Hypertension in Children and Adolescents - Université de Lorraine Access content directly
Journal Articles Frontiers in Pediatrics Year : 2021

Hypertension in Children and Adolescents

1 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
2 CERPOP - Centre d'Epidémiologie et de Recherche en santé des POPulations
3 MOVE [Poitiers] - Laboratoire Mobilité, Vieillissement, Exercice
4 Centre médico-sportif Mon Stade [Paris]
5 Centre de Diagnostic et de Thérapeutique, Hôpital de l’Hôtel-Dieu [Paris]
6 Service Néphrologie, médecine interne et hypertension pédiatrique [CHU Toulouse]
7 Hôpital cardiologique
8 METRICS - Evaluation des technologies de santé et des pratiques médicales - ULR 2694
9 Unité de Gynécologie Médicale, AP-HP, Hôpital Port-Royal, Université de Paris
10 Pôle des Cardiopathies Congénitales du Nouveau-Né à L'adulte - Centre Constitutif Cardiopathies Congénitales Complexes M3C, Groupe Hospitalier Paris Saint-Joseph, Hôpital Marie-Lannelongue, Inserm U999, Université Paris-Saclay
11 Service de néphrologie, rhumatologie et dermatologie pédiatriques [Hôpital Femme Mère Enfant, HCL]
12 Centre de Référence des Maladies Rénales Rares
13 Filières Maladies Rares ORKID et ERK-Net
14 UCBL - Université Claude Bernard Lyon 1
15 CHU Reims - Hôpital universitaire Robert Debré [Reims]
16 Centre de Référence des Maladies Endocriniennes Rares de la Croissance [APHP Robert Debré]
17 DCAC - Défaillance Cardiovasculaire Aiguë et Chronique
18 CIC-P - Centre d'investigation clinique plurithématique Pierre Drouin [Nancy]
19 INI-CRCT - Cardiovascular and Renal Clinical Trialists [Vandoeuvre-les-Nancy]
20 Cardiovascular & Renal Clinical Trialists - CRCT - French-Clinical Research Infrastructure Network - F-CRIN [Paris]
21 Service de Néphrologie Hospices Civils - hta - dialyse
22 LBBE - Laboratoire de Biométrie et Biologie Evolutive - UMR 5558

Abstract

Hypertension is much less common in children than in adults. The group of experts decided to perform a review of the literature to draw up a position statement that could be used in everyday practice. The group rated recommendations using the GRADE approach. All children over the age of 3 years should have their blood pressure measured annually. Due to the lack of data on cardiovascular morbidity and mortality associated with blood pressure values, the definition of hypertension in children is a statistical value based on the normal distribution of blood pressure in the paediatric population, and children and adolescents are considered as having hypertension when their blood pressure is greater than or equal to the 95th percentile. Nevertheless, it is recommended to use normative blood pressure tables developed according to age, height and gender, to define hypertension. Measuring blood pressure in children can be technically challenging and several measurement methods are listed here. Regardless of the age of the child, it is recommended to carefully check for a secondary cause of hypertension as in 2/3 of cases it has a renal or cardiac origin. The care pathway and principles of the therapeutic strategy are described here.
Fichier principal
Vignette du fichier
fped-09-680803.pdf (382.85 Ko) Télécharger le fichier
Origin Publisher files allowed on an open archive

Dates and versions

hal-03300647 , version 1 (27-07-2021)

Identifiers

Cite

Béatrice Bouhanick, Philippe Sosner, Karine Brochard, Claire Mounier-Véhier, Geneviève Plu-Bureau, et al.. Hypertension in Children and Adolescents: A Position Statement From a Panel of Multidisciplinary Experts Coordinated by the French Society of Hypertension. Frontiers in Pediatrics, 2021, 9, pp.680803. ⟨10.3389/fped.2021.680803⟩. ⟨hal-03300647⟩
131 View
315 Download

Altmetric

Share

Gmail Mastodon Facebook X LinkedIn More