Department of Physiology and Pharmacology (FYFA), C3, Karolinska Institutet, Stockholm, Sweden.
Acta Paediatr. 2019 Jan;108(1):44-49. doi: 10.1111/apa.14416. Epub 2018 Jun 14.
This mini review explored the prevalence of white-coat hypertension (WCH), which is very common in children. It results in elevated office blood pressure (BP) but normal ambulatory BP monitoring (ABPM) readings.
WCH can only be identified by analysing and comparing office BP readings and ABPM, which periodically records BP every 20-30 minutes over 24-hour period. This study provides initially the background for WCH in adults, together with a comprehensive overview of the most relevant paediatric data on WCH.
Accurate measurements of BP are very important for the diagnosis and management of hypertension. It is important to acknowledge the clinical relevance of WCH and follow up children who display this BP phenotype by carrying out ABPM, so that clinicians can build up an accurate picture of their BP. It is also important to identify children who have BP issues and are overweight or obese, so that treatment of this modifiable cardiovascular risk factor can be initiated.
Using ABPM provides paediatricians with a more precise evaluation of a child's BP readings than office BP readings. It is the gold standard for diagnosing WCH.
本综述探讨了白大衣高血压（WCH）的患病率，这种情况在儿童中非常常见。它会导致诊室血压（BP）升高，但动态血压监测（ABPM）读数正常。
只有通过分析和比较诊室 BP 读数和 ABPM 才能确定 WCH，ABPM 每隔 20-30 分钟记录一次 24 小时内的 BP。本研究首先提供了成人 WCH 的背景信息，并全面概述了与 WCH 相关的最相关儿科数据。
准确测量 BP 对于高血压的诊断和管理非常重要。认识到 WCH 的临床相关性并通过进行 ABPM 对显示这种 BP 表型的儿童进行随访非常重要，这样临床医生可以更准确地了解他们的 BP 情况。识别存在 BP 问题且超重或肥胖的儿童也很重要，以便可以开始治疗这种可改变的心血管危险因素。
使用 ABPM 为儿科医生提供了比诊室 BP 读数更精确的儿童 BP 读数评估。它是诊断 WCH 的金标准。
