Joint statement for assessing and managing high blood pressure in children and adolescents: Chapter 1. How to correctly measure blood pressure in children and adolescents

• DOI: 10.3389/fped.2023.1140357
• Publication Date: 2023-04-11T05:48:47Z
• Authors: Empar Lurbe; Giuseppe Mancia; Javier Calpe; Dorota Drożdż; Serap Erdine; Fernando Fernande...; Adamos Hadjipanayis; Peter F. Hoyer; Augustina Jankaus...; Susana Jiménez-Mu...; Mieczysław Litwin; Artur Mazur; Denes Pall; Tomas Seeman; Manish D. Sinha; Giacomo Simonetti; Stella Stabouli; Elke Wühl
• Keywords: Masked Hypertension; Grading (engineering); White coat hypertension

The joint statement is a synergistic action between HyperChildNET and the European Academy of Pediatrics about diagnosis management hypertension in youth, based on Society Hypertension Guidelines published 2016 with aim to improve its implementation. first most important requirement for an accurate measurement office blood pressure that currently recommended screening, diagnosis, high children adolescents. Blood levels should be screened all starting from age 3 years. In those risk factors pressure, it measured at each medical visit may start before Twenty-four-hour ambulatory monitoring increasingly recognized as source information can detect alterations circadian short-term variations identify specific phenotypes such nocturnal or non-dipping pattern, morning surge, white coat masked prognostic significance. At present, home BP measurements are generally regarded useful complementary 24-h evaluation effectiveness safety antihypertensive treatment furthermore remains more accessible primary care than pressure. A grading system clinical evidence included.