hypertension, newly described principles of management in risk groups and methods of assessing hypertensive target organ damage. The presented updated recommendations included changes introduced in the 2016 European Society of Hypertension recommendations and Recommendations of Children's Memorial Health Institute in Warsaw. Recently published guidelines of American Academy of Pediatrics have been discussed. In the presented issue of guidelines, epidemiological information on the occurrence and incidence of hypertension in developmental age was added and classification of blood pressure values was updated. Subchapters on diagnosis and organ damage assessment, principles of diagnosis and treatment of hypertension in children with diabetes, chronic kidney disease and a subsection discussing diagnostic and therapeutic difficulties with setting blood pressure targets were revised. In addition, the principles of early diagnosis of arterial hypertension in post-hospital care in children born before 33 weeks of gestation published in 2018 as recommendations of the Polish Neonatal Society have been also taken into account.

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Arterial HTN in children with T1DM-frequent and not easy to diagnose

Abstract: Children with T1DM often suffer from nocturnal, white coat- and masked HTN, which can not be assessed and predicted by the OBP.

Cited by 42 publications

References 31 publications

Update: Ambulatory Blood Pressure Monitoring in Children and Adolescents

Update: Ambulatory Blood Pressure Monitoring in Children and Adolescents

Hypertension in children: new trends and challenges

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

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