{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T19:34:21Z","timestamp":1792956861662,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ambulatory blood pressure monitoring (ABPM) is the gold\u2010standard non\u2010invasive test for diagnosing arterial hypertension; however, it remains understudied in pediatric heart transplant recipients (HTRs). We evaluated the role of ABPM in diagnosing and managing hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a single\u2010center retrospective evaluation of pediatric HTRs transplanted between 2010 and 2023 (inclusive) with \u2265\u20091 post\u2010transplant ABPM. Clinic blood pressures (CBPs) temporally linked to each ABPM were used to categorize patients into blood pressure phenotypes: normotensive (including well\u2010controlled hypertension, if on anti\u2010hypertensive therapy), sustained, white coat (WCH), and masked hypertension (MH). Demographic, clinical, and echocardiographic characteristics were compared across hypertensive phenotypes, with longitudinal changes evaluated using serial ABPMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data were available for 33 pediatric HTRs (61% female [20\/33], median age at first ABPM 7.3 [5.3\u201310.4] years, 0.7 [0.2\u20132.6] years post\u2010transplant). At the initial ABPM, 82% (27\/33) were normotensive and 18% (6\/33) were hypertensive, with 79% (26\/33) on \u2265\u20091 antihypertensive medication. Of those with hypertensive CBPs, 60% (6\/10) had a normal ABPM indicating WCH. At subsequent ABPM, 48% (10\/21) normotensive patients remained normotensive, while 43% (9\/21) developed hypertension. Among the 6 patients with WCH, 5 (83%) developed subsequent hypertension by ABPM. Median left ventricular mass was higher in hypertensive patients (160.9\u2009g, 64.3\u2013172.3\u2009g) compared with WCH (54.4\u2009g, 36.9\u2013100.7\u2009g) and normotensive patients (66.9\u2009g, 45.4\u201394.3\u2009g) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ABPM provides important hypertension insights for pediatric HTRs, especially with abnormal CBPs. Progression from WCH to manifest hypertension was common. ABPM should therefore be utilized prior to implementing or modifying anti\u2010hypertensive therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70386","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:43:49Z","timestamp":1782726229000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Use of Ambulatory Blood Pressure Monitoring in Pediatric Heart Transplant Recipients"],"prefix":"10.1111","volume":"30","author":[{"given":"Bushra","family":"Anjum","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1294-8164","authenticated-orcid":false,"given":"Shannon","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira","family":"Balbaa","sequence":"additional","affiliation":[{"name":"McMaster Children's Hospital McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rae","family":"Foshaug","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4051-2185","authenticated-orcid":false,"given":"Jennifer","family":"Conway","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0820-6815","authenticated-orcid":false,"given":"Simon","family":"Urschel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"},{"name":"Alberta Transplant Institute  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori J.","family":"West","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"},{"name":"Alberta Transplant Institute  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Khoury","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta 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