Office, Home, and Ambulatory Blood Pressure

Inclusion criteria

• Age 6 years to <19 years old;
• Elevated blood pressure defined as 15% lower than the 95%ile BP based on clinical practice guidelines(CPG) but less than stage II hypertension based on CPG;
• Tolerate ABPM 24 hours;
• Tolerate HBP; and
• Can have diabetes mellitus, obstructive sleep apnea, and attention deficit hyperactivity disorder managed by medication.
• On stable doses of medications known to affect BP such as:

• Corticosteroids
• Calcineurin inhibitors
• Oral decongestants;
• Clinically stable

Exclusion criteria

• On antihypertension medications or treated in the last 6 months;
• Pregnant;
• Structural heart disease such as:

• Obstructive valvular disease
• Coarctation of the aorta
• Cardiomyopathy;
• Other secondary causes such as:

• Renal artery stenosis
• Neurological condition with dysautonomia;
• Recent initiation of medications known to affect BP such as:

• Corticosteroids
• Calcineurin inhibitors
• Oral decongestants;