What challenges exist in implementation of ABPM for monitoring treatment of hypertension in children?
Implementation of ABPM for monitoring treatment of hypertension is challenging. Some of the challenges include difficulty wearing the monitors, completing the full 24 hours of measurements, lack of availability when needed, time from a parent or other adult to return the monitor to the clinic, and the expense. Additionally, there can be challenges in applying these guidelines to children who are too young to undergo ABPM or to children <120 centimeters in height, for whom no normative ABPM data exist. Lastly, families should also understand how to monitor their children to prevent any complications, such as dehydration, hypotension, and AKI.