Key result
Pediatric hypertension is a growing global health issue with increasing prevalence, requiring updated diagnostic guidelines, early identification, and stepwise management starting with lifestyle modifications.
Why the study?
Rising pediatric hypertension linked to childhood obesity and updated 2017 clinical guidelines prompted an updated review of its detection, evaluation, and management.
This review summarizes the rising prevalence, updated diagnostic criteria, and stepwise management approach for pediatric hypertension.
Rising pediatric hypertension prevalence warrants clinical vigilance in screening; leaves open optimal intervention thresholds pending prospective trials.
Globally hypertension in adults is among the leading preventable cause of premature death, where a graded association from the childhood hypertension is well recognised. With the concurrent rise in obesity and pediatric hypertension (HTN) during the past decade in developed countries, a parallel trend is emerging in developing countries that has a potential for exponential rise in cardiovascular, cerebrovascular and renal tragedies. A cumulative incidence of pediatric HTN in China and India is 50-70 and 23% respectively, is quite disturbing. New guidelines for the detection, evaluation and management of hypertension in children and adolescents published in 2017, where a jump in prevalence of pediatric HTN is observed, rings a call to address this under-attended burning problem; for which a review in pediatric hypertension and its management is warranted.
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Ashraf et al. (2020) conducted a review in Pediatric hypertension. Pediatric hypertension is a growing global health issue with increasing prevalence, requiring updated diagnostic guidelines, early identification, and stepwise management starting with lifestyle modifications.
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