{"title":"Ambulatory Blood Pressure Monitoring in Children with Solitary Kidney","authors":"Sirisomboonlarp Kanjaporn, Chanakul Ankanee, Deekajorndech Tawatchai","doi":"10.23937/2572-3286.1510071","DOIUrl":null,"url":null,"abstract":"Background: Children with a solitary kidney are at risk of developing hypertension due to decreased nephron number with a consequence of hyperfiltration of the remnant. In patients with high-risk conditions, ambulatory blood pressure monitoring (ABPM), which records blood pressure (BP) for 24 hours, is helpful in detecting hypertension. Objectives: To investigate the prevalence of hypertension in children with solitary kidney using 24-h ABPM and comparing with the office blood pressure (OBP). Methods: Twenty-three patients aged 5-18 years-old were enrolled. Demographic, anthropometric and biochemical data were collected. OBP measurement with sphygmomanometer was recorded at the out-patient clinic, and patients were given a 24-h ABPM automatically records BP every 20 minutes during the day and every 30 minutes at night. Results: Mean age of the subjects was 9.5 ± 3.9 years-old. Eleven patients (47.8%) were diagnosed with hypertension using 24-h ABPM, while only 6 patients (26.1%) were hypertensive using OBP measurement. Among 11 hypertensive patients in the ABPM group, 63.6% are considered to have masked hypertension. Subgroup analysis showed that obese had mean systolic BP load higher than non-obese, 48.1 ± 22.3% and 28.1 ± 17.3% respectively. in children with solitary kidney is seen more often if based on ABPM than on OBP measurement. Using 24-h ABPM in a high-risk group should be implemented in out-patient settings to early detect hypertension.","PeriodicalId":73669,"journal":{"name":"Journal of clinical nephrology and renal care","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of clinical nephrology and renal care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23937/2572-3286.1510071","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Children with a solitary kidney are at risk of developing hypertension due to decreased nephron number with a consequence of hyperfiltration of the remnant. In patients with high-risk conditions, ambulatory blood pressure monitoring (ABPM), which records blood pressure (BP) for 24 hours, is helpful in detecting hypertension. Objectives: To investigate the prevalence of hypertension in children with solitary kidney using 24-h ABPM and comparing with the office blood pressure (OBP). Methods: Twenty-three patients aged 5-18 years-old were enrolled. Demographic, anthropometric and biochemical data were collected. OBP measurement with sphygmomanometer was recorded at the out-patient clinic, and patients were given a 24-h ABPM automatically records BP every 20 minutes during the day and every 30 minutes at night. Results: Mean age of the subjects was 9.5 ± 3.9 years-old. Eleven patients (47.8%) were diagnosed with hypertension using 24-h ABPM, while only 6 patients (26.1%) were hypertensive using OBP measurement. Among 11 hypertensive patients in the ABPM group, 63.6% are considered to have masked hypertension. Subgroup analysis showed that obese had mean systolic BP load higher than non-obese, 48.1 ± 22.3% and 28.1 ± 17.3% respectively. in children with solitary kidney is seen more often if based on ABPM than on OBP measurement. Using 24-h ABPM in a high-risk group should be implemented in out-patient settings to early detect hypertension.
背景:孤立肾患儿由于残肾的高滤过导致肾单位数量减少,有发生高血压的危险。对于高危患者,动态血压监测(ABPM),记录血压(BP) 24小时,有助于发现高血压。目的:探讨孤立肾儿童高血压的患病率,并与办公室血压(OBP)进行比较。方法:选取23例5 ~ 18岁的患者。收集了人口统计学、人体测量学和生化数据。门诊记录血压计测血压,给予患者24 h ABPM,白天每20分钟自动记录血压,夜间每30分钟自动记录血压。结果:患者平均年龄9.5±3.9岁。24 h ABPM诊断为高血压11例(47.8%),OBP诊断为高血压6例(26.1%)。ABPM组11例高血压患者中,63.6%被认为有隐匿性高血压。亚组分析显示,肥胖患者的平均收缩压负荷高于非肥胖患者,分别为48.1±22.3%和28.1±17.3%。单纯性肾脏病患儿的ABPM比OBP更常见。高危人群应在门诊实施24小时血压监测,以早期发现高血压。