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.

de Simone, G., Mancusi, C., Hanssen, H., Genovesi, S., Lurbe, E., Parati, G., et al. (2022). Hypertension in children and adolescents. EUROPEAN HEART JOURNAL [10.1093/eurheartj/ehac328].

Hypertension in children and adolescents

Genovesi, Simonetta;Parati, Gianfranco;
2022

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.
Si
Articolo in rivista - Review Essay
Scientifica
High blood pressure, Organ damage, Cardiovascular prevention, Obesity, Left ventricular mass, Antihypertensive therapy, Lifestyle changes
English
de Simone, G., Mancusi, C., Hanssen, H., Genovesi, S., Lurbe, E., Parati, G., et al. (2022). Hypertension in children and adolescents. EUROPEAN HEART JOURNAL [10.1093/eurheartj/ehac328].
de Simone, G; Mancusi, C; Hanssen, H; Genovesi, S; Lurbe, E; Parati, G; Sendzikaite, S; Valerio, G; Di Bonito, P; Di Salvo, G; Ferrini, M; Leeson, P; Moons, P; Weismann, C; Williams, B
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/391188
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