Is ABPM clinically useful after pediatric solid organ transplantation?

Pediatric Transplantation
Marianne Soergel

Abstract

When ambulatory blood pressure monitoring (ABPM) is performed in populations with a high risk for secondary hypertension, such as solid organ transplant recipients, hypertension or abnormalities in circadian blood pressure variability are often discovered even in patients with normal office blood pressure (BP). To discuss whether ABPM should be routinely assessed in pediatric solid organ recipients, the available information on pathological findings, association of ABPM abnormalities with outcome parameters, and treatment options is reviewed. ABPM is a useful tool to optimize therapy in the large proportion of transplant recipients with confirmed hypertension. Whether the use of ABPM on a routine basis should be recommended for pediatric transplantation patients without office hypertension remains to be determined.

References

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Jun 13, 2003·The New England Journal of Medicine·Denis L ClementUNKNOWN Office versus Ambulatory Pressure Study Investigators
Sep 5, 2003·The New England Journal of Medicine·Akinlolu O OjoRobert M Merion
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Sep 16, 2004·Pediatric Transplantation·Mónica E Del CompareRafael T Krmar

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Citations

Mar 11, 2004·Pediatric Transplantation·Richard N FineRobert E Gore-Langton
Jan 9, 2008·Pediatric Transplantation·Guido Filler, Ajay P Sharma
Jan 24, 2007·Pediatric Transplantation·Rene' G VanDe Voorde, Mark M Mitsnefes

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