Related Experiment Video

Updated: Jun 10, 2025

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.6K

Changes in Prevalence and Phenotype of Hypertension in Children Suspected of Hypertension Using the 2022 American

Norrarath Nimkarn1, Kwanchai Pirojsakul1, Songkiat Chantarogh1

  • 1Mahidol University, Bangkok, Thailand.

Global Pediatric Health
|October 21, 2024
PubMed

Insights

The 2022 American Heart Association (AHA) guidelines for hypertension (HT) diagnosis in children increased HT prevalence from 48% to 65%. Taller children were more likely to be diagnosed with HT, with some showing left ventricular hypertrophy (LVH).

Area of Science:

  • Pediatrics
  • Cardiology
  • Hypertension Research

Background:

  • The American Heart Association (AHA) updated hypertension (HT) diagnostic guidelines in 2022.
  • Ambulatory blood pressure monitoring (ABPM) is crucial for diagnosing HT in children.
  • Previous guidelines (2014) may have underestimated HT prevalence in pediatric populations.

Purpose of the Study:

  • To assess the impact of the 2022 AHA hypertension guidelines on HT prevalence in children.
  • To evaluate changes in the phenotype of hypertension in children following the new guidelines.
  • To identify factors associated with HT diagnosis escalation in pediatric patients.

Main Methods:

  • A cohort of 100 children (aged 6-20) suspected of hypertension underwent 24-hour ABPM.
  • Patients were categorized into escalated, de-escalated, or unchanged HT diagnosis groups based on guideline changes.
  • Demographic data were compared, and logistic regression identified factors linked to HT diagnosis escalation.

Main Results:

  • Hypertension prevalence increased from 48% (2014 AHA guidelines) to 65% (2022 AHA guidelines).
  • Children with escalated HT diagnoses were more likely to be male, older, and taller.
  • Taller height was the sole significant factor associated with HT diagnosis escalation (OR 1.09, P=0.04).
  • Left ventricular hypertrophy (LVH) was detected in 83.3% of escalated patients with available echocardiograms.

Conclusions:

  • The 2022 AHA guidelines lead to increased detection of hypertension in children.
  • A significant proportion (nearly 30%) of children with escalated diagnoses showed LVH.
  • These findings support the utility of the 2022 AHA guidelines for early identification of pediatric cardiovascular risk.
Abstract

Keywords:
2022 American Heart Association guidelinesambulatory blood pressure monitoringchildrenhypertensionprevalence

More Related Videos

Measuring Cardiac Autonomic Nervous System ANS Activity in Children09:45

Measuring Cardiac Autonomic Nervous System ANS Activity in Children

Published on: April 29, 2013

20.9K
Assessment of Child Anthropometry in a Large Epidemiologic Study09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

27.0K

Related Concept Videos

Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
1
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
1
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
2
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
522
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
3.0K