Hypertension in children and adolescents: A consensus document from ESC Council on Hypertension, European Association of Preventive Cardiology, European Association of Cardiovascular Imaging, Association of Cardiovascular Nursing & Allied Professions, ESC Council for Cardiology Practice and Association for European Paediatric and Congenital Cardiology. (8th July 2022)

• Record Type: Journal Article
• Authors: de Simone, Giovanni; Mancusi, Costantino; Hanssen, Henner; Genovesi, Simonetta; Lurbe, Empar; Parati, Gianfranco; Sendzikaite, Skaiste; Valerio, Giuliana; Di Bonito, Procolo; Di Salvo, Giovanni; Ferrini, Marc; Leeson, Paul; Moons, Philip; Weismann, Constance G; Williams, Bryan
• Is Part Of: European heart journal. Volume 43:Number 35(2022)
• Page Start: 3290
• Page End: 3301
• Publication Date: 2022-07-08
• Subjects: High blood pressure -- Organ damage -- Cardiovascular prevention -- Obesity -- Left ventricular mass -- Antihypertensive therapy -- Lifestyle changes; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; 616.12005
• DOI: 10.1093/eurheartj/ehac328
• Languages: English
• ISSNs: 0195-668X

Abstract

Graphical Abstract: Graphical abstract Suggested diagnostic algorithm, clinical work-up, and management of arterial hypertension in children and adolescents. Abstract: Definition and management of arterial hypertension in children and adolescents are uncertain, due to different positions of current guidelines. The European Society of Cardiology task-force, constituted by Associations and Councils with interest in arterial hypertension, has reviewed current literature and evidence, to produce a Consensus Document focused on aspects of hypertension in the age range of 6–16 years, including definition, methods of measurement of blood pressure, clinical evaluation, assessment of hypertension-mediated target organ damage, evaluation of possible vascular, renal and hormonal causes, assessment and management of concomitant risk factors with specific attention for obesity, and anti-hypertensive strategies, especially focused on life-style modifications. The Consensus Panel also suggests aspects that should be studied with high priority, including generation of multi-ethnic sex, age and height specific European normative tables, implementation of randomized clinical trials on different diagnostic and therapeutic aspects, and long-term cohort studies to link with adult cardiovascular risk. Finally, suggestions for the successful implementation of the contents of the present Consensus document are also given.