When Ambulatory Blood Pressure Readings May Not Be Necessary

In a cohort of children with chronic kidney disease, those with office BP readings in the lower quartile of normal infrequently had abnormal ambulatory BP readings.

Ambulatory blood pressure (BP) monitoring often identifies masked hypertension that is not detected in routine office visits. In a longitudinal study of children (ages 1–16 years) with chronic kidney disease, investigators analyzed the relationship between normal BP readings obtained in the office and ambulatory BP readings. The study group included 451 children (14% African American, 14% Hispanic) with a median age of 14 years; 19% had glomerular disease.

Of 710 BP studies, 506 were normal. Most children with normal office readings had normal ambulatory wake and sleep BP readings and BP loads. Masked hypertension was identified in 40% of the cohort with normal casual BP. Among children with the lowest casual BP (≤25th percentile of normal),…

Reviewing Author

F. Bruder Stapleton, MD

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Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

When Ambulatory Blood Pressure Readings May Not Be Necessary

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Reviewing Author