Joint statement for assessing and managing high blood pressure in children and adolescents: Chapter 1. How to correctly measure blood pressure in children and adolescents

被引:6
|
作者
Lurbe, Empar [1 ,2 ]
Mancia, Giuseppe [3 ]
Calpe, Javier [4 ]
Drozdz, Dorota [5 ]
Erdine, Serap [6 ]
Fernandez-Aranda, Fernando [1 ,7 ,8 ]
Hadjipanayis, Adamos [9 ,10 ]
Hoyer, Peter F. [11 ]
Jankauskiene, Augustina [12 ]
Jimenez-Murcia, Susana [1 ,7 ,8 ]
Litwin, Mieczyslaw [13 ]
Mazur, Artur [14 ]
Pall, Denes [15 ,16 ]
Seeman, Tomas [17 ,18 ]
Sinha, Manish D. [19 ]
Simonetti, Giacomo [20 ]
Stabouli, Stella [21 ]
Wuehl, Elke [22 ]
机构
[1] Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBEROBN, Madrid, Spain
[2] Univ Valencia, Consorcio Hosp Gen, Dept Pediat, Valencia, Spain
[3] Univ Milano Bicocca, Milan, Italy
[4] Analog Devices Inc, Paterna, Spain
[5] Jagiellonian Univ Med Coll, Pediat Inst, Dept Pediat Nephrol & Hypertens, Krakow, Poland
[6] Istanbul Univ Cerrahpasa, Cerrahpasa Fac Med, Istanbul, Turkiye
[7] Univ Hosp Bellvitge IDIBELL, Barcelona, Spain
[8] Univ Barcelona, Dept Clin Sci, Barcelona, Spain
[9] European Univ Cyprus, Sch Med, Nicosia, Cyprus
[10] Larnaca Gen Hosp, Dept Paediat, Larnax, Cyprus
[11] Univ Hosp Essen, Dept Pediat 2, Essen, Germany
[12] Vilnius Univ, Inst Clin Med, Pediat Ctr, Vilnius, Lithuania
[13] Childrens Mem Hlth Inst, Dept Nephrol Kidney Transplantat & Hypertens, Warsaw, Poland
[14] Rzeszow Univ, Inst Med Sci, Med Coll, Rzeszow, Poland
[15] Univ Debrecen, Dept Med Clin Pharmacol, Debrecen, Hungary
[16] Univ Debrecen, Dept Med, Debrecen, Hungary
[17] Charles Univ Prague, Univ Childrens Hosp, Div Pediat Nephrol, Prague, Czech Republic
[18] Univ Hosp Ostrava, Dept Pediat, Ostrava, Czech Republic
[19] Guys & St Thomas NHS Fdn Trust, Evelina London Childrens Hosp, Dept Paediat Nephrol, London, England
[20] Ente Osped Cantonale EOC, Inst Pediat Southern Switzerland, Bellinzona, Switzerland
[21] Aristotle Univ Thessaloniki, Hippokratio Gen Hosp Thessaloniki, Dept Pediat 1, Thessaloniki, Greece
[22] Heidelberg Univ Hosp, Ctr Pediat & Adolescent Med, Div Pediat Nephrol, Heidelberg, Germany
来源
FRONTIERS IN PEDIATRICS | 2023年 / 11卷
关键词
adolescents; blood pressure; children; hypertension; monitoring; MASKED HYPERTENSION; DIAGNOSIS; CHILDHOOD; OFFICE; RISK; PROGRESSION; GUIDELINES; VALUES; READY;
D O I
10.3389/fped.2023.1140357
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The joint statement is a synergistic action between HyperChildNET and the European Academy of Pediatrics about the diagnosis and management of hypertension in youth, based on the European Society of Hypertension Guidelines published in 2016 with the aim to improve its implementation. The first and most important requirement for the diagnosis and management of hypertension is an accurate measurement of office blood pressure that is currently recommended for screening, diagnosis, and management of high blood pressure in children and adolescents. Blood pressure levels should be screened in all children starting from the age of 3 years. In those children with risk factors for high blood pressure, it should be measured at each medical visit and may start before the age of 3 years. Twenty-four-hour ambulatory blood pressure monitoring is increasingly recognized as an important source of information as it can detect alterations in circadian and short-term blood pressure variations and identify specific phenotypes such as nocturnal hypertension or non-dipping pattern, morning blood pressure surge, white coat and masked hypertension with prognostic significance. At present, home BP measurements are generally regarded as useful and complementary to office and 24-h ambulatory blood pressure for the evaluation of the effectiveness and safety of antihypertensive treatment and furthermore remains more accessible in primary care than 24-h ambulatory blood pressure. A grading system of the clinical evidence is included.
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页数:9
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