scholarly journals Results of 24-hour blood pressure monitoring in children and adolescents with elevated blood pressure during random measurements

2005 ◽  
Vol 11 (1) ◽  
pp. 55-58 ◽  
Author(s):  
G. I. Obraztsova ◽  
T. V. Cheremnykh ◽  
Yu. R. Kovalev ◽  
O. A. Spetsakova ◽  
N. I. Vitina ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Children And Adolescents ◽  
Blood Pressure Monitoring ◽  
Elevated Blood ◽  
Normal Range ◽  
Pressure Load ◽  
Random Measurements ◽  
Made In ◽  
State Increase

Three hundred and eighty children and adolescents (286 boys and 102 girls) aged 7 to 18 years who had elevated blood pressuie (BP) - BP elevation being recorded at least 3 times on individual visits to a doctor - were examined 24-hour BP monitoring was made in all the examinees to confirm the presence of arterial hypertension (AH) and to specify its grade Analyzing the find mgs indicated that in 24% of the examinees, BP values were in the normal range (daily pressure load was less than 25%), 43% of the patients were found to have labile AH (daily pressure load was within 25-50%), stable hypertension (daily pressure load was more than 50%) was recorded in 33% The predominant form of arterial hypertension m children with stable AH (daily pressure load was more than 50%) was a steady-state increase in systolic BP Reduced nocturnal BP dipping was observed in 29% of all the examinees The study of BP variability indicated a significant increase in this parameter depending on the degree of hypertension burden Thus, the findings suggest that the examinees had increased vascular tonicity and the impairments associated with the development of cardiovascular events m adulthood

scholarly journals Arterial hypertension: Modern problems

2017 ◽  
Vol 95 (7) ◽  
pp. 581-585
Author(s):  
Igor N. Bokarev ◽  
P. A. Dulin ◽  
Yu. V. Ovchinnikov ◽  
V. B. Simonenko
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Blood Pressure Monitoring ◽  
Hypertensive Crisis ◽  
Elevated Blood ◽  
Pressure Monitoring ◽  
Hypertensive Disease ◽  
Early Stages ◽  
Hypertensive Crises

Arterial hypertension (AH) is one of the most common diseases. Despite numerous studies, many problems related to this pathology remain to be elucidated. The modern classifications of AHare contradictory and true causes of elevated blood pressure (BP) are unknown. There are no methods for diagnostics of early stages of AH nor is there adequateunderstanding of what hypertensive crises are, how they are to be classified and why they develop. Pathomorphosis of AH is practically unexplored. There are no efficient medications and therapies for the radical treatment of AH. The authors propose classification of hypertensive crisis, hypertensive disease, and symptomatic AH. It is recommended to use 24-hour blood pressure monitoring in all AH patients. New approaches to diagnostics of early stages of AH are proposed.

scholarly journals Metabolism of quantity elements and essential trace elements in patients with essential arterial hypertension in different ecological settings

2013 ◽  
Vol 94 (6) ◽  
pp. 798-803 ◽  
Author(s):  
Z R Khabibrakhmanova ◽  
T P Makarova ◽  
D I Sadykova
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Children And Adolescents ◽  
Blood Pressure Monitoring ◽  
Essential Elements ◽  
Healthy Children ◽  
Residential Areas ◽  
Pressure Monitoring ◽  
Industrial Areas ◽  
Essential Arterial Hypertension

Aim. To study the specifics of lead, zinc, copper, magnesium and calcium metabolism in children and adolescents with essential arterial hypertension living in different ecological settings. Methods. 100 children and adolescents aged 13-17 years with arterial hypertension, living in «industrial» (52 patients) and «residential» (48 patients) areas were examined in cardiology ward. 33 healthy children and adolescents comparable by age and gender were included as healthy controls. According to 24-hour blood pressure monitoring, groups with stable, labile arterial hypertension and «white coat hypertension» were formed. The levels of elements in 24-hour urine and in serum were measured by atomic absorption spectrophotometry. Results. In children and adolescents with stable arterial hypertension living in industrial areas, parameters of 24-hour blood pressure monitoring (mean 24-hour and mean daytime systolic blood pressure values, time of systolic hypertension, mean 24-hour and mean daytime blood pressure values) were higher compared to the same parameters in children from residential areas, the difference was statistically significant. The study of elements metabolism revealed increased lead exposure in children with essential arterial hypertension living in industrial areas, and misbalance of essential elements in those patients compared to the same parameters in children from residential areas. Conclusion. Results suggest increased exposure to arterial hypertension and marked misbalance of essential elements in children and adolescents with essential arterial hypertension living in industrial areas.

