Division of Nephrology, Seattle Children's Hospital, Seattle, WA 98105, USA.
J Clin Hypertens (Greenwich). 2012 Jun;14(6):372-82. doi: 10.1111/j.1751-7176.2012.00655.x. Epub 2012 May 7.
The prevalence of hypertension in children and adolescents is increasing, especially in obese and ethnic children. The adverse long-term effects of hypertension beginning in youth are known; therefore, it is important to identify young patients who need intervention. Unfortunately, measuring blood pressure (BP) is difficult due to the variety of techniques available and innate biologic variation in BP levels. Ambulatory BP monitoring may overcome some of the challenges clinicians face when attempting to categorize a young patient's BP levels. In this article, the authors review the use of ambulatory BP monitoring in pediatrics, discuss interpretation of ambulatory BP monitoring, and discuss gaps in knowledge in usage of this technique in the management of pediatric hypertension.
儿童和青少年高血压的患病率正在上升，尤其是在肥胖和少数民族儿童中。众所周知，年轻时发生的高血压会产生不良的长期影响；因此，识别需要干预的年轻患者很重要。不幸的是，由于可用技术的多样性以及血压水平的固有生物学变化，测量血压（BP）具有一定难度。动态血压监测（ABPM）可能会克服临床医生在尝试对年轻患者的血压水平进行分类时所面临的一些挑战。本文作者综述了动态血压监测在儿科中的应用，讨论了动态血压监测的解读，并讨论了在儿科高血压管理中使用该技术的知识空白。
