Department of Pediatrics, Section of Cardiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, Aurora, CO, 80045, USA.
Curr Hypertens Rep. 2019 Jul 26;21(9):71. doi: 10.1007/s11906-019-0976-1.
This is a review of ambulatory blood pressure monitoring (ABPM) use in pediatrics, summarizing current knowledge and uses of ABPM.
Updated guidelines from the American Academy of Pediatrics have emphasized the value of ABPM. ABPM is necessary to diagnose white coat hypertension, masked hypertension, and nocturnal hypertension associated with specific conditions. There is growing evidence that ABPM may be useful in these populations. ABPM has been demonstrated to be more predictive of end-organ damage in pediatric hypertension compared to office blood pressure. ABPM is an important tool in the diagnosis and management of pediatric hypertension. Routine use of ABPM could potentially prevent early cardiovascular morbidity and mortality in a wide variety of populations.
本文回顾了动态血压监测（ABPM）在儿科中的应用，总结了 ABPM 的现有知识和用途。
美国儿科学会的更新指南强调了 ABPM 的价值。ABPM 对于诊断白大衣高血压、隐匿性高血压和与特定情况相关的夜间高血压是必要的。越来越多的证据表明，ABPM 在这些人群中可能是有用的。与诊室血压相比，ABPM 已被证明在儿科高血压中对终末器官损伤更具预测性。ABPM 是儿科高血压诊断和管理的重要工具。ABPM 的常规使用可能会在各种人群中预防早期心血管发病率和死亡率。
