Affiliation:
1. Pyatigorsk Medical Pharmaceutical Institute – branch of Volgograd State Medical University
Abstract
The article analyzes clinical guidelines oftheAmericanAcademy ofPediatrics dd 2017 “ClinicalPractice Guideline forScreening andManagement of High Blood Pressure in Children and Adolescents”. This document contains new values of blood pressure in children, replaces the term “prehypertension” with the term “elevated blood pressure”, provides a simplified classification of arterial hypertension in adolescents over 13 years and revisesthe guidelinesfor daily blood pressure monitoring and echocardiography. The documentspecifiesthe criteria for diagnosing increased body weight of the left ventricular myocardium, changesthe target blood pressure levels. This new guidelines helps to optimize the diagnostics and treatment of hypertension in children. At the same time there is need for further comprehensive analysis of clinicalrecommendations and assessment of their practicalsignificance for pediatrics.
Publisher
The National Academy of Pediatric Science and Innovation
Subject
Pediatrics, Perinatology and Child Health
Reference29 articles.
1. Aleksandrov A.A., Kisljаk O.A., Leont’eva I.V. Rozanov V.B. Diagnosis, treatment, and diagnosis of hypertension in children and adolescents: Russian recommendations (second revision. Kardiovaskulyarnaya terapiya i profilaktika (Cardiovascular therapy and prevention) 2009; 8 (4): Suppl 1: 1–32. (in Russ.).
2. Clinical practice guidelines for pediatric cardiology and rheumatology. M.A. Shkolnikova, E.I. Alekseeva (eds). Moscow: Assotsiatsiya detskikh kardiologov Rossii, 2011; 503. (in Russ)
3. Chen X., Wang Y. Tracking of blood pressure from childhood to adul-йood: a systematic review and metaregression analysis. Circulation 2008; 117(25): 3171–3180. DOI: 10.1161/CIRCULATIONAHA.107.730366
4. Flynn J.T., Kaelber D.C., Baker-Smi-й C.M., Blowey D., Carroll A.E., Daniels S.R. et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics 2017; 140(3): e20171904. DOI: 10.1542/peds.2017-1904
5. Hansen M.L., Gunn P.W., Kaelber D.C. Underdiagnosis of hypertension in children and adolescents. JAMA 2007; 298(8): 874–879. DOI: 10.1001/jama.298.8.874
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