IPNAJC Wrap up – July 2022

Hello #IPNAJC enthusiasts,

We had our 5th #IPNAJC chat on “Ambulatory Blood Pressure Monitoring (ABPM) in children and adolescents: 2022 Update” A scientific statement from the American Heart Association (AHA)” on July 20 and 21, 2022. 

PMID: 35603599. Link: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000215 

The Summary was written by Drs. Suprita Kalra and Andrew M. South.

Infographics were created on this study by Archana Vajjala and Madiha Aziz.

Synopsis of Discussion

Pediatric ABPM guidelines continue to have significant weaknesses, including reliance on sex and age or height-based normative ABPM data to define high values at or above the 95th percentile, reliance on both mean ambulatory BP and load (i.e. the proportion of measurements at or above the 95th percentile), and too many confusing classifications that can leave many patients unclassified. To address the above issues, the AHA has issued an update on ABPM in Children and Adolescents in May 2022. The new guideline provides three main updates: (1) use ABPM to confirm the diagnosis of ambulatory hypertension prior to starting antihypertensive medication; (2) provide additional resources for validated ABPM devices; (3) provide a new classification schema- Load is removed from the classification based on the findings from CKiD and SHIP-AHOY studies and single point cut off for adolescents >/= 13 years, similar to adult criteria. Diastolic Hypertensiona nd Nocturnal Hypertension should be used in teh interpretation fo ABPM.

Here is a 10-tweet summary on Twitter and Facebook by Md. Abdul Qader.

CHAT SCRIPT of the 5th #IPNAJC #IPNAJC chat on #Hypertension and #ABPM in children and adolescents can be found at- https://theipna.org/wp-content/uploads/2022/07/IPNAJC-Healthcare-Social-Media-Transcript-July-20th-2022.pdf

Wrapup curated by 

S. Sudha Mannemuddhu, MD

@drM_Sudha