Pediatric Ambulatory Blood Pressure Classification: The Case for a Change.

Pediatric Ambulatory Blood Pressure Classification: The Case for a Change.
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DOI:
10.1161/hypertensionaha.121.18138
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发表时间:
2021-11
期刊:
Hypertension (Dallas, Tex. : 1979)
影响因子:
--
通讯作者:
Urbina EM
Urbina EM
中科院分区:
其他
文献类型:
--
作者:
Mitsnefes M;Flynn JT;Brady T;Baker-Smith C;Daniels SR;Hayman LL;Tran A;Zachariah JP;Urbina EM

文献摘要

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1997年,Soergel等人发表了第一组儿童动态血压监测(ABPM)的标准值。从那时起,ABPM的临床应用急剧增加,现在ABPM被接受为儿童高血压确诊的标准方法。尽管在儿科ABPM领域取得了重大进展,但许多重要问题仍未得到解答。如何界定儿童动态高血压是目前最有争议的问题之一。本综述的目的是讨论目前儿科ABPM分类方案的局限性,并提供新分类的理由和原理。
In 1997, Soergel et al published the first set of normative values for ambulatory blood pressure monitoring (ABPM) in children. Since then, the clinical utility of ABPM has increased dramatically, and now ABPM is accepted as the standard method to confirm the diagnosis of hypertension in children. Despite significant progress in the field of pediatric ABPM, many important questions remain unanswered. One of the most controversial issues is how to define ambulatory hypertension in children. The purpose of this review is to discuss the limitations of the current pediatric ABPM classification scheme and to provide the justification and rationale for a new classification.