ArticleHypertension (Dallas, Tex. : 1979)2018
Prediction of Ambulatory Hypertension Based on Clinic Blood Pressure Percentile in Adolescents.
Article in Hypertension (Dallas, Tex. : 1979), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 26 citations in OpenAlex.
- Qualitative Analysis of Point of Care Ambulatory Blood Pressure Monitoring: Patient, Parent, and Primary Care Provider Perspectives.American journal of hypertension · 2025Article
- A Multiomics Approach to Defining Target-Organ Injury in Youths With Primary Hypertension: The SHIP AHOY Cohort.Journal of the American Heart Association · 2025Article
- A Multi-Omics Approach to Defining Target Organ Injury in Youth with Primary Hypertension.bioRxiv : the preprint server for biology · 2024Article
- Treatment of Hypertension in Children.Current hypertension reviews · 2024Review
- Persistence and determinants of blood pressure phenotypes according to office and ambulatory blood pressure measurements in youth.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Correlates of Hypertensive-Level BP in African American Adolescents.Journal of racial and ethnic health disparities · 2023Article
- Ambulatory blood pressure monitoring in children: A retrospective single-center study.Frontiers in pediatrics · 2023Article
- Machine Learning-Based Prediction of Masked Hypertension Among Children With Chronic Kidney Disease.Hypertension (Dallas, Tex. : 1979) · 2022Article
- Association of Blood Pressure-Related Increase in Vascular Stiffness on Other Measures of Target Organ Damage in Youth.Hypertension (Dallas, Tex. : 1979) · 2022Article
- High Blood Pressure in Children and Adolescents: Current Perspectives and Strategies to Improve Future Kidney and Cardiovascular Health.Kidney international reports · 2022Review
- Is the prognosis of congenital single functioning kidney benign? A population-based study.Pediatric nephrology (Berlin, Germany) · 2021Article
- Current obesity was associated with hypertension in children born very low birth weight.BMC research notes · 2021Article
- Kidney Outcomes and Hypertension in Survivors of Wilms Tumor: A Prospective Cohort Study.The Journal of pediatrics · 2021Article
- The potential roles of Von Willebrand factor and neutrophil extracellular traps in the natural history of hypertrophic and hypertensive cardiomyopathy.Thrombosis research · 2020Review
- Predictive Model for Ambulatory Hypertension Based on Office Blood Pressure in Obese Children.Frontiers in pediatrics · 2020Article
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14 authors at 11 institutions in 1 country.
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Abstract
Ambulatory blood pressure (BP) monitoring provides a more precise measure of BP status than clinic BP and is currently recommended in the evaluation of high BP in children and adolescents. However, ambulatory BP monitoring may not always be available. Our aim was to determine the clinic BP percentile most likely to predict ambulatory hypertension. We evaluated clinic and ambulatory BP in 247 adolescents (median age, 15.7 years; 63% white; 54% male). Clinic BP percentile (based on the fourth report and the 2017 American Academy of Pediatrics clinical practice guidelines) and ambulatory BP status (normal versus hypertension) were determined by age-, sex-, and height-specific cut points. Sensitivity and specificity of different clinic BP percentiles and cutoffs to predict ambulatory hypertension were calculated. Forty (16%) and 67 (27%) patients had systolic hypertension based on the fourth report and the 2017 guidelines, respectively, whereas 38 (15%) had wake ambulatory systolic hypertension. The prevalence of ambulatory wake systolic hypertension increased across clinic systolic BP percentiles, from 3% when clinic systolic BP was <50th percentile to 41% when ≥95th percentile. The 2017 guidelines' 85th systolic percentile had similar sensitivity (86.8%) and better specificity (57.4% versus 48.1%) than elevated BP (≥90th percentile or ≥120 mm Hg) to diagnose ambulatory hypertension. When evaluating adolescents for hypertension, 2017 guidelines' clinic systolic 85th percentile may be the optimal threshold at which to perform ambulatory BP monitoring.
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