ABPM Interpretation Report (Pediatrics)

Pediatric ABPM Interpretation Report

Patient name: [Patient full name]

MRN: [Medical record number]

DOB: [Date of birth]

Age at study: [Age in years and months]

Sex: [Sex] (If sex used for normative tables differs from documented sex, note both and rationale.)

Height: [Height in cm] | Height percentile/Z: [Height percentile or Z-score]

Weight: [Weight in kg] | BMI percentile: [BMI percentile] (Include if available.)

Ordering clinician: [Ordering clinician name, credentials]

Interpreting clinician: [Interpreting clinician name, credentials]

Monitor application: [Date, time]

Monitor removal: [Date, time]

Report date: [Date]

⚠ Height required for percentile-based interpretation - classification may be limited (Include only if height is missing.)

Indication & Clinical Context

Primary indication: [Confirm hypertension after elevated clinic BP / Suspected white coat hypertension / Suspected masked hypertension / Assess BP control on therapy / Evaluate circadian pattern / High-risk surveillance / Other]

Pertinent comorbidities: [Problem list] (Include CKD, coarctation repair, diabetes, obesity, transplant, or other relevant conditions.)

Current antihypertensive medications on monitoring day: [Medication name, dose, timing relative to monitor application] (If none, state "None.")

(If indication is unclear from available information, state: "Indication not explicitly stated; interpretation limited to measured values and phenotype classification.")

Clinic BP Comparator

Closest clinic BP to ABPM: [Date] | [Setting] | [Method: auscultatory / oscillometric] | [Arm] | [BP value]

Clinic BP category: [Normal / Elevated BP / Stage 1 HTN / Stage 2 HTN] (Per AAP 2017/AHA pediatric standards.)

(If no clinic BP available, state: "Clinic comparator BP not provided; phenotype classification indeterminate. Ambulatory status reported based on ABPM thresholds only.")

ABPM Acquisition Details

Device: [Manufacturer and model] | Pediatric validation: [Validated / Unknown]

Cuff size and arm: [Cuff size] on [right / left] arm [dominant / nondominant]

Programming intervals: Wake [frequency in minutes] | Sleep [frequency in minutes]

Calibration check at setup: [Performed - agreement noted / Not performed]

Day type: [School day / Weekend / Unknown]

Study Quality & Adequacy

Total monitoring duration: [Total hours]

Readings: [Number attempted] attempted | [Number successful] successful ([Percent]%)

Valid wake readings: [Number] | Valid sleep readings: [Number]

Wake/sleep definition method: [Diary times / Actigraphy / Fixed clock-time windows: specify times / Device auto-detection]

Artifact editing: [Performed - criteria noted / Not performed]

Adequacy determination: [Adequate study for interpretation / Suboptimal study; interpretation limited - reason. Repeat ABPM recommended.]

Results

Period	Mean SBP (mmHg)	Mean DBP (mmHg)	SBP percentile/threshold status	DBP percentile/threshold status	SBP load (%)	DBP load (%)
24-hour	[24h mean SBP]	[24h mean DBP]	[24h SBP status]	[24h DBP status]	[24h SBP load]	[24h DBP load]
Wake/Daytime	[Wake mean SBP]	[Wake mean DBP]	[Wake SBP status]	[Wake DBP status]	[Wake SBP load]	[Wake DBP load]
Sleep/Nighttime	[Sleep mean SBP]	[Sleep mean DBP]	[Sleep SBP status]	[Sleep DBP status]	[Sleep SBP load]	[Sleep DBP load]

BP load reported for trending; phenotype classification based on mean BP thresholds per AHA 2022.

Dipping summary:

• SBP dipping: [SBP dip %] — [Normal dipping (10-20%) / Nondipping (<10%) / Reverse dipping / Extreme dipping (>20%)]
• DBP dipping: [DBP dip %] — [Normal dipping (10-20%) / Nondipping (<10%) / Reverse dipping / Extreme dipping (>20%)]

Isolated nocturnal hypertension: [Present / Absent / Indeterminate] (Present if nighttime mean elevated with normal 24h and wake means.)

Thresholds Applied

Framework: AHA 2022 pediatric ABPM guidance

• Age ≥13 years: Fixed mean BP cut points — 24h: [threshold], Wake: [threshold], Sleep: [threshold]
• Age <13 years: Percentile-based interpretation using [normative reference]; lower of percentile threshold or adult cut point applied

(Include which age category applies to this patient and document specific thresholds used.)

Interpretation & Phenotype Classification

Ambulatory BP status: [Normal ambulatory BP / Elevated ambulatory BP / Ambulatory hypertension]

Phenotype: [Normotension / White coat hypertension / Masked hypertension / Sustained hypertension / Indeterminate (clinic comparator not available)]

Clinical correlation: [Narrative addressing whether day was typical, diary quality and wake/sleep segmentation reliability, medication status during study, and any factors limiting interpretability] (3-5 sentences.)

Recommendations

[Context-appropriate recommendations based on phenotype] (Use conditional phrasing such as "Consider..." or "Recommend evaluation for..." Include only recommendations relevant to this patient's findings. Address: follow-up interval, need for repeat ABPM, lifestyle counseling, workup for secondary causes, target organ damage assessment, home BP monitoring, sleep-disordered breathing evaluation if nondipping, or medication timing adjustments as applicable.)

Impression

[Adequacy statement]. 24h/Wake/Sleep means: [24h SBP/DBP], [Wake SBP/DBP], [Sleep SBP/DBP]. Phenotype: [Classification]. Dipping: [Category]; Nocturnal hypertension: [Present / Absent]. [One-sentence management implication.]

Attestation

[Interpreting clinician name, credentials] — [Date, time]

Raw data and study quality reviewed.