Co-Morbidities
This is a 17 year old girl with Rokitansky-Mayer syndrome who has had a right nephrectomy and has a mild unrepaired coarctation of the aorta.
She was not on any blood pressure medications. Blood pressure in clinic was between the 75th and 90th percentiles on repeat manual auscultation at 2 visits.
Summary sheet for 24-hour ABPM study:
| Statistical Summary |
Overall |
Awake |
Sleeping |
| Mean |
SD |
Range |
Mean |
SD |
Range |
Mean |
SD |
Range |
| Systolic |
138 |
14 |
111-181 |
140 |
15 |
116-181 |
133 |
11 |
111-149 |
| Diastolic |
80 |
11 |
53-102 |
83 |
10 |
63-102 |
74 |
10 |
53-94 |
| BP Load: Percent of readings above normal limits |
% Sleep Decline |
|
Awake |
Sleeping |
| Systolic |
78.6 |
93.3 |
5.1 |
| Diastolic |
52.4 |
93.3 |
10.9 |
Reference
Values |
Normal <25%
Intermediate 25%-50%
Abnormal >50% |
Normal ≥ 10% |
SD = Standard Deviation
Impression/Plan:
This ABPM study shows sustained systolic and diastolic hypertension with a decreased systolic nocturnal dip. Masked hypertension is present and the patient needs to start on antihypertensive medication.