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Office and Out of Office Blood Pressure Measurements

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Hypertension in Children and Adolescents

Part of the book series: Updates in Hypertension and Cardiovascular Protection ((UHCP))

Abstract

Blood pressure (BP) measurement is part of routine pediatric clinical care. Proper methodology leading to accurate diagnosis and risk stratification is of critical importance. Office BP is the basis for hypertension screening and diagnosis, and despite the increasing use of out of office BP, remains indispensable for defining BP phenotypes. Out of office BP measurements enable the assessment of BP phenotypes and result in more accurate hypertension or normotension diagnosis. Ambulatory BP monitoring is recommended to confirm the diagnosis of hypertension in children and adolescents. The role of home BP monitoring is less investigated and its use during the process of hypertension diagnosis is not currently supported. Out of office BP measurements have been found to have closer relations with hypertensive target organ compared to office BP. However, significant gaps of evidence in the long-term prognostic value and superiority of out of office BP and relevant phenotypes in children and adolescents need to be addressed.

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Authors and Affiliations

  1. First Department of Pediatrics, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, Greece

    Stella Stabouli

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  1. Head of Pediatrics Department, Hospital General Universitario Valencia, Valencia, Spain

    Empar Lurbe

  2. Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany

    Elke Wühl

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Stabouli, S. (2019). Office and Out of Office Blood Pressure Measurements. In: Lurbe, E., Wühl, E. (eds) Hypertension in Children and Adolescents. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-030-18167-3_4

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