Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Unattended automated office blood pressure measurement in children

T. Seeman, K. Staněk, J. Slížek, J. Filipovský, J. Feber

. 2021 ; 30 (6) : 359-366. [pub] 20210925

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22003059

PURPOSE: We studied the performance of unattended automated office blood pressure (uAOBP) measurement in children, in relation to oscillometric office BP (OBP) and ambulatory blood pressure monitoring (ABPM). MATERIALS AND METHODS: One hundred and eleven stable treated and untreated outpatients investigated for hypertension underwent uAOBP measurements (seated unattended in a quiet room separate from the renal clinic room, six times after a 5 min rest with the BpTRU device), and immediately before using the oscillometric device. Ambulatory 24 h blood pressure monitoring (ABPM) was performed on the same day in a subgroup of 42 children. RESULTS: UAOBP measurements were successful in 106 children (95%), 5 pre-school children did not tolerate to be alone in the room. The mean ± SD systolic/diastolic uAOBP, OBP and daytime ABP were 109.1 ± 14.0/70.8 ± 10.7 mmHg, 121.6 ± 16.5/77.6 ± 10.5 mmHg and 123.5 ± 11.3/73.7 ± 6.8 mmHg, respectively. Systolic/diastolic uAOBP was significantly lower than OBP by 13.6/7.6 mmHg (p < 0.0001) and lower than daytime ABP by 14.4 ± 0.5/2.9 ± 0.3 mmHg (p < 0.0001). The heart rate was not significantly different during uAOBP than during OBP measurements. On Bland Altman analysis the uAOBP underestimated OBP by a mean of 15.6 mmHg for systolic BP and by 8.6 mmHg for diastolic BP. In all 9 children with white-coat systolic hypertension uAOBP was within the normal range (<95th pc for OBP), in six of nine children with white-coat diastolic hypertension uAOBP was within the normal range however, in three of them it was elevated despite normal ABP. CONCLUSION: uAOBP measurement is feasible in school-aged children, its values are considerably lower than OBP as well as daytime ABP and it could help with detection of white-coat systolic hypertension. The clinical applicability of uAOBP in children should be confirmed in further studies.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22003059
003      
CZ-PrNML
005      
20231005102738.0
007      
ta
008      
220113s2021 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1080/08037051.2021.1963666 $2 doi
035    __
$a (PubMed)34565278
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Seeman, Tomáš $u Department of Pediatrics, Charles University Prague, 2nd Faculty of Medicine, Prague, Czech Republic
245    10
$a Unattended automated office blood pressure measurement in children / $c T. Seeman, K. Staněk, J. Slížek, J. Filipovský, J. Feber
520    9_
$a PURPOSE: We studied the performance of unattended automated office blood pressure (uAOBP) measurement in children, in relation to oscillometric office BP (OBP) and ambulatory blood pressure monitoring (ABPM). MATERIALS AND METHODS: One hundred and eleven stable treated and untreated outpatients investigated for hypertension underwent uAOBP measurements (seated unattended in a quiet room separate from the renal clinic room, six times after a 5 min rest with the BpTRU device), and immediately before using the oscillometric device. Ambulatory 24 h blood pressure monitoring (ABPM) was performed on the same day in a subgroup of 42 children. RESULTS: UAOBP measurements were successful in 106 children (95%), 5 pre-school children did not tolerate to be alone in the room. The mean ± SD systolic/diastolic uAOBP, OBP and daytime ABP were 109.1 ± 14.0/70.8 ± 10.7 mmHg, 121.6 ± 16.5/77.6 ± 10.5 mmHg and 123.5 ± 11.3/73.7 ± 6.8 mmHg, respectively. Systolic/diastolic uAOBP was significantly lower than OBP by 13.6/7.6 mmHg (p < 0.0001) and lower than daytime ABP by 14.4 ± 0.5/2.9 ± 0.3 mmHg (p < 0.0001). The heart rate was not significantly different during uAOBP than during OBP measurements. On Bland Altman analysis the uAOBP underestimated OBP by a mean of 15.6 mmHg for systolic BP and by 8.6 mmHg for diastolic BP. In all 9 children with white-coat systolic hypertension uAOBP was within the normal range (<95th pc for OBP), in six of nine children with white-coat diastolic hypertension uAOBP was within the normal range however, in three of them it was elevated despite normal ABP. CONCLUSION: uAOBP measurement is feasible in school-aged children, its values are considerably lower than OBP as well as daytime ABP and it could help with detection of white-coat systolic hypertension. The clinical applicability of uAOBP in children should be confirmed in further studies.
650    _2
$a krevní tlak $7 D001794
650    _2
$a měření krevního tlaku $7 D001795
650    _2
$a ambulantní monitorování krevního tlaku $7 D018660
650    _2
$a dítě $7 D002648
650    _2
$a předškolní dítě $7 D002675
650    _2
$a lidé $7 D006801
650    12
$a hypertenze $x diagnóza $7 D006973
650    12
$a syndrom bílého pláště $x diagnóza $7 D059466
655    _2
$a časopisecké články $7 D016428
700    1_
$a Staněk, Kryštof $u 2nd Faculty of Medicine, Univerzita Karlova, Praha, Czech Republic $7 xx0307909
700    1_
$a Slížek, Jakub $u 2nd Faculty of Medicine, Univerzita Karlova, Praha, Czech Republic
700    1_
$a Filipovský, Jan $u Department of Internal Medicine II, Univerzita Karlova, Praha, Czech Republic
700    1_
$a Feber, Janusz $u Department of Pediatrics, University of Ottawa, Ottawa, Canada
773    0_
$w MED00000810 $t Blood pressure $x 1651-1999 $g Roč. 30, č. 6 (2021), s. 359-366
856    41
$u https://pubmed.ncbi.nlm.nih.gov/34565278 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20220113 $b ABA008
991    __
$a 20231005102733 $b ABA008
999    __
$a ok $b bmc $g 1750740 $s 1154208
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 30 $c 6 $d 359-366 $e 20210925 $i 1651-1999 $m Blood pressure $n Blood Press $x MED00000810
LZP    __
$a Pubmed-20220113

Najít záznam

Citační ukazatele

Možnosti archivace