American Academy of Pediatrics, “The 4th Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents,” Pediatrics, Vol. 114, No. 2, 2004, pp. 555-576. doi:10.1542/peds.114.2.S2.555

has been cited by the following article:

• TITLE: The Clinical Application of Ambulatory Blood Pressure Monitoring in Pediatrics

  AUTHORS: Yosuke Miyashita

  KEYWORDS: Pediatric Hypertension, Ambulatory Blood Pressure Monitoring, White Coat Hypertension, Masked Hypertension

  JOURNAL NAME: International Journal of Clinical Medicine, Vol.2 No.5, November 17, 2011

  ABSTRACT: Management of hypertension (HTN) largely relies on proper and accurate measurement of blood pressure (BP). Even following the criteria for HTN diagnosis defined in the Fourth report on high BP in children and adolescents, inaccurate diagnosis and misdiagnosis can occur with white coat effect and masked HTN. The use of Ambulatory Blood Pressure Monitoring (ABPM) has been increasing in pediatrics in the last 20 years. The main use of ABPM is to differentiate between sustained HTN and white coat HTN in patients who have elevated casual BP measurements and to detect masked HTN in high risk patients. ABPM is most useful in patients with casual BP within 20% of the 95th percentile for age, gender, and height. This report will highlight the use of ABPM in the evaluation of elevated BP and management of HTN in pediatrics. The discussion includes a review of various non-invasive BP measuring techniques, a description of ABPM and ABPM-unique data and diagnoses, updated ABPM clinical data more specific to pediatrics, its use in HTN clinical trials, and future outlook and direction of ABPM in pediatrics.