Belsha CW, Wells TG, Plummer J, Berry PL
Diurnal blood pressure variation in normotensive and
hypertensive children and adolescents Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Nov) 6:637 1995
In adult hypertensives, loss of nocturnal BP drop is associated
with end-organ damage. However there is little info available
about 24 h BP patterns in young patients. In this study 23
normotensive and 23 untreated borderline and mildly hypertensive
children with mean ages in the range of 12-14 years were
subjected to ambulatory BP monitoring. The diastolic BP fell by
about 20% in both normotensives and hypertensives, and systolic
BP fell by 12 -14%. The results suggest that in early
hypertension the nocturnal fall in blood pressure is preserved.
(Daugirdas)