Ambulatory blood pressure abnormalities in children with migraine

Background Although there are data showing that the frequency of hypertension increases in adults with migraine, there has been no study on this subject in children. In this study, we aimed to evaluate the presence of hypertension in children with migraine by performing ambulatory blood pressure mon...

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Published in:Pediatric nephrology (Berlin, West) West), 2020-11, Vol.35 (11), p.2157-2162
Main Authors: Yılmaz, Songül, Özlü, Sare Gülfem, Kurt, Ayşegül Neşe Çıtak
Format: Article
Language:English
Subjects:
Blood pressure
Diagnosis
Measurement
Medicine
Medicine & Public Health
Migraine
Nephrology
Original Article
Pediatric research
Pediatrics
Physiological aspects
Urology
What’s new in Hypertension
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Summary:Background Although there are data showing that the frequency of hypertension increases in adults with migraine, there has been no study on this subject in children. In this study, we aimed to evaluate the presence of hypertension in children with migraine by performing ambulatory blood pressure monitoring (ABPM). Methods Thirty-seven children diagnosed with migraine and 30 healthy controls were evaluated between January 2015 and March 2016. Demographic data, clinical and laboratory features, and physical examination findings were recorded for both groups. Office blood pressure was measured for all children, and each also underwent ABPM. The two groups were compared in terms of ambulatory blood pressure parameters. Results The mean age was 13.3 and 13.1 years and the proportion of females was 73% and 60% in the migraine and control groups, respectively. Although the frequency of hypertension was not higher, abnormal ABPM patterns were found to be significantly more frequent in the migraine group (migraine, 45.9%; control, 16.7%; p , 0.018). Nighttime mean arterial blood pressure, nighttime diastolic blood pressure, and non-dipping pattern were higher in children with migraine than those in the control group ( p < 0.05). Conclusions These results suggest that ambulatory blood pressure abnormalities may be present in almost half of patients with migraine. Therefore, we suggest that ABPM should be performed even if the office blood pressure measurements of children diagnosed with migraine are normal.
ISSN:0931-041X
1432-198X
DOI:10.1007/s00467-020-04640-1