PURPOSE OF REVIEW: The goal is to review masked hypertension (MH) as a relatively new phenomenon when patients have normal office BP but elevated out-of-office BP. Firstly, it was described in children in 2004. It has received increased attention in the past decade. RECENT FINDINGS: The prevalence of MH in different pediatric populations differs widely between 0 and 60% based on the population studied, definition of MH, or method of out-of-office BP measurement. The highest prevalence of MH has been demonstrated in children with chronic kidney disease (CKD), obesity, diabetes, and after heart transplantation. In healthy children but with risk factors for hypertension such as prematurity, overweight/obesity, diabetes, chronic kidney disease, or positive family history of hypertension, the prevalence of MH is 9%. In healthy children without risk factors for hypertension, the prevalence of MH is very low ranging 0-3%. In healthy children, only patients with the following clinical conditions should be screened for MH: high-normal/elevated office BP, positive family history of hypertension, and those referred for suspected hypertension who have normal office BP in the secondary/tertiary center.

1st Department of Pediatrics School of Medicine Faculty of Health Sciences Aristotle University Thessaloniki Hippokratio Hospital Thessaloniki Greece

Department of Pediatrics Charles University Prague 2nd Medical Faculty 5 Úvalu 84 15006 Prague Czech Republic

Department of Pediatrics Medical Faculty University of Ostrava Ostrava Czech Republic

Department of Pediatrics University Hospital Ostrava Ostrava Czech Republic

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Curr Hypertens Rep. 2023 Nov;25(11):421. doi: 10.1007/s11906-023-01271-3. PubMed

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