scholarly journals Diagnostics and treatment of arterial hypertension in children and adolescents, overview of new clinical guidelines of the American Academy of Pediatrics

2019 ◽  
Vol 64 (4) ◽  
pp. 114-127 ◽  
Author(s):  
L. I. Agapitov ◽  
I. V. Cherepnina
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Children And Adolescents ◽  
Clinical Guidelines ◽  
Blood Pressure Monitoring ◽  
Ventricular Myocardium ◽  
Left Ventricular ◽  
Left Ventricular Myocardium ◽  
New Guidelines ◽  
Hypertension In Children

The article analyzes clinical guidelines oftheAmericanAcademy ofPediatrics dd 2017 “ClinicalPractice Guideline forScreening andManagement of High Blood Pressure in Children and Adolescents”. This document contains new values of blood pressure in children, replaces the term “prehypertension” with the term “elevated blood pressure”, provides a simplified classification of arterial hypertension in adolescents over 13 years and revisesthe guidelinesfor daily blood pressure monitoring and echocardiography. The documentspecifiesthe criteria for diagnosing increased body weight of the left ventricular myocardium, changesthe target blood pressure levels. This new guidelines helps to optimize the diagnostics and treatment of hypertension in children. At the same time there is need for further comprehensive analysis of clinicalrecommendations and assessment of their practicalsignificance for pediatrics.

scholarly journals The condition of parameters of memory, attention and thinking at men of young age officers under the contractwith arterial hypertension.

2009 ◽  
Vol 6 (4) ◽  
pp. 59-63
Author(s):  
Il'ya Mikhaylovich Davidovich ◽  
Oleg Vladimirovich Afonaskov ◽  
Yuliya Konstantinovna Staroverova
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Blood Pressure Monitoring ◽  
Control Group ◽  
Military Officers ◽  
Pressure Data ◽  
Pressure Profiles ◽  
Blood Pressure Data ◽  
Stage 1 ◽  
Made In

Aim: to evaluate memory, attention and thinking functions indices in young hired military officers depending on their 24-hours blood pressure profiles. Materials and methods. The study was made in 49 patients with stage 1-2 arterial hypertension, aged 39,3±0,8, who did not take hypotensive medicines or took them occasionally. 24-hours blood pressure monitoring was performed with assessment of cognitive functions (memory, attention) depending on the stage, degree and duration of the disease. The control group included 12 men with no signs of arterial hypertension. Results. Comparing with the controls the memory, attention and thinking indices in hypertonic patients were found to be lower .even in those who had the first degree of hypertension and duration of the disease less than 5 years. The hypertonic patients showed lowering of attention and semantic memory scopes irrespective of duration of the disease. There was a negative correlation between monitored blood pressure data and memory, attention and thinking indices. Conclusions. Light cognitive dysfunctions can be found in young hired military officers with initial arterial hypertension but they are more typical for stage 2 of the disease

scholarly journals Predicting the risk of left ventricular hypertrophy in children and adolescents with arterial hypertension on the basis of 24-hour blood pressure monitoring and metabolism indicators

2020 ◽  
Vol 1 ◽  
Author(s):  
Tamara Haiduk ◽  
Olha Haiduk ◽  
Irene Gubar
Keyword(s):  
Blood Pressure ◽  
Left Ventricular Hypertrophy ◽  
Arterial Hypertension ◽  
Children And Adolescents ◽  
Ventricular Hypertrophy ◽  
Blood Pressure Monitoring ◽  
Left Ventricular ◽  
Control Group ◽  
Immunoreactive Insulin ◽  
Pressure Monitoring

