How to Apply European and American Guidelines on High Blood Pressure in Children and Adolescents. A Position Paper Endorsed by the Italian Society of Hypertension and the Italian Society of Pediatrics

被引:0
作者
Simonetta Genovesi
Gianfranco Parati
Marco Giussani
Gianni Bona
Cristiano Fava
Claudio Maffeis
Claudio Ferri
Ugo Giordano
机构
[1] University of Milano-Bicocca,School of Medicine and Surgery
[2] Istituto Auxologico Italiano,Cardiology Unit
[3] IRCCS,Department of Medical Sciences
[4] ATS Milan,Department of Medicine
[5] University of Piemonte Orientale,Department of Surgery, Dentistry, Paediatrics and Gynaecology
[6] University of Verona,Department of Life, Health and Environmental Sciences
[7] University of Verona,Arterial hypertension unit Pediatric Cardiology and cardiac Surgery Department
[8] University of L’Aquila,undefined
[9] Bambino Gesù Children’s Hospital,undefined
来源
High Blood Pressure & Cardiovascular Prevention | 2020年 / 27卷
关键词
Hypertension; Children; Guidelines; Italian Society of Hypertension; Italian Society of Pediatrics;
D O I
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中图分类号
学科分类号
摘要
Children are defined as hypertensive when their blood pressure values equal or exceed the 95th percentile of the blood pressure value distribution in a pediatric population, according to gender, age and height. The population on which reference tables are based is of fundamental importance to establish the threshold values for the diagnosis of hypertension in pediatric age. Before 2017, both American and European guidelines used nomograms created in the same reference population which included children of all weight classes. Given the close and well-known association between hypertension and excess weight in childhood, the 2017 American guidelines proposed new reference nomograms excluding subjects with overweight and obesity from the “historical” reference population. Furthermore, the new American guidelines suggested a fixed cut-off of 130/80 mmHg, starting from 13 years and regardless of gender and height, to make the diagnosis of hypertension. In this document, the Italian Hypertension Society (SIIA) and the Italian Pediatric Society (SIP) jointly discuss a number of issues raised by the new American guidelines that involve the entire medical community, and also address the definition of arterial hypertension in the transition phase between childhood and adulthood.
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页码:183 / 193
页数:10
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共 179 条
[1]  
Williams B(2018)2018 practice guidelines for the management of arterial hypertension of the European society of cardiology and the European society of hypertension ESC/ESH task force for the management of arterial hypertension J Hypertens. 36 2284-2309
[2]  
Mancia G(2004)The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents Pediatrics 114 555-576
[3]  
Spiering W(2020)Redefining hypertension in children and adolescents: a review of the evidence considered by the European Society of Hypertension and American Academy of Pediatrics guidelines J Hypertens 1 1-1920
[4]  
Rosei EA(2016)2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents J Hypertens 34 1887-879
[5]  
Azizi M(2017)Clinical practice guideline for screening and management of high blood pressure in children and adolescents Pediatrics 140 e20171904-820
[6]  
Burnier M(2007)Underdiagnosis of hypertension in children and adolescents J Am Med Assoc. 298 874-658
[7]  
Stabouli S(1977)Report of the task force on blood pressure control in children Pediatrics 59 797-1920
[8]  
Redon J(1996)Update on the 1987 task force report on high blood pressure in children and adolescents: a working group report from the national high blood pressure education program Pediatrics. 98 649-666
[9]  
Lurbe E(2009)Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension J Hypertens. 27 1887-1382
[10]  
Lurbe E(2008)Determination of blood pressure percentiles in normal-weight children: Some methodological issues Am J Epidemiol. 167 653-1222