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Ege Journal of Medicine
2018, Cilt 57, Sayı 2, Sayfa(lar) 065-070
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Comparison between office blood pressure and ambulatory blood pressure monitoring (ABPM) parameters in children: Evaluation of the cases using the updated ABPM guideline
Aslı Çelebi Tayfur1, Ece Onat Gökçe2, Bahar Büyükkaragöz1, Aysun Çaltık Yılmaz1, Nilgün Altuntaş3, Ayşe Derya Buluş4
1Keçiören Eğitim ve Araştırma Hastanesi, Çocuk Nefroloji Birimi, Ankara, Türkiye
2Keçiören Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, Ankara, Türkiye
3Keçiören Eğitim ve Araştırma Hastanesi, Yenidoğan Birimi, Ankara, Türkiye
4Keçiören Eğitim ve Araştırma Hastanesi, Çocuk Endokrinoloji Kliniği, Ankara, Türkiye
Keywords: Office blood pressure, ambulatory blood pressure monitoring, hypertension, obesity, child

Aim: Prevalence of hypertension in youths is rising due to childhood obesity epidemic. Ambulatory blood pressure monitoring (ABPM) has superiority over office blood pressure (BP) measurement for distinguishing patients at higher risk for target-organ damage. We aim to compare the office BP levels with ambulatory levels in patients with prediagnosis of primary hypertension and interpret the data according to the recommendations of American Heart Society on the use of ABPM in the pediatric population reported in 2014.

Results: The study included 31 boys and 26 girls. Mean age was 14.42±2.14 years. BP was categorized based on office and ABPM results into pre- (5.3%, n=3), white-coat (63%, n=36), masked (3.2%, n=2), ambulatory (15.7%, n=9) and severe ambulatory (12.2%, n=7) hypertension. Two of 3 patients with prehypertension and 10 of 18 patients with ambulatory/severe ambulatory hypertension were obese. Positive correlation was found between 24-hour mean systolic and diastolic BP. BMI positively correlated with 24-hour mean systolic BP, night systolic BP, 24 hour mean arterial BP, respectively.

Conclusion: We suggest that children with high office BP measurements and risk for hypertension should be evaluated with ABPM.


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