HTN: Ambulatory blood pressure monitoring (ABPM)

• 🚧 Under construction 🚧

• ABPM reference ranges (different from AAP guidelines/HyperRisk): Urbina, Elaine, et al. "Ambulatory blood pressure monitoring in children and adolescents: recommendations for standard assessment: a scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the council on cardiovascular disease in the young and the council for high blood pressure research." Hypertension 52.3 (2008): 433-451.

  • https://www-ahajournals-org.laneproxy.stanford.edu/doi/pdf/10.1161/HYPERTENSIONAHA.108.190329

Cutoff values:

• May vary slightly depending on institution

• Patients without CKD:

  • Children without CKD: use pediatric values for 95%ile

  • Adults: cutoff value to be used per JNC/AHA guidelines

    1. Day SBP = 135 mmHg

    2. Day DBP = 85 mmHg

    3. Night SBP = 120 mmHg

    4. Night DBP = 75 mmHg

• Patients with CKD / on dialysis / after kidney transplant:

  • Use pediatric values for 95%ile

  • Adult cutoff value to be used per the new ACC/AHA guidelines

    1. Day SBP = 130 mmHg

    2. Day DBP = 80 mmHg

    3. Night SBP = 110 mmHg

    4. Night DBP = 65 mmHg

• At Stanford Children's, we use the following spreadsheet to calculate our ABPM percentiles: