2015
DOI: 10.1007/s00467-015-3161-z
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Blood pressure (BP) assessment—from BP level to BP variability

Abstract: The assessment of blood pressure (BP) can be challenging in children, especially in very young individuals, due to their variable body size and lack of cooperation. In the absence of data relating BP with cardiovascular outcomes in children, there is a need to convert absolute BP values (in mmHg) into age-, gender- and height appropriate BP percentiles or Z-scores in order to compare a patient's BP with the BP of healthy children of the same age, but also of children of different ages. Traditionally, the inter… Show more

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Cited by 11 publications
(4 citation statements)
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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%
“…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%
“…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%
“…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%