Blood pressure (BP) assessment—from BP level to BP variability

Feber, Janusz; Litwin, Mieczysław

doi:10.1007/s00467-015-3161-z

Cited by 11 publications

(4 citation statements)

References 54 publications

(58 reference statements)

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“…Further, the reference values on BPV in children are lacking. BPV in our T1D children was similar to the values in children with primary and secondary hypertension and was higher for both systolic and diastolic variability (from 0.1 SDs for nighttime diastolic BPV to 1.3 SD for daytime diastolic BPV) when compared to another study of T1D children, although none of these values exceeded either 16 mmHg daytime SD SBP or 12.2 mmHg nighttime SD SBP, which are the suggested cutoffs for greater risk of cardiovascular events in adults [ 23 , 32 - 34 ]. Data on higher BPV that describe the fluctuations of BP between measurements is important as it presents the state of elevated cardiovascular risk even in the absence of hypertension.…”

Section: Discussionsupporting

confidence: 69%

Is there a characteristic pattern of ambulatory blood pressure profile in type 1 diabetic children and adolescents?

Morić¹,

Šamija

Sabolić³

et al. 2022

Ann Pediatr Endocrinol Metab

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Section: Discussionsupporting

confidence: 69%

Is there a characteristic pattern of ambulatory blood pressure profile in type 1 diabetic children and adolescents?

Morić¹,

Šamija

Sabolić³

et al. 2022

Ann Pediatr Endocrinol Metab

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“…Stergiou et al have previously recommended that using an oscillometric device, HBPM in children should be performed over 7 days (minimum of 3 days) with morning and evening readings measured with a minimum of 12 readings in total obtained [4,18]. Repeated readings are also recommended to assess trends over time [19]. All patients in this study recorded several BP measurements well in excess of the minimum recommended number but also over at least 14 days thus allowing reasonably adequate data to make informed clinical decisions (data not shown).…”

Section: Discussionmentioning

confidence: 99%

Measurement of SBP at home by parents using hand-held Doppler device and aneroid sphygmomanometer: a single-centre experience

Newton

Singh

Sinha

2020

Journal of Hypertension

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Objective: We taught parents to use at home a hand-held Doppler device and aneroid sphygmomanometer for SBP measurement (HDBPM).Methods: Retrospective study including all children referred to evaluate hypertension over a 6-year period. Each child underwent HDBPM measurements performed by parents while awake over 2 weeks with three measurements performed twice daily.Results: Of n ¼ 155 children, 145 (93.5%) were successful and aged median (interquartile range) 2.48 (1.01, 5.12) years, including 85 boys. Overall, there were 25, 19, 30 and 26% aged less than 1, 1 to less than 2, 2 to less than 5 and at least 5 years old, respectively. Seventy-eight (54%) had been referred for confirming diagnosis and 67 (46%) for ongoing monitoring of treated hypertension. Following HDBPM, 70 of 78 (90%) patients in the 'Diagnosis subgroup' were observed to have normal blood pressure (BP). In the monitoring subgroup, treated hypertension that required no medication changes was recorded in 35 of 67 (52%) and medication changed in 32 of 67 (48%), [increased, decreased or changed] in 22, 6 and 5%, respectively. In 10 of 67 (15%) medication was weaned and stopped completely following HDBPM. None of the children required admission to hospital to evaluate their BP level or manage hypertension. Conclusion:Out-of-office BP monitoring using HDBPM is acceptable to children and families of young children when parents are taught to measure BP and supported by health professionals. We report evidence of the feasibility and clinical utility of HDBPM in a challenging population of children who are either too young or unable to tolerate 24-h ambulatory BP monitoring for both the diagnosis and ongoing management of clinically relevant hypertension.

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“…A recent systematic review revealed that BP variability facilitates the progression of preclinical cardiac, arterial and renal damage [13]. A study conducted mostly in patients with hypertension linked both short and long-term BP variability to several chronic conditions [14]. In addition, the present study indicated that 24 h BP variability was associated with acute onset conditions (in this case, with AKI) in critically ill patients.…”

Section: Discussionmentioning

confidence: 52%

Relationship Between Short-Term Blood Pressure Variability and Incidence of Acute Kidney Injury in Critically Ill Patients

Xie

Liao

Yin

et al. 2017

Kidney Blood Press Res

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Background/Aims: Blood pressure (BP) variability is associated with cardiovascular events, and cerebral and renal damage. The aim of this study was to investigate any potential relationship between short-term BP variability and incidence of acute onset conditions, such as acute kidney injury (AKI), in critically ill patients. Methods: BP was monitored to analyze its variability in critically ill patients in present study. Short-term BP variability was assessed as average real variability (ARV), standard deviation (SD) and coefficient of variation (CV) of 24-hour BP. Results: A total of 565 patients were included, 41.2% (n=233) of which presented with AKI after admission (AKI stage I, n = 94; stage II, n = 37; stage III, n = 102). The mean APACHE II score was 21.5 for all patients. ARV of 24 h systolic BP was significantly higher in patients with AKI (p<0.001). This association remained (p=0.006) after adjustment for potential confounders. The incidence of AKI increased with the ARV from 14.0% (ARV ≤6 mmHg) to 73.9% (ARV >14 mmHg). A weak association was also found between BP variability and hospital mortality in critically ill patients. Conclusion: BP variability is correlated with the incidence of AKI in critically ill patients.

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Blood pressure (BP) assessment—from BP level to BP variability

Cited by 11 publications

References 54 publications

Is there a characteristic pattern of ambulatory blood pressure profile in type 1 diabetic children and adolescents?

Is there a characteristic pattern of ambulatory blood pressure profile in type 1 diabetic children and adolescents?

Measurement of SBP at home by parents using hand-held Doppler device and aneroid sphygmomanometer: a single-centre experience

Relationship Between Short-Term Blood Pressure Variability and Incidence of Acute Kidney Injury in Critically Ill Patients

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