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A cross-sectional s...
A cross-sectional study on upright heart rate and BP changing characteristics: basic data for establishing diagnosis of postural orthostatic tachycardia syndrome and orthostatic hypertension
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- Zhao, Juan (author)
- Peking University, Peoples R China
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- Han, Zhenhui (author)
- Kaifeng Childrens Hospital, Peoples R China
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- Zhang, Xi (author)
- Kaifeng Childrens Hospital, Peoples R China
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- Du, Shuxu (author)
- Capital Medical University, Peoples R China
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- Dong Liu, Angie (author)
- Linköpings universitet,Institutionen för medicin och hälsa,Medicinska fakulteten
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- Holmberg, Lukas (author)
- Linköpings universitet,Institutionen för medicin och hälsa,Medicinska fakulteten
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- Li, Xueying (author)
- Peking University, Peoples R China
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- Lin, Jing (author)
- Peking University, Peoples R China
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- Xiong, Zhenyu (author)
- Kaifeng Childrens Hospital, Peoples R China
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- Gai, Yong (author)
- Kaifeng Childrens Hospital, Peoples R China
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- Yang, Jinyan (author)
- Peking University, Peoples R China
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- Liu, Ping (author)
- Peking University, Peoples R China
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- Tang, Chaoshu (author)
- Peking University, Peoples R China
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- Du, Junbao (author)
- Peking University, Peoples R China; Minist Educ, Peoples R China
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- Jin, Hongfang (author)
- Peking University, Peoples R China
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(creator_code:org_t)
- 2015-06-01
- 2015
- English.
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In: BMJ Open. - : BMJ Publishing Group: Open Access / BMJ Journals. - 2044-6055. ; 5:6
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Abstract
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- Objective: We aimed to determine upright heart rate and blood pressure (BP) changes to suggest diagnostic criteria for postural orthostatic tachycardia syndrome (POTS) and orthostatic hypertension (OHT) in Chinese children. Methods: In this cross-sectional study, 1449 children and adolescents aged 6-18 years were randomly recruited from two cities in China, Kaifeng in Henan province and Anguo in Hebei province. They were divided into two groups: 844 children aged 6-12 years (group I) and 605 adolescents aged 13-18 years (group II). Heart rate and BP were recorded during an active standing test. Results: 95th percentile (P-95) of delta heart rate from supine to upright was 38 bpm, with a maximum upright heart rate of 130 and 124 bpm in group I and group II, respectively. P-95 of delta systolic blood pressure (SBP) increase was 18 mm Hg and P-95 of upright SBP was 132 mm Hg in group I and 138 mm Hg in group II. P-95 of delta diastolic blood pressure (DBP) increase was 24 mm Hg in group I and 21 mm Hg in group II, and P-95 of upright DBP was 89 mm Hg in group I and 91 mm Hg in group II. Conclusions: POTS is suggested when delta heart rate is greater than= 38 bpm (for easy memory, greater than= 40 bpm) from supine to upright, or maximum heart rate greater than= 130 bpm (children aged 6-12 years) and greater than= 125 bpm (adolescents aged 13-18 years), associated with orthostatic symptoms. OHT is suggested when delta SBP (increase) is greater than= 20 mm Hg, and/or delta DBP (increase) greater than= 25 mm Hg (in children aged 6-12 years) or greater than= 20 mm Hg (in adolescents aged 13-18 years) from supine to upright; or upright BP greater than= 130/90 mm Hg (in children aged 6-12 years) or greater than= 140/90 mm Hg (in adolescents aged 13-18 years).
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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BMJ Open
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To the university's database
- By the author/editor
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Zhao, Juan
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Han, Zhenhui
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Zhang, Xi
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Du, Shuxu
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Dong Liu, Angie
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Holmberg, Lukas
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show more...
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Li, Xueying
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Lin, Jing
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Xiong, Zhenyu
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Gai, Yong
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Yang, Jinyan
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Liu, Ping
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Tang, Chaoshu
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Du, Junbao
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Jin, Hongfang
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
- Articles in the publication
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BMJ Open
- By the university
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Linköping University