The role of ambulatory blood pressure measurements in adolescence and young adults.
INTRODUCTION: Ambulatory blood pressure measurements (ABPM) are currently used for the diagnosis and treatment of hypertension. It is widely recognized that the casual/clinic blood pressure is less representative of the true blood pressure than the average ABP. METHODS: Among the 15 records for 14 patients analyzed, 80% were obtained from type I diabetics. The overall age, ranged between 11 and 23 years (mean = 17.2 years). ABPM was performed using the Quiet Trak 98 model by Welch Allyn automatic auscultatory sphygmomanometer for a 24-hour period, for those with clinic documented hypertension. The BP was considered high if recorded as systolic > 140 and diastolic > 90 for the whole period or for period I (7 am to 11 pm), and >120 systolic and >85 diastolic for period II (11 pm to 7 am), or >130 systolic and >85 diastolic for diabetic patients. RESULTS: The BP was recorded as normal in 20% of the patients; in 33% it was normal during the daytime but high during the nighttime, and 80% of the diabetic patient were found to be nondippers during night time. CONCLUSION: ABPM is helpful to exclude White coat hypertension and nondippers especially among diabetic patients.[1]References
- The role of ambulatory blood pressure measurements in adolescence and young adults. Al-Hermi, B., Abbas, B. Transplant. Proc. (2004) [Pubmed]
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