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
Pediatricsjournal_title
Pediatricsauthors
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 Adoi
10.1542/peds.2018-3517subject
Has Abstractpub_date
2019-05-01 00:00:00issue
5eissn
0031-4005issn
1098-4275pii
peds.2018-3517journal_volume
143pub_type
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