Open AccessBLOOD PRESSURE VARIATION IN CHILDREN AT 5 MINUTE INTERVAL FOR IDENTIFICATION OF WHITE COAT HYPERTENSION
Author(s) -
Pradeep Sharan,
Jai Prakash Narayan
Publication year - 2021
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v5i10.2243
Subject(s) - blood pressure , white coat hypertension , medicine , ambulatory blood pressure , anxiety , percentile , prehypertension , white coat , masked hypertension , diastole , pediatrics , cardiology , psychiatry , statistics , mathematics
White-coat hypertension is a condition when a person’s blood pressure tends to increase only when they are at the doctor's office. In children, blood pressure between the 90th and 95th percentile is labelled as pre-hypertension and above the 95thcentile it is classified as hypertension. The difference between 90th and 95th centiles for both systolic and diastolic blood pressure is only 4 mm of Hg.Methods: Children between ages 5 to 10 years admitted in the children ward of Shri Krishna Medical College and Hospital, Muzaffarpur, Bihar, India from February to April 2020 included in the study. We record blood pressure by oscillometer 4 times a day, over 4 days of hospital stay and each time two readings were taken at 5 minute intervals.Results: During 4 days of hospital stay blood pressure varied widely. In addition second reading of BP were always less than the first reading BP, but second readings data also varied widely just as first readings.Conclusion: White coat’ hypertension is the phenomenon where BP is exaggerated by act of measuring BP. This is initiated by anxiety. Children are particularly susceptible and distressed by the circumstances of hospitalization, stranger anxiety and fear to painful intervention. We should take multiple readings before reach a conclusion of hypertension. Key words: Blood pressure, White-coat Hypertension, Ambulatory BP, Hypertension