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Prospective evaluation of ambulatory blood pressure monitoring parameters in children with white coat hypertension
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Abstract
Material and methods The study population consisted of 49 patients mean age 15 years (± 2,3) - 12 girls and 35 boys. After a period of 2 years - average 660 days (SD ± 211) we reexamined 35 of them - 10 girls and 25 boys, prospectively. ambulatory blood pressure monitoring was performed and two readings was compared for each patient. Results were statistically analyzed.
Results We observed significant elevation of mean 24-h blood pressure in the second ambulatory blood pressure monitoring. 34% of children with white-coat hypertension exceeded 95th percentile and were regarded as hypertensive. Significant difference was noted between the first and the second systolic blood pressure load measurementswhich rose - from 17,7% to 31,2% during daytime and from 16,2% to 36,7% during nighttime. There wasn’t statistical difference in 24-h blood pressure profile in children during the 2 years observation.
Conclusions Isolated office hypertension seems to be a risk factor for developing persistent hypertension in children. It is recommended that blood pressure monitoring be carried out periodically in children with white-coat hypertension.
Arterial Hypertension 2007, vol. 11, no 5, pages 412-417.
Abstract
Material and methods The study population consisted of 49 patients mean age 15 years (± 2,3) - 12 girls and 35 boys. After a period of 2 years - average 660 days (SD ± 211) we reexamined 35 of them - 10 girls and 25 boys, prospectively. ambulatory blood pressure monitoring was performed and two readings was compared for each patient. Results were statistically analyzed.
Results We observed significant elevation of mean 24-h blood pressure in the second ambulatory blood pressure monitoring. 34% of children with white-coat hypertension exceeded 95th percentile and were regarded as hypertensive. Significant difference was noted between the first and the second systolic blood pressure load measurementswhich rose - from 17,7% to 31,2% during daytime and from 16,2% to 36,7% during nighttime. There wasn’t statistical difference in 24-h blood pressure profile in children during the 2 years observation.
Conclusions Isolated office hypertension seems to be a risk factor for developing persistent hypertension in children. It is recommended that blood pressure monitoring be carried out periodically in children with white-coat hypertension.
Arterial Hypertension 2007, vol. 11, no 5, pages 412-417.
Keywords
ambulatory blood pressure monitoring; ABPM; white coat hypertension; children


Title
Prospective evaluation of ambulatory blood pressure monitoring parameters in children with white coat hypertension
Journal
Issue
Article type
Original paper
Pages
412-417
Published online
2007-10-03
Page views
594
Article views/downloads
2073
Bibliographic record
Nadciśnienie tętnicze 2007;11(5):412-417.
Keywords
ambulatory blood pressure monitoring
ABPM
white coat hypertension
children
Authors
Wioleta Kucharska
Ewa Masłowska
Elżbieta Wójcik
Marek Wasicionek