TY - JOUR
T1 - Management of high blood pressure in children
T2 - similarities and differences between US and European guidelines
AU - Brady, Tammy M.
AU - Stefani-Glücksberg, Amalia
AU - Simonetti, Giacomo D.
N1 - Publisher Copyright:
© 2018, IPNA.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Over the last several decades, many seminal longitudinal cohort studies have clearly shown that the antecedents to adult disease have their origins in childhood. Hypertension (HTN), which has become increasingly prevalent in childhood, represents one of the most important risk factors for cardiovascular diseases (CVD) such as heart disease and stroke. With the risk of adult HTN much greater when HTN is manifest in childhood, the future burden of CVD worldwide is therefore concerning. In an effort to slow the current trajectory, professional societies have called for more rigorous, evidence-based guideline development to aid primary care providers and subspecialists in improving recognition, diagnosis, evaluation, and treatment of pediatric HTN. In 2016 the European Society of Hypertension and in 2017 the American Academy of Pediatrics published updated guidelines for prevention and management of high blood pressure (BP) in children. While there are many similarities between the two guidelines, important differences exist. These differences, along with the identified knowledge gaps in each, will hopefully spur clinical researchers to action. This review highlights some of these similarities and differences, focusing on several of the more important facets regarding prevalence, prevention, diagnosis, management, and treatment of childhood HTN.
AB - Over the last several decades, many seminal longitudinal cohort studies have clearly shown that the antecedents to adult disease have their origins in childhood. Hypertension (HTN), which has become increasingly prevalent in childhood, represents one of the most important risk factors for cardiovascular diseases (CVD) such as heart disease and stroke. With the risk of adult HTN much greater when HTN is manifest in childhood, the future burden of CVD worldwide is therefore concerning. In an effort to slow the current trajectory, professional societies have called for more rigorous, evidence-based guideline development to aid primary care providers and subspecialists in improving recognition, diagnosis, evaluation, and treatment of pediatric HTN. In 2016 the European Society of Hypertension and in 2017 the American Academy of Pediatrics published updated guidelines for prevention and management of high blood pressure (BP) in children. While there are many similarities between the two guidelines, important differences exist. These differences, along with the identified knowledge gaps in each, will hopefully spur clinical researchers to action. This review highlights some of these similarities and differences, focusing on several of the more important facets regarding prevalence, prevention, diagnosis, management, and treatment of childhood HTN.
KW - Adolescent
KW - Cardiovascular disease
KW - Childhood
KW - Children
KW - Clinical practice guideline
KW - High blood pressure
KW - Hypertension
KW - Management
KW - Prevalence
UR - http://www.scopus.com/inward/record.url?scp=85044468552&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044468552&partnerID=8YFLogxK
U2 - 10.1007/s00467-018-3946-y
DO - 10.1007/s00467-018-3946-y
M3 - Review article
C2 - 29594504
AN - SCOPUS:85044468552
SN - 0931-041X
VL - 34
SP - 405
EP - 412
JO - Pediatric Nephrology
JF - Pediatric Nephrology
IS - 3
ER -