Faculty Opinions recommendation of Increased salt sensitivity of ambulatory blood pressure in women with a history of severe preeclampsia.

Childhood hypertension’s increasing prevalence has generally been linked to the obesity epidemic. We observed that a significant proportion of children referred to our pediatric center with documented office hypertension are nonobese and have a history of attention deficit hyperactivity disorder (ADHD). To define the extent of this anecdotal observation, we performed a retrospective analysis of ambulatory blood pressure monitoring (ABPM) tests which in our center are routinely performed in newly referred children suspected of hypertension. Twenty-one percent (48 of 227 new referrals) had a history of ADHD, and 81% of them were treated with psychostimulant medications at the time of their ABPM test. Children in this group had a significantly lower average BMIz-score compared with the rest of the children (0.18 versus 0.75) and were significantly more likely to have abnormally elevated wake systolic loads on ABPM (38% versus 4%). The overall proportion of children with any abnormality on ABPM was comparable in both groups (46% versus 40%).Conclusion. A significant proportion of children suspected of hypertension have ADHD which may be related to higher wake systolic BP values. The prevalence of hypertension among children with ADHD will have to be determined in prospective studies.

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Prognostic significance of ambulatory blood pressure in hypertensive patients with history of cardiovascular disease

Blood Pressure Monitoring ◽

10.1097/mbp.0b013e32831054f5 ◽

2008 ◽

Vol 13 (6) ◽

pp. 325-332 ◽

Cited By ~ 51

Author(s):

Robert H. Fagard ◽

Lutgarde Thijs ◽

Jan A. Staessen ◽

Denis L. Clement ◽

Marc L. De Buyzere ◽

...

Keyword(s):

Blood Pressure ◽

Cardiovascular Disease ◽

Ambulatory Blood Pressure ◽

Prognostic Significance ◽

Hypertensive Patients ◽

History Of

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Twenty-four-hour ambulatory blood pressure pattern in youngsters with a different family history of hypertension: the Dutch hypertension and offspring study

Journal of Hypertension ◽

10.1097/00004872-198900076-00029 ◽

1989 ◽

Vol 7 ◽

pp. S66-67 ◽

Cited By ~ 8

Author(s):

Ingrid M. S. van Hooft ◽

Diederick E. Grobbee ◽

Hendrika J. Waal-Manning ◽

Albert Hofman

Keyword(s):

Blood Pressure ◽

Family History ◽

Ambulatory Blood Pressure ◽

Pressure Pattern ◽

History Of ◽

Family History Of Hypertension

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Abstract P205: Finger Ring Provides Nocturnal Blood Pressure Dipping Status Based On Analysis Of Oscillatory Photoplethysmography

Hypertension ◽

10.1161/hyp.76.suppl_1.p205 ◽

2020 ◽

Vol 76 (Suppl_1) ◽

Author(s):

Robin A Felder ◽

Katherine Schiermeyer ◽

Mahabuba Akhter ◽

Peng Xu ◽

Wei Yue ◽

...

Keyword(s):

Blood Pressure ◽

Ambulatory Blood Pressure Monitoring ◽

Ambulatory Blood Pressure ◽

Blood Pressure Monitoring ◽

Study Participant ◽

Salt Sensitivity ◽

Morbidity And Mortality ◽

Pressure Monitoring ◽

Salt Diet ◽

Nocturnal Blood Pressure

Ambulatory blood pressure monitoring is more useful for the diagnosis of various forms of hypertension including white coat and morning surge as well as other conditions that are associated with increased morbidity and mortality such as sleep apnea. Nocturnal changes in blood pressure (BP) can also aid in the diagnosis of various manifestations of blood pressure independent of hypertension known as salt sensitivity (SS) and inverse salt sensitivity (ISS) of blood pressure. SS individuals experience an increase in BP on a high salt diet while ISS individuals experience a paradoxical increase in BP on a low salt diet. SS and ISS phenotypes affect approximately 18% and 15% of normotensives, respectively, which may result in significant morbidity and mortality similar to untreated hypertension. Consuming a personally appropriate salt diet can result in a circadian drop in BP during sleep, and failure to “dip” can lead to significant cardiovascular diseases. Nocturnal dipping is usually recorded using an ambulatory blood pressure monitoring (ABPM) device. Arterial pulse wave measurements using oscillatory photoplethysmography (OP) are minimally invasive when compared to an inflatable cuff, which can disturb sleep and raise blood pressure. We measured nocturnal blood pressure using a ring based photoplethysmograph (SensoGram Technologies, Plano Texas). A UVA Salt Study participant wore their device upon going to bed and then uploaded nocturnal data to the internet each morning. Systolic and diastolic BP is capable of being measured 30 times a minute for approximately 9 hours and providing over 5000 data points each night. Three representative dipping profiles for an individual yielded a dipping reduction of 24% ± 3% for systolic and 40% ± 10% for diastolic (1 - mid-sleeping lowest value/start of evening highest value). This additional data afforded by nocturnal BP measurement is anticipated to improve diagnostic opportunities in the measurement of SS and ISS phenotypes and provide the user with reassurance that nocturnal BP dipping is occurring.

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The validity of a daytime ambulatory blood pressure to diagnose masked hypertension

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2020.1356 ◽

2020 ◽

Vol 90 (3) ◽

Author(s):

Abdulhalim Jamal Kinsara ◽

Ayman Hassan Elshiekh ◽

Ahmed Mohamed Abuosa ◽

Domenico Galzerano ◽

Mohammed Burhan Abrar

Keyword(s):

Blood Pressure ◽

Ambulatory Blood Pressure ◽

National Guard ◽

Blood Pressure Monitoring ◽

Good Method ◽

Masked Hypertension ◽

Pressure Monitoring ◽

Significant Difference ◽

History Of ◽

A Prospective Study

Masked hypertension (MH) is traditionally diagnosed with 24-hour ambulatory blood pressure monitoring (24-ABPM). This is relatively costly and could cause discomfort during the night. We studied the validity of daytime ABP (DT-ABPM) in young National Guard soldiers and determined the prevalence in comparison to the standard 24-ABPM. A prospective study of 196 soldiers aged 21-50 years, without a history of hypertension or antihypertensive medication use. Each participant was fitted with a 12h-ABPM. Patients were diagnosed with MH if the office blood pressure (OBP) was <140/90 mmHg and the average DT-ABPM was ≥135/85 mmHg. By pairing the average OBP with the 12 h-ABPM, the prevalence of MH was estimated as 18/196 (9.2%), the SBP MH (systolic blood pressure) of 8.2% and the DPB MH (diastolic blood pressure) of 3.1%. When we compared the daytime prevalence with the 24 h-ABPM, and the average OBP, the prevalence of MH was 29/196 (14.8%). No statistically significant difference was noted (kappa=0.74; 95% CI: 0.59 to 0.88). We conclude that DT-ABPM is a good method and convenient to detect MH, with no statistically significant difference when compared to the 24 h-ABPM. The prevalence of MH in young healthy soldiers was unexpectedly high.

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