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Hypertension in Adolescents

Nearly 20% of adolescents are at risk for cardiovascular disease.

Nearly 20% of adolescents are at risk for cardiovascular disease. For this reason, the new guidelines of the National High Blood Pressure Education Program Working Group have been updated (Cardiology Today, October, 2007). The changes mirror the Seventh Joint National Committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure guidelines for adults. One change is that children with hypertension are now classifi ed as stage I or II hypertensive.

• Normotensive: average systolic and diastolic BP 90th percentile for age, height and sex at first screening.

• Prehypertensive: average systolic and diastolic BP ≥ 90th percentile, but 95th percentile at first screening; or average systolic and diastolic BP initially ≥ 95th percentile, but 95th percentile at either second or third screening.

• Stage I: average systolic and diastolic BP ≥ 95th percentile for 3 screenings, but less than 99th percentile + 5 mm Hg for at least two sessions.

• Stage II: average systolic and diastolic BP ≥ 95th percentile and > 99th percentile + 5 mm Hg for at least 2 screening sessions.


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May 5, 2013 Category: General Posted by: mrunion