American Academy of Pediatrics

TABLE 12

High-Risk Conditions for Which ABPM May Be Useful

Condition	Rationale
Secondary HTN	Severe ambulatory HTN or nocturnal HTN indicates higher likelihood of secondary HTN¹⁶¹^,¹⁶⁷
CKD or structural renal abnormalities	Evaluate for MH or nocturnal HTN,¹⁶⁸^,^–¹⁷² better control delays progression of renal disease¹⁷³
T1DM and T2DM	Evaluate for abnormal ABPM patterns,¹⁷⁴^,¹⁷⁵ better BP control delays the development of MA¹⁷⁶^,^–¹⁷⁸
Solid-organ transplant	Evaluate for MH or nocturnal HTN, better control BP¹⁷⁹^,^–¹⁸⁸
Obesity	Evaluate for WCH and MH²³^,¹⁸⁹^,^–¹⁹²
OSAS	Evaluate for nondipping and accentuated morning BP surge⁴³^,⁴⁶^,¹⁹³^,¹⁹⁴
Aortic coarctation (repaired)	Evaluate for sustained HTN and MH⁵⁸^,¹¹²^,¹¹³
Genetic syndromes associated with HTN (neurofibromatosis, Turner syndrome, Williams syndrome, coarctation of the aorta)	HTN associated with increased arterial stiffness may only be manifest with activity during ABPM⁵⁸^,¹⁹⁵
Treated hypertensive patients	Confirm 24-h BP control¹⁵⁵
Patient born prematurely	Evaluate for nondipping¹⁹⁶
Research, clinical trials	To reduce sample size¹⁹⁷

Condition	Rationale
Secondary HTN	Severe ambulatory HTN or nocturnal HTN indicates higher likelihood of secondary HTN¹⁶¹^,¹⁶⁷
CKD or structural renal abnormalities	Evaluate for MH or nocturnal HTN,¹⁶⁸^,^–¹⁷² better control delays progression of renal disease¹⁷³
T1DM and T2DM	Evaluate for abnormal ABPM patterns,¹⁷⁴^,¹⁷⁵ better BP control delays the development of MA¹⁷⁶^,^–¹⁷⁸
Solid-organ transplant	Evaluate for MH or nocturnal HTN, better control BP¹⁷⁹^,^–¹⁸⁸
Obesity	Evaluate for WCH and MH²³^,¹⁸⁹^,^–¹⁹²
OSAS	Evaluate for nondipping and accentuated morning BP surge⁴³^,⁴⁶^,¹⁹³^,¹⁹⁴
Aortic coarctation (repaired)	Evaluate for sustained HTN and MH⁵⁸^,¹¹²^,¹¹³
Genetic syndromes associated with HTN (neurofibromatosis, Turner syndrome, Williams syndrome, coarctation of the aorta)	HTN associated with increased arterial stiffness may only be manifest with activity during ABPM⁵⁸^,¹⁹⁵
Treated hypertensive patients	Confirm 24-h BP control¹⁵⁵
Patient born prematurely	Evaluate for nondipping¹⁹⁶
Research, clinical trials	To reduce sample size¹⁹⁷