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Improving Detection of Hypertension in Girls with Turner Syndrome Using Ambulatory Blood Pressure Monitoring

Hormone research in paediatrics, 2014-01, Vol.81 (1), p.25-31 [Peer Reviewed Journal]

2013 S. Karger AG, Basel ;Copyright (c) 2014 S. Karger AG, Basel ;ISSN: 1663-2818 ;EISSN: 1663-2826 ;DOI: 10.1159/000355510 ;PMID: 24281046

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Title:
Improving Detection of Hypertension in Girls with Turner Syndrome Using Ambulatory Blood Pressure Monitoring
Author: Fudge, Elizabeth B. ; Constantacos, Cathrine ; Fudge, James C. ; Davenport, Marsha
Subjects: Adolescent ; Adult ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory - instrumentation ; Blood Pressure Monitoring, Ambulatory - methods ; Child ; Circadian Rhythm ; Female ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - genetics ; Heart Defects, Congenital - physiopathology ; Humans ; Hypertension - complications ; Hypertension - diagnosis ; Hypertension - genetics ; Karyotype ; Mass Screening - instrumentation ; Mass Screening - methods ; Mass Screening - standards ; Original Paper ; Turner Syndrome - complications ; Turner Syndrome - genetics ; Turner Syndrome - physiopathology ; Young Adult
Is Part Of: Hormone research in paediatrics, 2014-01, Vol.81 (1), p.25-31
Description: Background/Aims: Turner syndrome (TS) is associated with increased mortality due to cardiovascular disease and a dramatically higher rate of aortic dissection. The recognition and treatment of hypertension in this population is critical. We sought to assess the ability to detect blood pressure (BP) abnormalities comparing ambulatory blood pressure monitoring (ABPM) with conventional BP measurement methods. We hypothesized that ABPM would improve detection of hypertension and alter management strategies. Methods: Twenty-three girls with TS underwent BP measurements using an automated oscillometric method and a manual mercury sphygmomanometer. Twenty-four-hour ABPM was performed (Spacelabs 90217, Issaquah, Wash., USA). BP values were compared to normative data based on height and sex for ABPM, and for age, height and sex for automated oscillometric and manual measurements. Results: Five (22%) subjects were found to have ambulatory hypertension (3 of these with severe hypertension). Three subjects had prehypertension using ABPM measurements. Only 1 of the 5 patients with ambulatory hypertension was categorized as hypertensive using manual BP measurements. Twelve subjects (52%) had nocturnal hypertension. ABPM data led to a change in medical management of hypertensive patients with initiation of antihypertensive therapy. Conclusions: ABPM is advantageous in TS, as it improves detection of hypertension, identifies those with non-dipping BP patterns, and changes medical management of patients.
Publisher: Basel, Switzerland: S. Karger AG
Language: English
Identifier: ISSN: 1663-2818
EISSN: 1663-2826
DOI: 10.1159/000355510
PMID: 24281046
Source: AUTh Library subscriptions: ProQuest Central
MEDLINE
Alma/SFX Local Collection

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Improving Detection of Hypertension in Girls with Turner Syndrome Using Ambulatory Blood Pressure Monitoring

2013 S. Karger AG, Basel ;Copyright (c) 2014 S. Karger AG, Basel ;ISSN: 1663-2818 ;EISSN: 1663-2826 ;DOI: 10.1159/000355510 ;PMID: 24281046

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