Ambulatory Blood Pressure Monitoring in Children and Adolescents: Coming of Age?
Ambulatory Blood Pressure Monitoring in Children and Adolescents: Coming of Age?
复制标题
儿童和青少年的动态血压监测：成熟了吗？
DOI：
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发表时间：
2013
影响因子：
5.6
通讯作者：
J. Alvarez
中科院分区：
文献类型：
--
作者：
E. Lurbe;M. Torró;J. Alvarez
在过去的几年中，动态血压监测已被引入儿科人群，有助于显着增加了大量的知识，关键的临床相关问题。指南已经确定了目前已知的条件下，动态血压监测是有用的，它将提供额外的信息，在儿童和青少年。临床血压和动态血压的个体间差异有多普遍和重要是使用动态血压监测作为诊断工具的关键。通过不仅使用办公室，而且使用动态血压，出现四种可能的情况。其中两个值与正常血压或高血压一致。两个具有不一致的值。后两种被称为白色被毛和隐匿性高血压。动态血压监测与高血压相关器官损害的关系、预后价值和治疗目标的评估是动态血压监测的关键问题。因此，在尽可能早的年龄准确查明儿童的高血压，将使保健提供者有机会采取预防措施，从而减少发生终末器官损害的机会及其伴随的发病率和死亡率。
Over the last years, ambulatory blood pressure monitoring has been introduced into the pediatric population, contributing to a significant increase in the bulk of knowledge of crucial clinically relevant issues. Guidelines have established the currently known conditions where ambulatory blood pressure monitoring is useful and where it will provide additional information in children and adolescents. How common and important the intra-individual differences are within clinical and ambulatory blood pressure is the keystone to the use of ambulatory blood pressure monitoring as a diagnostic tool. By using not only office, but also ambulatory blood pressure, four possible situations arise. Two of these have values in agreement for normotension or hypertension. Two have values that are discrepant. The latter two are known as white coat and masked hypertension. The relationship with hypertension-induced organ damage, the prognostic value and the assessment of treatment goals are key issues of ambulatory blood pressure monitoring. In children, the accurate identification of hypertension at the earliest possible age would, therefore, give health-care providers the opportunity to initiate preventive measures, thereby reducing the chance of developing end-organ damage and its attendant morbidity and mortality.
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影响因子：
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