Home and ambulatory blood pressure monitoring in children, adolescents and young adults: comparison, diagnostic agreement and association with preclinical organ damage
| Autor: | G. Servos, I. Moyssakis, Andriani Vazeou, Anastasios Kollias, Angelos Harokopakis, M. Zeniodi, George S. Stergiou, Angeliki Ntineri, Antonios Destounis |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Ambulatory blood pressure Adolescent Physiology 030204 cardiovascular system & hematology Pulse Wave Analysis Carotid Intima-Media Thickness 03 medical and health sciences Young Adult 0302 clinical medicine Ambulatory care Internal medicine Internal Medicine medicine Ambulatory Care Humans 030212 general & internal medicine Young adult Child Pulse wave velocity business.industry Carotid ultrasonography Reproducibility of Results Blood Pressure Determination Blood Pressure Monitoring Ambulatory Blood pressure Ambulatory Hypertension cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business Kappa |
| Zdroj: | Journal of hypertension. 38(6) |
| ISSN: | 1473-5598 |
| Popis: | OBJECTIVES To compare the association of home (HBP), ambulatory (ABP) and office blood pressure (OBP) measurements with preclinical organ damage in young individuals. METHODS Individuals referred for elevated blood pressure and healthy volunteers aged 6-25 years were evaluated with OBP (2-3 visits), 7-day HBP and 24-h ABP monitoring. Organ damage was assessed by echocardiographic left ventricular mass index (LVMI), carotid ultrasonography [intima--media thickness (IMT)] and pulse wave velocity (PWV) using piezo-electronic or oscillometric technique. RESULTS Analysis included 251 individuals (mean age 14 ± 3.9 years, 70.9% men: 31.1% children, 54.6% adolescents, 14.3% young adults) of whom 189 had LVMI, 123 IMT and 198 PWV measurements. Office, ambulatory and home hypertension was diagnosed in 29.5, 27.1 and 26.3% of participants. The agreement of OBP with ABP was 74.5% (kappa 0.37) and HBP 76.1% (kappa 0.41), with closer agreement between HBP and ABP (84.9%, kappa 0.61). LVMI gave comparable correlations with systolic OBP, 24-h ABP and HBP (r = 0.31/0.31/0.30, all P |
| Databáze: | OpenAIRE |
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