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Hypertension Diagnosis and Management in Children and Adolescents: Important Updates

  • Janis M. Dionne
Renal (D Noone, Section Editor)
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  1. Topical Collection on Renal

Abstract

Purpose of Review

This review aims to examine new literature and clinical practice guidelines on the diagnosis and management of hypertension in children along with the potential impact on clinical practice of the new recommendations.

Recent Findings

Hypertension is underrecognized and underdiagnosed in clinical practice. Tools for improving diagnosis may include prompts in electronic medical records, use of a blood pressure screening table, and standardized blood pressure thresholds for adolescents. The recent AAP clinical practice guideline on the management of hypertension in children developed new blood pressure tables with lower norms that may increase the percentage of children diagnosed with elevated blood pressure and hypertension. In this high cardiovascular-risk population, therapeutic lifestyle modifications remain a fundamental management strategy.

Summary

There is more evidence demonstrating the importance of identification and management of elevated blood pressure in childhood. New tools and strategies may improve recognition and treatment of hypertension as the number of children at risk increases.

Keywords

Pediatric blood pressure Pediatric hypertension Hypertension diagnosis Hypertension screening Blood pressure guidelines Hypertension management 

Notes

Compliance with Ethical Standards

Conflict of Interest

Janis M. Dionne declares no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatrics, Division of Nephrology, BC Children’s HospitalUniversity of British ColumbiaVancouverCanada

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