Abstract: Objective: To investigate the significance of 24-hr ambulatory blood pressure monitoring (ABPM) data and metabolism indicators, as well their correlation in predicting the risk of left ventricular hypertrophy (LVH) in children and adolescents with arterial hypertension (AH). Methods: We studied 118 children and adolescents, M±m 15.51±0.25 yrs, Boys/Girls – 104/14, with AH: 60 stable, 40 labile, 18 prehypertension (high-normal blood pressure), and a control group of 13 normotensive children, M±m 15,19±0,41 yrs, Boys/Girls – 10/3. All patients underwent a comprehensive anamnestic, clinical, laboratory, and instrumental examination, including 24-hr ABPM; indicators were standardized by gender and age. On Doppler echocardiography (echoCG), the left ventricular myocardial mass index (LVMI) was calculated. Lipid spectrum parameters were determined by biochemical method, venous blood glycemia by GOD-PAP, blood serum basal immunoreactive insulin by ELISA methods, insulin resistance (IR) by HOMA parameters calculation. Statistical processing was performed using the package of statistical analysis software STATISTICA. Results: Of a range of metabolism indicators, BMI, TG level, LDL/HDL ratio, HOMA index, 24-hr DBP index, and the stable character of AH identified as the most significant factors in predicting the risk of LVH in hypertensive children. All multivariate models of logistic regressions, which include BMI, can predict the probability of LVH with an accuracy of 79.7-84.7%, sensitivity - 57.5-77.5%, specificity - 86.4-91.0%. Conclusions: Obtained satisfactory concordance of the actual data with predictive models' results indicate the possibility of their use to predict the risk of LVH in children and adolescents with AH.

Ambulatory blood pressure monitoring-based definition of true arterial hypertension

2020 ◽  
Vol 111 (6) ◽  
Author(s):  
Ramón C. Hermida ◽  
Artemio Mojón ◽  
José R. Fernández ◽  
Alfonso Otero ◽  
Juan J. Crespo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Definition Of

The triglycerides and glucose index is associated with elevated blood pressure in apparently healthy children and adolescents

2019 ◽  
Vol 178 (7) ◽  
pp. 1069-1074 ◽  
Author(s):  
Luis E. Simental-Mendía ◽  
Gabriela Hernández-Ronquillo ◽  
Claudia I. Gamboa-Gómez ◽  
Rita Gómez-Díaz ◽  
Martha Rodríguez-Morán ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Elevated Blood Pressure ◽  
Healthy Children ◽  
Elevated Blood ◽  
Apparently Healthy

scholarly journals The association between serum copper concentrations and elevated blood pressure in US children and adolescents: National Health and Nutrition Examination Survey 2011–2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Changsong Liu ◽  
Yanfen Liao ◽  
Zongyuan Zhu ◽  
Lili Yang ◽  
Qin Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
National Health ◽  
Serum Copper ◽  
Elevated Blood Pressure ◽  
Nutrition Examination Survey ◽  
Elevated Blood ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Us Children

Abstract Background Copper is an essential trace metal with potential interest for cardiovascular effects. Few studies have explored the association between copper and blood pressure in children and adolescents. Method We conducted a cross-sectional analysis of 1242 children and adolescents aged 8–17 years who participated in the 2011 to 2016 National Health and Nutrition Examination Survey. Using 2017 American Academy of Pediatrics guidelines, elevated blood pressure (EBP) was defined as a mean systolic and/or diastolic blood pressure (BP) ≥ 90th percentile for sex, age, and height for children aged 1–12 years and systolic BP ≥ 120 mmHg or diastolic BP ≥ 80 mmHg for adolescent age 13–17 years. Mean serum copper was 114.17 μg/dL. Results After multiple adjustments, dose–response analyses revealed that EBP was associated with progressively higher serum copper concentrations in a nonlinear trend. In comparison with the lowest quartile of serum copper concentrations, the adjusted odds of EBP for the highest quartile was 5.26 (95% confidence interval, 2.76–10.03). Conclusion Our results suggested that high serum copper concentrations were significantly associated with EBP in US children and adolescents.

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