Research Gaps in Primary Pediatric Hypertension.

Abstract:

:Hypertension affects >40% of the US population and is a major contributor to cardiovascular-related morbidity and mortality. Although less common among children and adolescents, hypertension affects 1% to 5% of all youth. The 2017 Clinical Practice Guideline for the Diagnosis and Management of High Blood Pressure in Children and Adolescents provided updates and strategies regarding the diagnosis and management of hypertension in youth. Despite this important information, many gaps in knowledge remain, such as the etiology, prevalence, and trends of hypertension; the utility and practicality of ambulatory blood pressure monitoring; practical goals for lifestyle modification that are generalizable; the long-term end-organ impacts of hypertension in youth; and the long-term safety and efficacy of antihypertensive therapy in youth. The Eunice Kennedy Shriver National Institute of Child Health and Human Development, in collaboration with the National Heart, Lung, and Blood Institute and the US Food and Drug Administration, sponsored a workshop of experts to discuss the current state of childhood primary hypertension. We highlight the results of that workshop and aim to (1) provide an overview of current practices related to the diagnosis, management, and treatment of primary pediatric hypertension; (2) identify related research gaps; and (3) propose ways to address existing research gaps.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Taylor-Zapata P,Baker-Smith CM,Burckart G,Daniels SR,Flynn JT,Giacoia G,Green D,Kelly AS,Khurana M,Li JS,Pratt C,Urbina EM,Zajicek A

doi

10.1542/peds.2018-3517

subject

Has Abstract

pub_date

2019-05-01 00:00:00

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2018-3517

journal_volume

143

pub_type

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