Pediatric Ambulatory Blood Pressure Classification: The Case for a Change

Mark Mitsnefes; Joseph T. Flynn; Tammy Brady; Carissa Baker-Smith; Stephen R. Daniels; Laura L. Hayman; Andrew Tran; Justin P. Zachariah; Elaine M. Urbina

doi:10.1161/HYPERTENSIONAHA.121.18138

Pediatric Ambulatory Blood Pressure Classification: The Case for a Change

Mark Mitsnefes
, Joseph T. Flynn
, Tammy Brady
, Carissa Baker-Smith
, Stephen R. Daniels
, Laura L. Hayman
, Andrew Tran
, Justin P. Zachariah
, Elaine M. Urbina

University of Cincinnati
Seattle Children's
Johns Hopkins University
The Children's Hospital, Aurora
University of Massachusetts Boston
Ohio State University
Baylor College of Medicine

Research output: Contribution to journal › Review article › peer-review

21 Scopus citations

Abstract

In 1997, Soergel et al1 published the first set of normative values for ambulatory blood pressure monitoring (ABPM) in children. Since then, the clinical utility of ABPM has increased dramatically, and now, ABPM is accepted as the standard method to confirm the diagnosis of hypertension in children. Despite significant progress in the field of pediatric ABPM, many important questions remain unanswered. One of the most controversial issues is how to define ambulatory hypertension in children. The purpose of this review is to discuss the limitations of the current pediatric ABPM classification scheme and to provide the justification and rationale for a new classification.

Original language	English
Pages (from-to)	1206-1210
Number of pages	5
Journal	Hypertension
Volume	78
Issue number	5
DOIs	https://doi.org/10.1161/HYPERTENSIONAHA.121.18138
State	Published - 1 Nov 2021

Keywords

blood pressure
classification
health services
humans
hypertension

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10.1161/HYPERTENSIONAHA.121.18138

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title = "Pediatric Ambulatory Blood Pressure Classification: The Case for a Change",

abstract = "In 1997, Soergel et al1 published the first set of normative values for ambulatory blood pressure monitoring (ABPM) in children. Since then, the clinical utility of ABPM has increased dramatically, and now, ABPM is accepted as the standard method to confirm the diagnosis of hypertension in children. Despite significant progress in the field of pediatric ABPM, many important questions remain unanswered. One of the most controversial issues is how to define ambulatory hypertension in children. The purpose of this review is to discuss the limitations of the current pediatric ABPM classification scheme and to provide the justification and rationale for a new classification.",

keywords = "blood pressure, classification, health services, humans, hypertension",

author = "Mark Mitsnefes and Flynn, \{Joseph T.\} and Tammy Brady and Carissa Baker-Smith and Daniels, \{Stephen R.\} and Hayman, \{Laura L.\} and Andrew Tran and Zachariah, \{Justin P.\} and Urbina, \{Elaine M.\}",

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year = "2021",

month = nov,

day = "1",

doi = "10.1161/HYPERTENSIONAHA.121.18138",

language = "English",

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TY - JOUR

T1 - Pediatric Ambulatory Blood Pressure Classification

T2 - The Case for a Change

AU - Mitsnefes, Mark

AU - Flynn, Joseph T.

AU - Brady, Tammy

AU - Baker-Smith, Carissa

AU - Daniels, Stephen R.

AU - Hayman, Laura L.

AU - Tran, Andrew

AU - Zachariah, Justin P.

AU - Urbina, Elaine M.

PY - 2021/11/1

Y1 - 2021/11/1

N2 - In 1997, Soergel et al1 published the first set of normative values for ambulatory blood pressure monitoring (ABPM) in children. Since then, the clinical utility of ABPM has increased dramatically, and now, ABPM is accepted as the standard method to confirm the diagnosis of hypertension in children. Despite significant progress in the field of pediatric ABPM, many important questions remain unanswered. One of the most controversial issues is how to define ambulatory hypertension in children. The purpose of this review is to discuss the limitations of the current pediatric ABPM classification scheme and to provide the justification and rationale for a new classification.

AB - In 1997, Soergel et al1 published the first set of normative values for ambulatory blood pressure monitoring (ABPM) in children. Since then, the clinical utility of ABPM has increased dramatically, and now, ABPM is accepted as the standard method to confirm the diagnosis of hypertension in children. Despite significant progress in the field of pediatric ABPM, many important questions remain unanswered. One of the most controversial issues is how to define ambulatory hypertension in children. The purpose of this review is to discuss the limitations of the current pediatric ABPM classification scheme and to provide the justification and rationale for a new classification.

KW - blood pressure

KW - classification

KW - health services

KW - humans

KW - hypertension

UR - https://www.scopus.com/pages/publications/85117506250

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DO - 10.1161/HYPERTENSIONAHA.121.18138

M3 - Review article

C2 - 34601972

AN - SCOPUS:85117506250

SN - 0194-911X

VL - 78

SP - 1206

EP - 1210

JO - Hypertension

JF - Hypertension

IS - 5

ER -

Pediatric Ambulatory Blood Pressure Classification: The Case for a Change

Abstract

Keywords

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