Connecticut Children's Medical Center, 282 Washington Street, Hartford, CT, 06016, USA.
Curr Hypertens Rep. 2017 Oct 25;19(12):96. doi: 10.1007/s11906-017-0791-5.
This is a review of ambulatory blood pressure monitoring (ABPM) use in pediatrics, focusing on research published in the last 3 to 4 years.
Recent data has shown that ABPM is more strongly associated with end-organ damage than casual BP, and that obesity and secondary causes of hypertension are strongly associated with nocturnal hypertension. There is evidence that ABPM is useful in management of a larger variety of diagnoses than previously thought. New guidelines from the American Academy of Pediatrics recognize the importance of ABPM in the management of pediatric hypertension. ABPM has an important and growing role in the diagnosis and management of hypertension in children and adolescents. Future efforts should include developing more generalizable normative data and investigating associations between pediatric ABPM results and adult outcomes.
这是一篇关于动态血压监测（ABPM）在儿科中的应用的综述，重点关注过去 3 到 4 年发表的研究。
最近的数据表明，ABPM 与终末器官损害的相关性强于偶然血压，肥胖和高血压的继发性原因与夜间高血压密切相关。有证据表明，ABPM 在管理比以前认为的更多种类的诊断方面是有用的。美国儿科学会的新指南认识到 ABPM 在儿童高血压管理中的重要性。ABPM 在儿童和青少年高血压的诊断和管理中具有重要且不断增长的作用。未来的努力应包括制定更具普遍性的正常数据，并研究儿科 ABPM 结果与成人结果之间的关联。
