Vol 17, No 5 (2013)
Editorial
Published online: 2014-01-24
Ambulatoryjny całodobowy pomiar ciśnienia tętniczego u dzieci
Łukasz Obrycki, Anna Niemirska, Mieczysław Litwin
Nadciśnienie tętnicze 2013;17(5):343-350.
Vol 17, No 5 (2013)
Artykuły redakcyjne
Published online: 2014-01-24
Abstract
Despite the fact that 50 years passed since the first ambulatory blood pressure monitoring (ABPM), only in recent years ABPM became routine diagnostic and prognostic method in management of arterial hypertension in children. Introducing ABPM as a diagnostic method not only allowed better monitoring of patients with hypertension, but also resulted in a significant change of opinions on the classification of hypertension, principles of monitoring, and also allowed the introduction of new criteria describing the hemodynamic disorders. Although the diagnosis of hypertension and effective antihypertensive therapy is possible using the traditional method of blood pressure measurement, the current recommendations of treatment recommend ABPM as the confirming diagnosis of hypertension before the start of treatment. Both pediatric recommendations of the European Society of Hypertension and American Heart Association, defined the conditions where ABPM is the basic diagnostic and monitoring method. The article discusses the principles of the measurement of blood pressure by ABPM, referential ABPM values, classification of blood pressure status based on the ABPM, the relationship between ABPM results and complications of hypertension and the different uses of ABPM data.
Abstract
Despite the fact that 50 years passed since the first ambulatory blood pressure monitoring (ABPM), only in recent years ABPM became routine diagnostic and prognostic method in management of arterial hypertension in children. Introducing ABPM as a diagnostic method not only allowed better monitoring of patients with hypertension, but also resulted in a significant change of opinions on the classification of hypertension, principles of monitoring, and also allowed the introduction of new criteria describing the hemodynamic disorders. Although the diagnosis of hypertension and effective antihypertensive therapy is possible using the traditional method of blood pressure measurement, the current recommendations of treatment recommend ABPM as the confirming diagnosis of hypertension before the start of treatment. Both pediatric recommendations of the European Society of Hypertension and American Heart Association, defined the conditions where ABPM is the basic diagnostic and monitoring method. The article discusses the principles of the measurement of blood pressure by ABPM, referential ABPM values, classification of blood pressure status based on the ABPM, the relationship between ABPM results and complications of hypertension and the different uses of ABPM data.
Keywords
ambulatory blood pressure monitoring, ABPM, hypertension in children, blood pressure rhythmicity
Title
Ambulatoryjny całodobowy pomiar ciśnienia tętniczego u dzieci
Journal
Arterial Hypertension
Issue
Vol 17, No 5 (2013)
Article type
Editorial
Pages
343-350
Published online
2014-01-24
Page views
892
Article views/downloads
4008
Bibliographic record
Nadciśnienie tętnicze 2013;17(5):343-350.
Keywords
ambulatory blood pressure monitoring
ABPM
hypertension in children
blood pressure rhythmicity
Authors
Łukasz Obrycki
Anna Niemirska
Mieczysław Litwin