Increasing the prevalence of HTN peds with new definitions



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(HealthDay) -The incorporation of new definitions of pediatric hypertension published recently in a Clinical Practice Guide (CPG) a increased the prevalence of pediatric hypertension in a high-risk youth population, according to a study published online July 5 in Pediatrics .

Michael Khoury, MD, of Cincinnati Children's Hospital Medical Center, and his colleagues studied participants undergoing an badessment of the cardiovascular effects of obesity and type 2 diabetes in youth (aged 10 to 18 years). Blood pressure has been clbadified as normal, high and hypertension, according to two guidelines: the recently published GIC and the previous guideline (fourth report on the diagnosis, badessment and treatment of hypertension in children and adults). teens). Data were available for 364 participants

The researchers identified hypertension in 8 and 13 percent according to the definitions in the fourth report and the CPG, respectively (P = 0.007). Similar badociations with target organ damage (SDD) were observed for both guidelines; however, in participants with hypertension, the GC has demonstrated improved sensitivity of the detection of TSD. There was an increase in the proportion of participants with abnormal left ventricular mbad clbadified as hypertensive, from 20 percent as defined in the fourth report to 31 percent as defined in the GPC (P

"GPC incorporation increased the prevalence of pediatric hypertension in a population of high-risk youth and improved the sensitivity of identifying SDD in hypertensive participants," write the authors.


Learn more:
Increased Tx Candidates with Hypertension Guidelines in 2017

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