Why the study?
Accurate diagnosis of pediatric hypertension is critical to intervene before organ damage occurs, but a paucity of defining data has led to controversy and discrepancies across guidelines.
Highlights the ongoing controversy and discrepancies among international guidelines regarding the definition of ambulatory hypertension in children.
Guideline discrepancies on pediatric ambulatory hypertension definitions warrant clinical caution; leaves open need for international standardization.
Hypertension is the strongest modifiable risk factor for cardiovascular disease, with origins in early life.1 Identifying children following high-risk trajectories depends on accurate diagnosis and is important if we are to intervene before organ damage and clinical events occur. Yet, despite growing evidence about the prevalence and relative importance of high blood pressure (BP) in childhood, there remains a paucity of data on which to base the definition of hypertension in children. Hence, controversy persists, with discrepancies internationally, and between pediatric and adult guidelines.
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Venettacci et al. (2020) studied this question.
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