Ambulatory and home blood pressure monitoring in children and adolescents: diagnosis of hypertension and assessment of target-organ damage.

摘要: The prevalence of elevated blood pressure in children and adolescents is more common than previously believed often represents the early onset essential hypertension, particularly adolescents. definition hypertension based on distribution criteria normalcy tables that provide percentiles for each measurement method (office, ambulatory home) according to individual's age, gender body size. Owing white coat masked phenomena, monitoring indispensable diagnosis children. Home has been less well studied, at present, treatment decisions should not be solely such measurements. Hypertension-induced preclinical target-organ damage (mainly echocardiographic left ventricular hypertrophy) uncommon evaluated all hypertensive Other indices damage, as carotid intima-media thickness, pulse wave velocity microalbuminuria, remain under investigation pediatric hypertension.