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Guidelines for screening and managing hypertension in children
Sarah Garvick1, Eliza Ballen, Danielle Brasher
1Sarah Garvick is associate program director of the PA program at Wake Forest University in Winston-Salem, N.C., and practices clinically in the Appalachian District Health Department. At the time this article was written, Eliza Ballen, Danielle Brasher, Elizabeth St. Amand, Olivia Ray, and Natalie Vera were students in the PA program at Wake Forest University. Tanya Gregory is an assistant professor and director of student services in the PA program at Wake Forest University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Pediatric hypertension has risen to an overall prevalence of 16.3%. If left untreated, hypertension in children and adolescents can have significant implications for cardiovascular and renal health into adulthood, including stroke, coronary artery disease, kidney disease, and heart failure. In 2017, the American Academy of Pediatrics (AAP) released updated guidelines for the screening, evaluation, and management of pediatric hypertension. This article reviews the definition of pediatric hypertension, describes why the guidelines were updated, and defines treatment protocol. By familiarizing themselves with and applying these guidelines, clinicians will be able to appropriately screen and manage hypertension in children to prevent morbidity into adulthood.
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