Casual and ambulatory blood pressure monitoring in children with renal scarring
INTRODUCTION Renal scarring is the most common cause of arterial hypertension in children. High blood pressure (BP) and microalbuminuria contribute to the progression of chronic renal disease. OBJECTIVE The aims of the study were: to assess BP in children with renal scarring by continuous ambulatory...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Serbian Medical Society
2005-01-01
|
Series: | Srpski Arhiv za Celokupno Lekarstvo |
Subjects: | |
Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790510417M.pdf |
id |
doaj-1fb872dd7e4547049341c91db5304f81 |
---|---|
record_format |
Article |
spelling |
doaj-1fb872dd7e4547049341c91db5304f812021-01-02T01:15:32ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792005-01-011339-1041742310.2298/SARH0510417MCasual and ambulatory blood pressure monitoring in children with renal scarringMiloševski GordanaKostić MirjanaBabić DraganJovanović OlgaKruščić DivnaStanić MirjanaPeco-Antić AmiraINTRODUCTION Renal scarring is the most common cause of arterial hypertension in children. High blood pressure (BP) and microalbuminuria contribute to the progression of chronic renal disease. OBJECTIVE The aims of the study were: to assess BP in children with renal scarring by continuous ambulatory blood pressure measurement (ABPM) in comparison to the casual method (CBP), and to determine the correlation between ambulatory blood pressure (ABP) and/or casual blood pressure (CBP) values and proteinuria in children with renal scarring. METHOD This forward-looking study comprised thirty-five children (26 girls and 9 boys), aged between 3-13 years, 10.4±3.9, X+SD. Blood pressure was measured using the casual method (CBP) with a mercury manometer; BP was measured three times and the average was taken as a referent value. ABPM was performed using the oscillometric method with the Space Labs device, model 90207. RESULTS 45.71% of patients were classified as hypertensive by ABPM, while only 22.6% of CBP measurements were above the 95th percentile (p<0.01). "White coat hypertension" was present in 40% of the patients. Non-dipping BP alteration was detected in 37.14% of the patients. CONCLUSION Nocturnal systolic hypertension (systolic non-dipping alteration) is very frequent in children with renal scarring. Nocturnal diastolic blood pressure, detectable only via ABPM, is positively correlated with proteinuria and may be an initial sign of the progression of renal scarring. ABPM is more sensitive than CBP in the evaluation of BP in children with renal scarring. http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790510417M.pdfarterial hypertensionambulatory blood pressure measurementrenal scarring |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Miloševski Gordana Kostić Mirjana Babić Dragan Jovanović Olga Kruščić Divna Stanić Mirjana Peco-Antić Amira |
spellingShingle |
Miloševski Gordana Kostić Mirjana Babić Dragan Jovanović Olga Kruščić Divna Stanić Mirjana Peco-Antić Amira Casual and ambulatory blood pressure monitoring in children with renal scarring Srpski Arhiv za Celokupno Lekarstvo arterial hypertension ambulatory blood pressure measurement renal scarring |
author_facet |
Miloševski Gordana Kostić Mirjana Babić Dragan Jovanović Olga Kruščić Divna Stanić Mirjana Peco-Antić Amira |
author_sort |
Miloševski Gordana |
title |
Casual and ambulatory blood pressure monitoring in children with renal scarring |
title_short |
Casual and ambulatory blood pressure monitoring in children with renal scarring |
title_full |
Casual and ambulatory blood pressure monitoring in children with renal scarring |
title_fullStr |
Casual and ambulatory blood pressure monitoring in children with renal scarring |
title_full_unstemmed |
Casual and ambulatory blood pressure monitoring in children with renal scarring |
title_sort |
casual and ambulatory blood pressure monitoring in children with renal scarring |
publisher |
Serbian Medical Society |
series |
Srpski Arhiv za Celokupno Lekarstvo |
issn |
0370-8179 |
publishDate |
2005-01-01 |
description |
INTRODUCTION Renal scarring is the most common cause of arterial hypertension in children. High blood pressure (BP) and microalbuminuria contribute to the progression of chronic renal disease. OBJECTIVE The aims of the study were: to assess BP in children with renal scarring by continuous ambulatory blood pressure measurement (ABPM) in comparison to the casual method (CBP), and to determine the correlation between ambulatory blood pressure (ABP) and/or casual blood pressure (CBP) values and proteinuria in children with renal scarring. METHOD This forward-looking study comprised thirty-five children (26 girls and 9 boys), aged between 3-13 years, 10.4±3.9, X+SD. Blood pressure was measured using the casual method (CBP) with a mercury manometer; BP was measured three times and the average was taken as a referent value. ABPM was performed using the oscillometric method with the Space Labs device, model 90207. RESULTS 45.71% of patients were classified as hypertensive by ABPM, while only 22.6% of CBP measurements were above the 95th percentile (p<0.01). "White coat hypertension" was present in 40% of the patients. Non-dipping BP alteration was detected in 37.14% of the patients. CONCLUSION Nocturnal systolic hypertension (systolic non-dipping alteration) is very frequent in children with renal scarring. Nocturnal diastolic blood pressure, detectable only via ABPM, is positively correlated with proteinuria and may be an initial sign of the progression of renal scarring. ABPM is more sensitive than CBP in the evaluation of BP in children with renal scarring. |
topic |
arterial hypertension ambulatory blood pressure measurement renal scarring |
url |
http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790510417M.pdf |
work_keys_str_mv |
AT milosevskigordana casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring AT kosticmirjana casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring AT babicdragan casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring AT jovanovicolga casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring AT kruscicdivna casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring AT stanicmirjana casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring AT pecoanticamira casualandambulatorybloodpressuremonitoringinchildrenwithrenalscarring |
_version_ |
1724363081764569088 |