Ambulatory blood pressure monitoring effect with health education in children with orthostatic hypertension

Abstract

Objective To analyse the 24 h ambulatory blood monitoring(ABPM)characteristics and effect of health education in children with orthostatic hypertension (OHT) retrospectively. Methods A total of 19 children[11 males and 8 females with mean age of (11.26±2.16) years] who were outpatients or had been hospitalized in the Second Xiangya Hospital of Central South University due to unexplained syncope, presyncope, and finally diagnosed as OHT after head up tilt test(HUTT). HUTT and ABPM were reexamined at 12~190(47±48)days after receiving health education (including psychological guidance, avoiding sudden changes in posture, increasing the amount of water, avoiding syncope inducement, etc). Results (1) ABPM parameters: there were no significant differences of ABPM parameters before and after health education respectively(P>0.05, respectively). (2) After the health education, HUTT 3 min diastolic pressure[(71.89±1.60) mmHg vs.(76.47±8.49) mmHg, 1 mmHg=0.133 kPa, t=2.785, P 0.05, respectively]. (4) OHT cure rate: after health education, to review the HUTT, within 3 minutes in HUTT, blood changes of 14 cases were normal range.The cure rate was 73.7%. Conclusion OHT children's blood type is given priority to withnon-dipper blood pressure , and the ratio ofdipper blood pressure increase and the HUTT 3 min diastolic and diastolic blood change decrease after health education.It suggests that the health education of OHT children has a certain clinical effect. Key words: Ambulatory blood monitoring; Orthostatic hypertension; Children; Health education; Treatment effect