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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.
Pediatric hypertension affects 16.3% of children, increasing risks for adult cardiovascular and kidney disease. New American Academy of Pediatrics (AAP) guidelines aid clinicians in early screening and management to prevent long-term health issues.
Area of Science:
- Pediatrics
- Cardiology
- Nephrology
Background:
- Pediatric hypertension prevalence is rising, affecting 16.3% of children.
- Untreated hypertension in youth can lead to severe adult cardiovascular and renal diseases.
- Existing management protocols necessitated an update due to rising prevalence.
Purpose of the Study:
- To review the updated 2017 American Academy of Pediatrics (AAP) guidelines for pediatric hypertension.
- To define pediatric hypertension and explain the rationale for guideline revisions.
- To outline the recommended screening, evaluation, and treatment protocols for pediatric hypertension.
Main Methods:
- Review of the 2017 American Academy of Pediatrics (AAP) hypertension guidelines.
- Analysis of the definition and diagnostic criteria for pediatric hypertension.
- Description of the updated management and treatment strategies.
Main Results:
- The 2017 AAP guidelines provide updated definitions and screening protocols.
- Clear treatment pathways are defined for pediatric hypertension management.
- Emphasis on early intervention to mitigate long-term health consequences.
Conclusions:
- Adherence to the updated AAP guidelines is crucial for effective pediatric hypertension management.
- Early screening and treatment can prevent serious adult cardiovascular and renal morbidity.
- Clinicians equipped with these guidelines can improve long-term health outcomes for children.
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