According to The European Society of Hypertension 2009 Guidelines for Management of high blood pressure in children and adolescents: Hypertension in children and adolescents has gained ground in cardiovascular medicine, thanks to the progress made in several areas of pathophysiological and clinical research. These guidelines represent a consensus among specialists involved in the detection and control of high blood pressure in children and adolescents.
The guidelines synthesize a considerable amount of scientific data and clinical experience and represent best clinical wisdom upon which physicians, nurses and families should base their decisions. They call attention to the burden of hypertension in children and adolescents, and its contribution to the current epidemic of cardiovascular disease, these guidelines should encourage public policy makers, to develop a global effort to improve identification and treatment of high blood pressure among children and adolescents. J Hypertens 27:1719-1742 Q 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.
2016 European Society of Hypertension Guidelines for the Management of High Blood Pressure in Children and Adolescents
Consensus Document
Empar Lurbea,b, Enrico Agabiti-Roseic, J. Kennedy Cruickshankd, Anna Dominiczake, Serap Erdinef,Asle Hirthg, Cecilia Invittih, Mieczyslaw Litwini, Giuseppe Manciaj, Denes Pallk, Wolfgang Rascherl,Josep Redonb,m,n, Franz Schaefero, Tomas Seemanp, Manish Sinhaq, Stella Staboulir,Nicholas J. Webbs, Elke Wuhlt, and Alberto Zanchettiu.
Increasing prevalence of hypertension (HTN) in children and adolescents has become a significant public health issue driving a considerable amount of research. Aspects discussed in this document include advances in the definition of HTN in 16 year or older, clinical significance of isolated systolic HTN in youth, the importance of out of office and central blood pressure measurement, new risk factors for HTN, methods to assess vascular phenotypes, clustering of cardiovascular risk factors and treatment strategies among others. The recommendations of the present document synthesize a considerable amount of scientific data and clinical experience and represent the best clinical wisdom upon which physicians, nurses and families should base their decisions. In addition, as they call attention to the burden of HTN in children and adolescents, and its contribution to the current epidemic of cardiovascular disease, these guidelines should encourage public policy makers to develop a global effort to improve identification and treatment of high blood pressure among children and adolescents
