Ability of Blood Pressure to Predict Left Ventricular Hypertrophy in Children with Primary Hypertension

Tammy McLoughlin Brady, Barbara A Fivush, Joseph T. Flynn, Rulan Parekh

Research output: Contribution to journalArticle

Abstract

Objective: To determine whether casual blood pressure (BP) or ambulatory BP monitoring (ABPM) measurements obtained at the initial visit of a child with confirmed hypertension (HTN) might predict left ventricular hypertrophy (LVH), possibly obviating the need for echocardiography. Study design: We conducted a cross-sectional study of 184 children aged 3 to 20 years who were referred for initial evaluation of elevated BP at 3 tertiary care centers. Casual BP and various ambulatory BP variables were analyzed to determine their association with LVH, defined after echocardiography by cardiologist diagnosis or a left ventricular mass index equal to or greater than the sex-specific 95th percentile. Results: A total of 41% of children who had echocardiograms had LVH. Children with LVH were significantly more likely to be non-white and have a higher body mass index z-score. There was no difference in casual systolic or diastolic BP index in children with hypertension who had LVH and children with hypertension without LVH. Children with systolic or diastolic BP loads ≥50% were no more likely to have LVH than children with loads

Original languageEnglish (US)
JournalJournal of Pediatrics
Volume152
Issue number1
DOIs
StatePublished - Jan 2008

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Left Ventricular Hypertrophy
Blood Pressure
Hypertension
Echocardiography
Ambulatory Blood Pressure Monitoring
Tertiary Care Centers
Body Mass Index
Cross-Sectional Studies

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Ability of Blood Pressure to Predict Left Ventricular Hypertrophy in Children with Primary Hypertension. / Brady, Tammy McLoughlin; Fivush, Barbara A; Flynn, Joseph T.; Parekh, Rulan.

In: Journal of Pediatrics, Vol. 152, No. 1, 01.2008.

Research output: Contribution to journalArticle

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