Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?

Seeman, Tomáš; Šuláková, Terezie; Stabouli, Stella

doi:10.1007/s11906-023-01260-6

Cited by 4 publications

(2 citation statements)

References 100 publications

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“…доказывают, что она ассоциируется с высоким риском сердечно-сосудистых поражений, развитием гипертрофии левого желудочка [9].…”

Section: Discussionunclassified

Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity

Komoliatova,

Besportochnii,

Makarov

et al. 2024

jour

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Aim of the study: to assess the prevalence of arterial hypertension in athletes with high BP values during an exercise test.Methods: out of 2313 athletes 14–18 (15.5 ± 1.4) years old, according to the results of VEM, 128 (6 %; 60 m) people with high blood pressure values at maximum load were identified, 86 (67 %) of them underwent ABPM. The patient were divided into 2 groups: with normal — 62 (72 %) and high office BP – 24 (28 %).Results: athletes with high office BP values had a significantly higher BMI. We did not note any significant differences in ABPM between the two groups. 71 % had arterial hypertension, 65 % had masked arterial hypertension.Conclusions: in young elite athletes with high values of BP during exercise, 71 % are diagnosed arterial hypertension according to ABPM; in 65% masked arterial hypertension has detected, which dictates the need for ABPM in this group of athletes.

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Section: Discussionunclassified

Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity

Komoliatova,

Besportochnii,

Makarov

et al. 2024

jour

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“…Secondly, to phenotype changes in BP over the course of the circadian cycle in those with known hypertension. Masked hypertension can be detected in about 25% of children with CKD, and although prevalence estimates vary, masked hypertension is more common among children with CKD than the general pediatric population and most other subgroups [30]. Masked hypertension has been shown to correlate with left ventricular hypertrophy (LVH) among children with CKD and the general pediatric population [31,32].…”

Section: The Role Of Abpmmentioning

confidence: 99%

Hypertension and Cardiovascular Risk Among Children with Chronic Kidney Disease

Larkins,

Craig

2024

Curr Hypertens Rep

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Purpose of Review Cardiovascular disease is the most common cause of mortality across the lifespan of children with chronic kidney disease (CKD). Hypertension is a common and important contributor, but other factors such as obesity, dyslipidemia and mineral bone disease play a role. This narrative review focusses on studies published in the past five years that have investigated hypertension and cardiovascular risk among children with CKD. Recent Findings Cohort studies such as Chronic Kidney Disease in Children (CKiD) and Cardiovascular Comorbidity in Children with CKD (4C) have continued to develop our understanding of blood pressure (BP) phenotypes, and of progressive changes in the structure and function of the heart and blood vessels occurring in children with CKD. Metabolic risk factors, such as dyslipidemia, may represent an under-recognized component of care. Trial data are less common than observational evidence, but support lifestyle interventions currently used, mainly the low sodium dietary approaches to stop hypertension (DASH) diet. The findings of the recently reported Hypertension Optimal Treatment in Children with Chronic Kidney Disease trial (HOT-KID) are described in relation to the use of office BP treatment targets. Summary Cardiovascular health is critical to the long-term outcomes of children with CKD. Recognizing and treating hypertension remains a critical component to improving outcomes, along with measures to improve concurrent cardiovascular risk factors. Some cardiovascular changes may not be reversible with transplantation and further research is needed for children at all stages of CKD.

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No Increase in Masked Hypertension Prevalence in Children With Sickle Cell Disease in France

Bokov,

Koehl,

Benzouid

et al. 2024

American Journal of Hypertension

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Objectives An important prevalence (32-45%) of masked hypertension has been reported in children with sickle cell disease (SCD). Systemic arterial rigidity has been associated with stroke in SCD. Stroke screening is well-established using transcranial Doppler (TCD) ultrasound. The objectives of our proof-of-concept study in childhood SCD were to evaluate the prevalence of hypertension and its relationships with cerebral vasculopathy (TCD velocity) and to further evaluate in a subgroup of children the correlations of cardiovascular autonomic nervous system indices with TCD velocity. Methods Ambulatory blood pressure measurement (ABPM) and TCD velocity were obtained in children with SCD and in a restricted sample, cardiac sympathovagal balance using heart rate variability analyses, baroreflex sensitivity, and pulse wave velocity were measured. Results In 41 children with SCD (median age 14.0 years, 19 girls, SS/Sβ+thalassemia/SC: 33/2/6), ABPM results showed masked hypertension in 2/41 (5%, 95% confidence interval, 0-11) children, consistent with the prevalence in the general pediatric population, elevated BP in 4/41 (10%) children, and a lack of a normal nocturnal dip in 19/41 children (46%). Children with increased TCD velocity had lower nocturnal dipping of systolic BP. In the 10 participants with extensive cardiovascular assessment, increased TCD velocity was associated with parasympathetic withdrawal and baroreflex failure. Exaggerated orthostatic pressor response or orthostatic hypertension was observed in 7/10 children that was linked to parasympathetic withdrawal. Conclusion Autonomic nervous system dysfunction, namely loss of parasympathetic modulation, of SCD contributes to increase TCD velocity but is not associated with an increased prevalence of masked hypertension.

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Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?

Cited by 4 publications

References 100 publications

Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity

Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity

Hypertension and Cardiovascular Risk Among Children with Chronic Kidney Disease

No Increase in Masked Hypertension Prevalence in Children With Sickle Cell Disease in France

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