Ambulatory blood pressure monitoring in children diagnosed with primary headache
Asiye Bolca, Secil Arslansoyu Camlar, Cemaliye Basaran, Gokcen Erfidan, Gunce Basarir, Pinar Gencpinar, Demet Alaygut, Fatma Mutlubas, Nihal Olgac Dundar, Belde Kasap Demir
Objectives: Patients with primary headache (PH) may have elevated blood pressure (BP) load and/or lack of normal nocturnal BP dipping, even if the office BP measurements are normal, and that may have a role in the etiology. The study aims to evaluate the use of ambulatory blood pressure monitoring (ABPM) in children with PH. Methods: Thirty-seven children aged 8-17 years, who were diagnosed with PH according to the 3rd edition of the International Classification of Headache Disorders (ICHD-3) criteria in pediatric neurology outpatient clinics and had office BP below the 95th percentile, and 37 healthy subjects as a control group were included to this case-control study. Demographic data, office BPs and ABPM results were compared with the control group. Results: Of the 37 patients with the diagnosis of PH, 81% (n=30) had migraine and 19% (n=7) had tension-type headache. There was no significant difference between the age, body-mass index SDS and mean office systolic blood pressure (SBP) SDS values of PH and control group (p=0.86, p=0.35, p=0.14 respectively). In ABPM assessments, total SBP, daytime and nocturnal SBP, nocturnal systolic and diastolic loads were significantly higher in PH group (all p<0.05). No significant difference was detected between the ABPM measures of patients with migraine and tension-type headache. Conclusion: Our findings suggest that ambulatory BP abnormalities may be present in children with PH. Therefore ABPM, an effective and non-invasive tool to detect hypertension and risk groups, should be performed in children diagnosed with PH, even if the office BP measurements are normal.
Keywords: Primary headache, migraine, hypertension, blood pressure.
Asiye Bolca
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Secil Arslansoyu Camlar
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Cemaliye Basaran
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Gokcen Erfidan
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Gunce Basarir
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Pinar Gencpinar
Izmir Katip Celebi University, Faculty of Medicine
Turkey
Demet Alaygut
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Fatma Mutlubas
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Nihal Olgac Dundar
Izmir Katip Celebi University, Faculty of Medicine
Turkey
Belde Kasap Demir
Izmir Katip Celebi University, Faculty of Medicine
Turkey
Objectives: Patients with primary headache (PH) may have elevated blood pressure (BP) load and/or lack of normal nocturnal BP dipping, even if the office BP measurements are normal, and that may have a role in the etiology. The study aims to evaluate the use of ambulatory blood pressure monitoring (ABPM) in children with PH. Methods: Thirty-seven children aged 8-17 years, who were diagnosed with PH according to the 3rd edition of the International Classification of Headache Disorders (ICHD-3) criteria in pediatric neurology outpatient clinics and had office BP below the 95th percentile, and 37 healthy subjects as a control group were included to this case-control study. Demographic data, office BPs and ABPM results were compared with the control group. Results: Of the 37 patients with the diagnosis of PH, 81% (n=30) had migraine and 19% (n=7) had tension-type headache. There was no significant difference between the age, body-mass index SDS and mean office systolic blood pressure (SBP) SDS values of PH and control group (p=0.86, p=0.35, p=0.14 respectively). In ABPM assessments, total SBP, daytime and nocturnal SBP, nocturnal systolic and diastolic loads were significantly higher in PH group (all p<0.05). No significant difference was detected between the ABPM measures of patients with migraine and tension-type headache. Conclusion: Our findings suggest that ambulatory BP abnormalities may be present in children with PH. Therefore ABPM, an effective and non-invasive tool to detect hypertension and risk groups, should be performed in children diagnosed with PH, even if the office BP measurements are normal.
Keywords: Primary headache, migraine, hypertension, blood pressure.
Asiye Bolca
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Secil Arslansoyu Camlar
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Cemaliye Basaran
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Gokcen Erfidan
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Gunce Basarir
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Pinar Gencpinar
Izmir Katip Celebi University, Faculty of Medicine
Turkey
Demet Alaygut
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Fatma Mutlubas
University of Health Sciences Izmir Tepecik Training and Research Hospital
Turkey
Nihal Olgac Dundar
Izmir Katip Celebi University, Faculty of Medicine
Turkey
Belde Kasap Demir
Izmir Katip Celebi University, Faculty of Medicine
Turkey
Gunce Basarir
University of Health Sciences Izmir Tepecik Training and Research Hospital Turkey
University of Health Sciences Izmir Tepecik Training and Research Hospital Turkey