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Definition of Hypertension
IV Task force Current Guidelines
Am College of Cardiology & Am Heart Association Task Force on Clin Practice Guidelines
Reference Table
Simplified Table
90th percentile
5th percentile of height
Negative
predictive value
of >99%.
Frequency of monitoring
grade C, moderate
Flags for abnormal records
≥90-
Or > 120/80
to <95th
centile
Evaluation and Management Stage 1 HTN
≥95th - <95th + 12 mmHg Or 130-139/ 80-89 mmHg
✔
Evaluation and Management Stage 2 HTN
≥ 95th + 12 mmHg or ≥140/90 mmHg
✔
If the patient is symptomatic or BP 95th percentile + 30 mm Hg or >180/120 mm Hg in an
adolescent, admission and immediate management
Ambulatory BP monitoring
Is more accurate for the diagnosis of HTN than clinic- measured BP
All received ramipril at 6 mg/m2 /day + additional anti-HT agents when required
The primary study endpoint: 50% reduction in eGFR or progression to ESRD
The hazard ratio for progression to ESRD with the intensified BP control: 0.65 (95%CI 0.44–
0.94) compared to conventional therapy.
Results of the ESCAPE study suggest: target MAP on ambulatory BP in children with CKD <
50th percentile
population
stage 2 HTN
secondary HTN
LV Hypertrophy
For children > 8 years: LV mass >51 g/m2.7(boys & girls)
For children < 8 years: LV mass >115 g/BSA for boys
LV mass >95 g/BSA for girls
P<0.05
29.5±8.3