Abstract:
:Ambulatory blood pressure monitoring (ABPM) has been developed to overcome recognized deficiencies and inaccuracies of classic (office) BP measurements in the diagnosis and management of hypertension (HTN). Although in adults it has become a valuable tool for the diagnosis and ongoing management of HTN, and its use has been documented in over 50 studies in children, few pediatric nephrologists systematically use this approach for HTN assessment. Some of the reluctance to completely embrace the technique comes from the fact that none of the major hypertension trials has been based on ambulatory BP readings. The prognostic information from ABPM studies is slowly accumulating, but there is still relatively little information on the long-term prognostic value of ABPM-derived readings. For children there are particular problems in measuring representative BP values. It would be very helpful to know to what extent ABPM can help. However, there have been few comprehensive reviews in this particular population, which leaves the practicing nephrologist rather confused. The purpose of this review is to assess the present state of knowledge of ABPM usage in children, high-lighting important studies that help to delineate the place of ABPM in their medical management. We discuss: advantages and limitations of ABPM, the variability of blood pressure in children, clinical uses of ABPM in pre-dialysis renal failure, dialysis, renal transplantation, primary renal diseases, and diabetes, comparison with adult data. The relationship between casual BP (CBP) and ABPM is presented, specifically the prevalence and relevance of either white-coat hypertension or relative 'office' hypertension. We conclude that in 2004, the sole reliance on casual BP to diagnose and to treat hypertension in children brings with it many difficulties. ABPM offers some clear solutions to these problems and thus should be routinely used in appropriately defined clinical settings, but is not a panacea.
journal_name
J Nephroljournal_title
Journal of nephrologyauthors
Gavrilovici C,Goldsmith DJ,Reid C,Gubeth-Tatomir P,Covic Asubject
Has Abstractpub_date
2004-09-01 00:00:00pages
642-52issue
5eissn
1121-8428issn
1724-6059journal_volume
17pub_type
杂志文章,评审abstract::The pathophysiological mechanisms underlying preeclampsia, a serious complication of pregnancy, are largely unknown. Since, on the other hand, the various risk factors are known, primary and secondary prevention with pre- and inter-pregnancy counseling should be undertaken, and a follow-up should be conducted to evalu...
journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND AND METHODS:Smoking is associated with hyperparathyroidism in the elderly general population and nicotine, the main component of tobacco smoke, stimulates PTH release in experimental models. Although smoking is a persisting problem in patients with end-stage renal disease (ESRD), the association between smok...
journal_title:Journal of nephrology
pub_type: 杂志文章
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abstract::Highly concentrated marine polyunsaturated fatty acids (n-3 PUFA), affecting the lipids and lipophilic drugs metabolism, can interfere with cyclosporine (CyA) pharmacokinetics. This prospective, randomized and placebo-controlled, double-blind study involved 42 kidney graft recipients. From day +1, 21 pts (E) received ...
journal_title:Journal of nephrology
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::In the general population, moderate exercise is associated with several health benefits including a decreased risk of obesity, coronary heart disease, stroke, certain types of cancer and all-cause mortality. In chronic kidney disease (CKD), physical inability is an independent risk of death. Health benefits of regular...
journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:10.1007/s40620-014-0169-6
更新日期:2015-04-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:10.5301/jn.5000146
更新日期:2012-11-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 历史文章,杂志文章
doi:
更新日期:2009-11-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2002-09-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.5301/jn.5000017
更新日期:2012-05-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.1007/s40620-016-0370-x
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2010-09-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.1007/s40620-017-0461-3
更新日期:2018-06-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2000-05-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:
更新日期:2008-03-01 00:00:00
abstract::We followed up 128 patients with crescentic glomerulonephritis (CGN), having sufficient clinical and histopathological data for a mean period of 34 +/- 28 months. There were 49 males and 79 females, mean age 22.7 +/- 14 years. We studied the effects of clinical, laboratory and histopathological parameters on kidney fu...
journal_title:Journal of nephrology
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::The metabolic syndrome is a cluster of cardiometabolic alterations at least partly dependent on reduced insulin sensitivity and hyperinsulinemia that can have several renal implications. A systematic review and meta-analysis of studies available in the international literature in English language demonstrates that the...
journal_title:Journal of nephrology
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s40620-014-0085-9
更新日期:2014-08-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,随机对照试验
doi:10.5301/JN.2011.6385
更新日期:2011-11-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract:QUESTIONS:- To what extent can ailing kidneys adapt their functions to the demands of pregnancy? - What risks is the nephropathic patient prone to throughout pregnancy compared with those of the general population, and which specific risks does her kidney disease determine? - What risks is the baby of a nephropathic pr...
journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2006-03-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.5301/jn.5000261
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2006-11-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:
更新日期:2005-07-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.1007/s40620-018-0536-9
更新日期:2019-04-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,评审
doi:
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Left ventricular (LV) geometric patterns have never been evaluated as independent risk factors for renal disease progression (RDP). We investigated the risk factors for RDP in type 2 diabetic nephropathy patients, especially focusing on the effects of LV geometric patterns. METHODS:This was a single-center ...
journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.5301/jn.2010.353
更新日期:2011-01-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 临床试验,杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::Hypertension is prevalent and remains an important risk factor in elderly and very elderly. Randomized controlled outcome trials have shown benefit of antihypertensive treatment in patients with systolic diastolic hypertension and in patients with isolated systolic hypertension, aged 60 years and over. More recently b...
journal_title:Journal of nephrology
pub_type: 杂志文章
doi:
更新日期:2009-09-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章
doi:10.5301/jn.5000063
更新日期:2012-09-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-03-01 00:00:00
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journal_title:Journal of nephrology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:
更新日期:2009-09-01 00:00:00