Home, clinic, and ambulatory blood pressure monitoring in XXXX with @entity177 .

@entity1 @entity177 @entity551 @entity101
Ambulatory blood pressure monitoring (ABPM) provides superior information for diagnosis and treatment of pediatric @entity101 , but for reasons of practicality, clinic blood pressure measurements (CBP) are still the primary diagnostic tool. Regular @entity551 ( @entity551 ) may be an alternative to ABPM, but this technique awaits validation in practice. We analyzed the concordance of ABPM, CBP and @entity551 in 118 pediatric @entity1 (3-19 y) with @entity177 . @entity551 readings (10.5 +/- 5.4 per @entity1 ) were averaged for one week around the day of ABPM and CBP. Mean arterial pressure (MAP) measured by @entity551 (84.0 +/- 10 mm Hg) was significantly lower than both CBP (86.1 +/- 14.1 mm Hg, P< 0.05) and daytime ABPM (90.3 +/- 10.4 mm Hg, P< 0.05). @entity551 detected @entity101 @entity1 with greater specificity (82 versus 70%), but lower sensitivity (52 versus 70%) than CBP. The fraction of @entity1 rated erroneously @entity101 was 23% with CBP, but only 14% with @entity551 . The 95% limits of agreement with ABPM were narrower for @entity551 (-23 to10 mm Hg) than for CBP (-30 to 21 mm Hg). CBP, but not @entity551 measurements, were less precise in the upper BP range. The accuracy of @entity551 measurements did not change with use over a six months time period. In conclusion, @entity551 was superior to CBP in predicting ABPM, but neither CBP nor @entity551 detected @entity101 with enough sensitivity or specificity to replace ABPM. The greater specificity of @entity551 compared with CBP makes it a more suitable tool for diagnosis, rather than screening, of @entity101 in @entity1 .
