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01-07-2016 | Educational Review

Blood pressure (BP) assessment—from BP level to BP variability

Authors: Janusz Feber, Mieczyslaw Litwin

Published in: Pediatric Nephrology | Issue 7/2016

Abstract

The assessment of blood pressure (BP) can be challenging in children, especially in very young individuals, due to their variable body size and lack of cooperation. In the absence of data relating BP with cardiovascular outcomes in children, there is a need to convert absolute BP values (in mmHg) into age-, gender- and height appropriate BP percentiles or Z-scores in order to compare a patient’s BP with the BP of healthy children of the same age, but also of children of different ages. Traditionally, the interpretation of BP has been based mainly on the assessment of the BP level obtained by office, home or 24-h BP monitoring. Recent studies suggest that it is not only BP level (i.e. average BP) but also BP variability that is clinically important for the development of target organ damage, including the progression of chronic kidney disease. In this review we describe current methods to evaluate of BP level, outline available methods for BP variability assessment and discuss the clinical consequences of BP variability, including its potential role in the management of hypertension.

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Title: Blood pressure (BP) assessment—from BP level to BP variability
Authors: Janusz Feber
Mieczyslaw Litwin
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Nephrology / Issue 7/2016
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-015-3161-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Blood pressure (BP) assessment—from BP level to BP variability

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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