Division of Nephrology, Seattle Children's Hospital; Department of Pediatrics, University of Washington School of Medicine, 4800 Sand Point Way NE, M/S OC.9.820, Seattle, WA, 98105, USA.
Pediatr Nephrol. 2020 Nov;35(11):2067-2076. doi: 10.1007/s00467-019-04361-0. Epub 2019 Nov 15.
The use of 24-h ABPM has become commonplace when diagnosing and managing hypertension in the pediatric population. Multiple clinical guidelines recommend ABPM as the preferred method for identifying white-coat hypertension, masked hypertension, and determining degree of blood pressure (BP) control. Accurate, timely diagnosis and optimal management are particularly important in certain populations, such as children with chronic kidney disease (CKD), diabetes, and other conditions with increased risk for cardiovascular disease. Understanding how best to utilize ABPM to achieve these goals is important for pediatric nephrologists and other hypertension specialists. This review will provide practical information on the equipment, application, interpretation, and documentation of ABPM in the specialty clinic.
当在儿科人群中诊断和管理高血压时，24 小时 ABPM 的使用已经变得很普遍。多项临床指南建议 ABPM 作为识别白大衣高血压、隐匿性高血压和确定血压（BP）控制程度的首选方法。在某些人群中，如患有慢性肾脏病（CKD）、糖尿病和其他心血管疾病风险增加的疾病的儿童，准确、及时的诊断和最佳管理尤为重要。了解如何最好地利用 ABPM 来实现这些目标对于儿科肾脏病专家和其他高血压专家很重要。本综述将提供有关 ABPM 在专科诊所中的设备、应用、解释和记录的实用信息。
