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Tag: blood pressure

Increases in Pediatric Hypertension

More children and teens are likely to be categorized as having abnormal blood pressure during their annual wellness visits, based on new recommendations released this week by the American Academy of Pediatrics.

High blood pressure is mostly a “silent” condition, with no visible symptoms. Yet it can have long-term health consequences, including cardiovascular disease. The new guidelines, aimed at prevention, were published Monday in the journal Pediatrics. They include new diagnosis tables based on normal-weight children.

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USPSTF Recommends ABPM to Confirm Hypertension Diagnosis and Yearly Screening for Higher Risk Groups

In an update to their 2007 reaffirmation recommendation statement, the US Preventive Services Task Force (USPSTF) finalized Grade A recommendations for blood pressure screening of adults. The use of ambulatory blood pressure management (ABPM) is recommended to confirm a diagnosis of hypertension outside of the clinical setting before treatment begins. (The exception to this recommendation is for cases in which therapy should begin immediately.) Further, adults 40 years of age and older and those at higher risk should undergo screening every year after a normal blood pressure finding; others can be screened every 3 to 5 years.

In response to public comments that were received after the draft version of the recommendation statement was released in December 2014, the USPSTF acknowledges there are barriers to implementing their recommendation of utilizing ABPM due to availability and affordability. In response, their final recommendation is “to include home blood pressure monitoring (HBPM) as an alternative method for confirmation of a diagnosis of hypertension when ABPM is not feasible.”

To learn more, plan to attend the Hypertension and Cardio-Renal Syndrome session at the 10th Annual CMHC on Friday, October 23, and read more on the USPSTF recommendations here.

Screening for high blood pressure in adults: US Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 13 October 2015 doi:10.7326/M15-2223.