Challenges of diagnosing pediatric hypertension using ambulatory blood pressure monitoring

Stonebrook, Emily; Klamer, Brett; Patel, Hiren P.; Kallash, Mahmoud

doi:10.1007/s00467-020-04725-x

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…In all participants with ABPM, we found that the 2022 AHA threshold captured all the AH defined by the 2014 AHA and ESH thresholds, while diagnosing an additional 11% and 17% AH than the 2014 AHA and ESH thresholds, respectively. These findings can be explained by the fact that the 2017 adult AHA threshold used for adolescents in the 2022 AHA threshold happens to be lower than the age-, sex-, and height-based ABP percentiles used in the 2014 AHA threshold for taller adolescents [35]. Moreover, the 2017 adult AHA threshold tends to be lower than the 2018 adult ESH threshold (2017 AHA: 24 h 125/75, day 130/80, and night 110/65 mmHg vs. 2018 ESH: 24 h 130/80, day 135/85, and night 120/70 mmHg) [11,36].…”

Section: Discussionmentioning

confidence: 92%

Impact of the 2022 American Heart Association pediatric ambulatory blood pressure monitoring statement on the diagnosis of hypertension

et al. 2023

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Background The diagnosis of hypertension and hypertension-induced target organ injury by the 2022 American Heart Association (AHA) ambulatory blood pressure threshold as compared with 2014 AHA and 2016 European Society of Hypertension (ESH) thresholds has not been evaluated. Methods In a cross-sectional study (n = 291, aged 5-18 years, at a tertiary care outpatient clinic), we compared 2022 AHA with 2014 AHA and ESH thresholds (revised with 2018 adult ESH thresholds where applicable) to diagnose ambulatory hypertension (AH), and detect ambulatory arterial stiffness index (AASI) and left ventricular target organ injury (LVTOI). ResultsThe 2022 AHA threshold diagnosed significantly more AH (53%) than the 2014 AHA (42%, p < 0.01) and ESH (36%, p < 0.001) thresholds. The 2022 AHA threshold demonstrated only a moderate agreement with the 2014 AHA (kappa (k) = 0.77) and ESH (k = 0.66) thresholds to diagnose AH. Adjusted logistic regression analysis found that only the 2022 AHA threshold predicted elevated AASI significantly (odds ratio 2.40, 95% CI 1.09, 5.25, p = 0.02; AUC 0.61, p < 0.01). In those with elevated AASI, more participants had AH by the 2022 AHA threshold (72%) than the 2014 AHA (46%, p = 0.02) and ESH (48%, p = 0.03) thresholds. AH defined by the 2022 AHA threshold continued to maintain higher odds, larger AUC, and higher sensitivity to identify LVTOI than the 2014 AHA and ESH thresholds; however, the difference did not reach a statistically significant level. Conclusions AH defined by the 2022 AHA threshold diagnoses more children with hypertension and identifies more children with hypertension-induced target organ injury than the 2014 AHA and ESH thresholds.

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Section: Discussionmentioning

confidence: 92%

Impact of the 2022 American Heart Association pediatric ambulatory blood pressure monitoring statement on the diagnosis of hypertension

et al. 2023

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“…The law of ground pressure activity in deep wells is analyzed and studied based on microseismic data. Finally, a three-level early warning model is established [4,5]. This has a certain role in promoting the application of microseismic monitoring technology in underground mines.…”

Section: Introductionmentioning

confidence: 99%

Mine Ground Pressure Monitoring and Early Warning Based on Deep Learning Data Analysis

Xiao

Deng

Xie

et al. 2022

Mobile Information Systems

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In order to ensure the safe mining of kilometer mining working surface threatened by impact ground pressure, a metal mine ground pressure monitoring and early warning based on deep learning data analysis are proposed. This paper expounds the theoretical basis of rock burst, analyzes the inducing factors of deep well rock burst, analyzes and introduces the classification of rock burst, focuses on the progressive failure process of rock burst and standard of rock fracture depth of deep ore and rock in a metal mine, carries out triaxial stress-strain test on the core in the laboratory, and evaluates the tendency of rock burst for deep ore and rock through elastic strain generation, strength brittleness coefficient method, and deformation brittleness coefficient method. The real-time monitoring and early warning system of rock burst can monitor the dynamic change of advance stress in the working face in real time and give real-time early warning to the dangerous area and degree of rock burst. The experimental results show that the working face enters the fault affected area when it advances 170 m in front of the fault. When the working face advances to 100 m in front of the fault, it enters the high stress area formed by the superposition of fault tectonic stress and mining stress. When the working face advances to 40 m in front of the fault, the stress reaches the maximum. Therefore, the system can accurately predict the impact risk area and its risk degree and realize the safe mining of high impact risk face.

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Re-evaluating hypertension in children according to different guidelines: a single-center study

et al. 2022

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Challenges of diagnosing pediatric hypertension using ambulatory blood pressure monitoring

Cited by 3 publications

References 19 publications

Impact of the 2022 American Heart Association pediatric ambulatory blood pressure monitoring statement on the diagnosis of hypertension

Impact of the 2022 American Heart Association pediatric ambulatory blood pressure monitoring statement on the diagnosis of hypertension

Mine Ground Pressure Monitoring and Early Warning Based on Deep Learning Data Analysis

Re-evaluating hypertension in children according to different guidelines: a single-center study

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