How to Apply European and American Guidelines on High Blood Pressure in Children and Adolescents. A Position Paper Endorsed by the Italian Society of Hypertension and the Italian Society of Pediatrics.

{"article_title":"How to Apply European and American Guidelines on High Blood Pressure in Children and Adolescents. A Position Paper Endorsed by the Italian Society of Hypertension and the Italian Society of Pediatrics.","author":"Genovesi S, Parati G, Giussani M, Bona G, Fava C, Maffeis C, Ferri C, Giordano U","journal_title":"High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension","issn":"1179-1985","isbn":"","publication_date":"2020-06-01","volume":"27","issue":"3","first_page":"183","page_count":"","accession_number":"32170711","doi":"10.1007\/s40292-020-00369-y","publisher":"Adis, Springer International","doctype":"Journal Article","subjects":"Italy; Arterial Pressure; Blood Pressure Determination standards; Hypertension diagnosis; Adolescent; Age Factors; Body Height; Child; Female; Humans; Hypertension epidemiology; Hypertension physiopathology; Italy epidemiology; Male; Nomograms; Predictive Value of Tests; Reference Values; Sex Factors","interest_area":["Cardiology"," Pediatric Medicine"],"abstract":"Children are defined as hypertensive when their blood pressure values equal or exceed the 95th percentile of the blood pressure value distribution in a pediatric population, according to gender, age and height. The population on which reference tables are based is of fundamental importance to establish the threshold values for the diagnosis of hypertension in pediatric age. Before 2017, both American and European guidelines used nomograms created in the same reference population which included children of all weight classes. Given the close and well-known association between hypertension and excess weight in childhood, the 2017 American guidelines proposed new reference nomograms excluding subjects with overweight and obesity from the \"historical\" reference population. Furthermore, the new American guidelines suggested a fixed cut-off of 130\/80 mmHg, starting from 13 years and regardless of gender and height, to make the diagnosis of hypertension. In this document, the Italian Hypertension Society (SIIA) and the Italian Pediatric Society (SIP) jointly discuss a number of issues raised by the new American guidelines that involve the entire medical community, and also address the definition of arterial hypertension in the transition phase between childhood and adulthood.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=32170711","isPdfLink":false,"isSAML":false,"an":"32170711","number_other":"","type_pub":"","issn_electronic":"1179-1985","languages":"English","language":"eng","date_entry":"Date Created: 20200315 Date Completed: 20200623 Latest Revision: 20200623","date_update":"20240105","titleSource":"High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension [High Blood Press Cardiovasc Prev] 2020 Jun; Vol. 27 (3), pp. 183-193. Date of Electronic Publication: 2020 Mar 13.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2020-06-01","description":"Children are defined as hypertensive when their blood pressure values equal or exceed the 95th percentile of the blood pressure value distribution in a pediatric population, according to gender, age and height. The population on which reference tables are based is of fundamental importance to establish the threshold values for the diagnosis of hypertension in pediatric age. Before 2017, both American and European guidelines used nomograms created in the same reference population which included children of all weight classes. Given the close and well-known association between hypertension and excess weight in childhood, the 2017 American guidelines proposed new reference nomograms excluding subjects with overweight and obesity from the "historical" reference population. Furthermore, the new American guidelines suggested a fixed cut-off of 130\/80 mmHg, starting from 13 years and regardless of gender and height, to make the diagnosis of hypertension. In this document, the Italian Hypertension Society (SIIA) and the Italian Pediatric Society (SIP) jointly discuss a number of issues raised by the new American guidelines that involve the entire medical community, and also address the definition of arterial hypertension in the transition phase between childhood and adulthood.","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&scope=site&db=mdl&AN=32170711&authtype=shib&custid=ns346513&group=main&profile=eds","no_of_pages":"","authored_by":"Genovesi S, Parati G, Giussani M, Bona G, Fava C, Maffeis C, Ferri C, Giordano U"}