Ambulatory blood pressure patterns in children with chronic kidney disease.

Hypertension
Joshua SamuelsChronic Kidney Disease in Children Study Group

Abstract

Ambulatory blood pressure (BP) monitoring (ABPM) is the best method of detecting abnormal BP in patients with chronic kidney disease (CKD), whose hypertension may be missed with casual BP measurements. We report ABPM findings in 332 children 1 year after entry in the Chronic Kidney Disease in Children cohort study. All of the subjects underwent casual and ambulatory BP measurement. BP was categorized based on casual and ABPM results into normal (42%), white-coat (4%), masked (35%), and ambulatory (14%) hypertension. Only half of the subjects had a normal ABPM. BP load was elevated (>25%) in 52% (n = 172), whereas mean BP was elevated in 32% (n = 105). In multivariate analysis, those using an angiotensin-converting enzyme inhibitor were 89% more likely to have a normal ABPM than those who did not report using an angiotensin-converting enzyme inhibitor (odds ratio, 1.89 [95% CI, 1.17-3.04]). For every 20% faster decline in annualized glomerular filtration rate change, the odds of an abnormal ABPM increased 26% (odds ratio, 1.26 [95% CI, 0.97-1.64]). A 2.25-fold increase in urine protein:creatinine ratio annualized change was associated with a 39% higher odds of an abnormal ABPM (odds ratio, 1.39 [95% CI, 1.06-1.82]). Abnormalitie...Continue Reading

Associated Clinical Trials

Feb 26, 2015·Jeffrey D. Lebensburger, DO

References

May 1, 1993·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·L OldrizziG Maschio
Feb 28, 2002·American Journal of Hypertension·Marianne Soergel, Franz Schaefer
Apr 23, 2002·Hypertension·Jonathan M SorofRonald J Portman
Aug 17, 2002·The Journal of Pediatrics·R S ParekhF K Port
Feb 13, 2003·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Mark M MitsnefesStephen R Daniels
Nov 25, 2003·Pediatric Research·Elke WühlUNKNOWN Escape Trial Group
Jul 16, 2004·Kidney International·Elke WühlUNKNOWN ESCAPE Trial Group
Aug 3, 2004·Pediatrics·UNKNOWN National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
Jul 20, 2006·Kidney International·A M Thompson, T G Pickering
Jan 12, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·George J Schwartz, Susan L Furth
Aug 19, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Susan L FurthBradley A Warady
Aug 30, 2008·Hypertension·Joseph T FlynnUNKNOWN Chronic Kidney Disease in Children Study Group
Mar 27, 2009·Nature Reviews. Nephrology·Marc R Lilien, Jaap W Groothoff
Jun 25, 2009·Journal of Hypertension·Charlotte GimpelUNKNOWN ESCAPE Trial Group
Aug 16, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Susan L FurthBradley A Warady
Dec 14, 2011·American Journal of Hypertension·Ramón C HermidaJosé R Fernández

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Citations

Aug 26, 2011·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Joseph T Flynn
Jul 2, 2014·Journal of Hypertension·Simonetta Genovesi, Guido Grassi
Feb 4, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Gina-Marie BarlettaSusan Furth
Apr 5, 2014·The Journal of Pediatrics·Joseph T FlynnUNKNOWN Chronic Kidney Disease in Children Study
Jan 17, 2014·Archives of Disease in Childhood·S ZaheerN J A Webb
May 30, 2013·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Michael A Ferguson, Joseph T Flynn
Feb 10, 2016·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Cynthia WongUNKNOWN Chronic Kidney Disease in Children (CKiD) Study
Feb 3, 2016·The Journal of Pediatrics·Katherine M DellUNKNOWN Chronic Kidney Disease in Children (CKiD) Study
Jan 30, 2016·Clinical and Experimental Nephrology·Mehmet TaşdemirLale Sever
Apr 15, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Marcel RuzickaSwapnil Hiremath
Jun 28, 2016·Progress in Pediatric Cardiology·Rene G VanDeVoorde, Mark M Mitsnefes
Mar 31, 2016·Journal of the American Society of Hypertension : JASH·Susan M HalbachCoral Hanevold
May 21, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sandra J TalerRaymond R Townsend
Sep 16, 2015·Current Opinion in Nephrology and Hypertension·Gema Ruiz-HurtadoLuis M Ruilope
Sep 30, 2015·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Mark M MitsnefesUNKNOWN CKiD study group
Aug 16, 2015·Advances in Medical Sciences·Maria Roszkowska-Blaim, Piotr Skrzypczyk
Mar 11, 2015·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Janis M Dionne
Dec 15, 2015·Indian Journal of Nephrology·D GuptaI Agarwal
Nov 30, 2014·Current Hypertension Reports·Susan Halbach, Joseph Flynn
Oct 1, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Orly HaskinAbanti Chaudhuri
Jun 30, 2016·Pediatric Transplantation·Gilad HamdaniMark M Mitsnefes
Sep 16, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Rebecca L RuebnerSusan L Furth
Nov 9, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Franz SchaeferUNKNOWN 4C Study Consortium
Aug 21, 2013·Clinical Pediatrics·Marc B Lande, Juan C Kupferman
Mar 5, 2014·Hypertension·Joseph T FlynnUNKNOWN American Heart Association Atherosclerosis, Hypertension and Obesity in Youth Committee of the Council on Cardiovascular Dis
Jan 4, 2018·Hypertension·Gina-Marie BarlettaJoseph Flynn
Feb 15, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Bonita Falkner
Feb 15, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Elaine KuMark M Mitsnefes
Apr 18, 2014·Hypertension Research : Official Journal of the Japanese Society of Hypertension·José BoggiaOscar Noboa
Feb 15, 2020·JAMA Network Open·Ben Christopher ReynoldsRulan Savita Parekh
May 1, 2019·Current Hypertension Reviews·Katerina ChrysaidouStella Stabouli
Mar 9, 2018·Current Opinion in Pediatrics·Smitha R Vidi
Oct 31, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Gurpreet KaurJuhi Kumar
Sep 28, 2017·Pediatric Cardiology·Hisayo FujitaMidori Awazu
Dec 21, 2018·Hypertension·Coral D Hanevold
Jun 20, 2019·Frontiers in Pediatrics·Marina M Gabriele, Paulo C Koch Nogueira
Oct 21, 2015·Current Cardiology Reports·Joshua SamuelsRita Swinford
Jul 18, 2017·Frontiers in Pediatrics·Caitlin G Peterson, Yosuke Miyashita
Jul 28, 2019·Current Hypertension Reports·Sonali S Patel, Stephen R Daniels

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