Nighttime Home Blood Pressure in Children: Association with Ambulatory Blood Pressure and Preclinical Organ Damage
| Autor: | Emelina Stambolliu, George Servos, Andriani Vazeou, Ioanna Bountzona, George S. Stergiou, Angeliki Ntineri, Anastasios Kollias |
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| Rok vydání: | 2021 |
| Předmět: |
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 |
| Zdroj: | Hypertension. 77:1877-1885 |
| ISSN: | 1524-4563 0194-911X |
| DOI: | 10.1161/hypertensionaha.121.17016 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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