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August 1, 2004PEDIATRICS

The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents

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Population

Children and adolescents with high blood pressure

Design

Guideline

Discussion

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Implication

Clinicians should adopt revised pediatric BP tables and stepped-care protocols; extends prior reports with updated consensus norms for screening and management.

Key Points

  • Provide updated clinical recommendations for screening, diagnosing, evaluating, and managing elevated blood pressure in children and adolescents.
  • Expert working group consensus panel convened by the National High Blood Pressure Education Program.
  • Comprehensive review of pediatric blood pressure norms, measurement methodologies, and clinical management strategies.
  • Defines revised blood pressure reference tables adjusted for sex, age, and height percentiles to standardize hypertension screening in pediatric care.
  • Outlines diagnostic workups and stepped-care management protocols encompassing lifestyle interventions and pharmacotherapy for sustained pediatric hypertension.

Structured PICO

P
Population
Children and adolescents with high blood pressure
I
Intervention
Diagnosis, evaluation, and treatment of high blood pressure

This document provides the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents.

Cite This Study

A 2004 study studied this question.

synapsesocial.com/papers/6a7cd51750edcffafcaeb08dhttps://doi.org/10.1542/peds.114.s2.555

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure1997 · 5,666 citations
  2. 2Comparison of Auscultatory and Oscillometric Blood Pressures2001 · 216 citations
  3. 3Obesity Hypertension in Children2002 · 972 citations
  4. 4The Effects of Obesity, Gender, and Ethnic Group on Left Ventricular Hypertrophy and Geometry in Hypertensive Children: A Collaborative Study of the International Pediatric Hypertension Association2004 · 385 citations
  5. 5Tracking of blood pressure in Australian children2001 · 53 citations