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The Role of ABPM in Evaluation of Hypertensive Target-Organ Damage

  • Empar LurbeEmail author
  • Josep Redon
Reference work entry

Abstract

Despite evidence of an increasing prevalence of hypertension in the young, the consequences of early onset hypertension are not well established and often overlooked. Consequently, screening for early organ damage such as left ventricular hypertrophy, albuminuria, increased carotid intima-media thickness, pulse wave velocity, and even subtle clues to impaired brain function is key to evaluation. Over the last years ambulatory blood pressure monitoring has been introduced to evaluate blood pressure in the pediatric population, contributing substantially to knowledge about clinically relevant issues. Present guidelines recommend currently known conditions for which ambulatory blood pressure monitoring is useful and for which it will provide additional information in children and adolescents. The relation between ambulatory blood pressure and hypertension-induced organ damage is a key issue for ambulatory blood pressure monitoring. In children, the accurate identification of hypertension at the earliest possible age should logically give health-care providers the opportunity to initiate preventive measures, thereby potentially reducing the chance of developing end-organ damage and its attendant morbidity and mortality.

Keywords

Hypertension Children and adolescents Ambulatory blood pressure White-coat hypertension Masked hypertension Target organ damage 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Pediatric Department, Consorcio Hospital GeneralUniversity of ValenciaValenciaSpain
  2. 2.CIBER Fisiopatología Obesidad y Nutrición (CB06/03)Instituto de Salud Carlos IIIMadridSpain
  3. 3.INCLIVA Research InstituteValenciaSpain
  4. 4.Hypertension Clinic, Department of Internal Medicine, Hospital Clinico de ValenciaUniversity of ValenciaValenciaSpain

Section editors and affiliations

  • Karen M. Redwine
    • 1
  1. 1.Department of Pediatrics, Arkansas Children's HospitalUniversity of Arkansas for Medical SciencesLittle RockUSA

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