Document Detail

Interpretation of children's blood pressure using a physiologic height correction.
MedLine Citation:
PMID:  3487549     Owner:  NLM     Status:  MEDLINE    
In a cross-sectional survey of 1834 black, Atlanta schoolchildren we corrected the customary blood pressure (BP) observations for the height of the arterial column extending from the BP cuff to the top (vertex) of the subject's head. Each cuff-to-vertex height was converted to its pressure equivalent in mmHg; then this pressure was subtracted from the observed BP to compute vertex-corrected BP values. The vertex-corrected mean arterial pressure (VMAP) ranged from 22.3 to 83.2 mmHg, but there was no estimated linear association between VMAP and age. For males, mean VMAP was 49.4 mmHg for ages 6-13 and 46.0 mmHg for ages 14-17. For females, mean VMAP was 50.2 mmHg for ages 6-17. Since VMAP appears to be independent of age in most of childhood, its use may simplify the development of pediatric BP reference values. VMAP can also serve as a non-invasive approximation of cerebral perfusion pressure. Investigators of primary hypertension may wish to use VMAP for comparing average BP levels between childhood groups which differ by potentially etiologic characteristics.
H S Kahn; R P Bain; B Pullen-Smith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of chronic diseases     Volume:  39     ISSN:  0021-9681     ISO Abbreviation:  J Chronic Dis     Publication Date:  1986  
Date Detail:
Created Date:  1986-08-19     Completed Date:  1986-08-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985123R     Medline TA:  J Chronic Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  521-31     Citation Subset:  IM    
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MeSH Terms
African Americans
Blood Pressure*
Body Height*
Body Weight
Cerebrovascular Circulation
Cross-Sectional Studies
Hydrostatic Pressure
Statistics as Topic
Urban Population

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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