Nighttime Home Blood Pressure in Children: Association with Ambulatory Blood Pressure and Preclinical Organ Damage
| العنوان: | Nighttime Home Blood Pressure in Children: Association with Ambulatory Blood Pressure and Preclinical Organ Damage |
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| المؤلفون: | Emelina Stambolliu, George Servos, Andriani Vazeou, Ioanna Bountzona, George S. Stergiou, Angeliki Ntineri, Anastasios Kollias |
| المصدر: | Hypertension. 77:1877-1885 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Evening, Ambulatory blood pressure, Adolescent, Diastole, Blood Pressure, 030204 cardiovascular system & hematology, Carotid Intima-Media Thickness, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Internal medicine, Internal Medicine, Humans, Medicine, Prospective Studies, 030212 general & internal medicine, Child, Pulse wave velocity, Morning, Microlife, business.industry, Blood Pressure Monitoring, Ambulatory, Circadian Rhythm, Organ damage, Cross-Sectional Studies, Blood pressure, Hypertension, Cardiology, Female, business |
| الوصف: | This study aimed to investigate a novel technique for nighttime blood pressure evaluation using a home blood pressure (HBP) monitor in children and adolescents, in terms of association with ambulatory blood pressure (ABP) and preclinical organ damage. Children and adolescents (aged 6–18 years) referred for elevated blood pressure were evaluated with ABP (24 hours) and HBP monitoring during daytime (7 days, duplicate morning and evening measurements) and nighttime (automated asleep measurements for 3 nights with 3 hourly measurements/night; Microlife WatchBP Home N). Preclinical organ damage was assessed by echocardiographic left ventricular mass index, carotid intima-media thickness, carotid distensibility coefficient, and carotid-femoral pulse wave velocity. Ninety-one individuals were analyzed (mean age 13.3±2.8 years; 54 men; 17 with elevated ABP). There was a close association between daytime (awake) ABP and HBP (r=0.81/0.77, systolic/diastolic) and between nighttime (asleep) values (r=0.78/0.60) (all P P P P =NS for comparisons between methods). The agreement between nighttime HBP and ABP in identifying individuals with nighttime hypertension (≥95th percentile for nighttime ABP) was 82% (κ=0.49; P P =0.03). In conclusion, in children and adolescents, nighttime HBP monitoring is feasible, is closely associated with nighttime ABP and similarly associated with preclinical organ damage. |
| تدمد: | 1524-4563 0194-911X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dc84f0df62b6f6f72327e9e7c793aabaTest https://doi.org/10.1161/hypertensionaha.121.17016Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....dc84f0df62b6f6f72327e9e7c793aaba |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244563 0194911X |
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