Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, and Assessment of Risk of Pediatric Hypertension

被引:47
作者
Harris, Kevin C. [1 ]
Benoit, Genevieve [2 ]
Dionne, Janis [3 ]
Feber, Janusz [4 ]
Cloutier, Lyne [5 ]
Zarnke, Kelly B. [6 ]
Padwal, Raj S. [7 ]
Rabi, Doreen M. [8 ,9 ,10 ]
Fournier, Anne [11 ]
机构
[1] Univ British Columbia, Dept Pediat, Div Cardiol, Vancouver, BC V6H 3V4, Canada
[2] Univ Montreal, Ctr Hosp Univ St Justine, Serv Nephrol, Montreal, PQ, Canada
[3] Univ British Columbia, Div Nephrol, Dept Pediat, Vancouver, BC V6H 3V4, Canada
[4] Univ Ottawa, Dept Pediat, Div Nephrol, Childrens Hosp Eastern Ontario, Ottawa, ON K1N 6N5, Canada
[5] Univ Quebec Trois Rivieres, Trois Rivieres, PQ GA9 5H7, Canada
[6] Univ Calgary, Div Gen Internal Med, Calgary, AB, Canada
[7] Univ Alberta, Dept Med, Edmonton, AB, Canada
[8] Univ Calgary, Dept Med, Calgary, AB, Canada
[9] Univ Calgary, Dept Community Hlth, Calgary, AB, Canada
[10] Univ Calgary, Dept Cardiac Sci, Calgary, AB, Canada
[11] Univ Montreal, Ctr Hosp Univ St Justine, Serv Cardiol, Montreal, PQ, Canada
关键词
LEFT-VENTRICULAR HYPERTROPHY; TARGET-ORGAN DAMAGE; INTIMA-MEDIA THICKNESS; MASKED HYPERTENSION; CARDIOVASCULAR RISK; SECONDARY HYPERTENSION; YOUNG-ADULTS; WHITE-COAT; NOCTURNAL HYPERTENSION; CLINICAL-SIGNIFICANCE;
D O I
10.1016/j.cjca.2016.02.075
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present the inaugural evidence-based Canadian recommendations for the measurement of blood pressure in children and the diagnosis and evaluation of pediatric hypertension. Rates of pediatric hypertension are increasing concomitant with increased rates of childhood obesity. With this, there is growing awareness of the need to measure blood pressure in children. Consequently, the present recommendations have been developed to address an important gap and improve the clinical care of children. For 2016, a total of 15 recommendations are presented. These are categorized in a fashion similar to that of the existing adult recommendations. Specifically, we present recommendations on (1) accurate measurement of blood pressure in children, (2) criteria for diagnosis of hypertension in children, (3) assessment of overall cardiovascular risk in hypertensive children, (4) routine laboratory tests for the investigation of children with hypertension, (5) ambulatory blood pressure measurement in children, and (6) the role of echocardiography. We discuss the rationale for the recommendations and present additional supporting material for the clinician, including tables with standardized techniques for blood pressure measurement and determination of normative blood pressure values for children. Hypertension Canada's Canadian Hypertension Education Program Guidelines Task Force will update the recommendations annually and develop future evidence-based recommendations to guide prevention and treatment of pediatric hypertension.
引用
收藏
页码:589 / 597
页数:9
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