Classification of High Blood Pressure in Children and Adolescents

Purpose: To diagnose hypertension in children by careful assessment of the clinical data.

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Evaluation

Age of the patient in years (enter 0 if under 1 year)

Enter age in weeks

Initial systolic blood pressure

mm Hg

Initial diastolic blood pressure

mm Hg

Is the patient on antihypertensive medication?

Yes

Is the patient acutely ill?

Yes

Number of subsequent readings (2 to 5)


Blood pressure readings	Systolic	Diastolic
Visit 1
Visit 2
Visit 3
Visit 4
Visit 5

Results

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Results Interpretation and Description References Next Steps

Data complete?

Age appropriate for classification?

Appropriate for classification?

Sufficient readings to classify?

Systolic blood pressure classification for initial reading

Diastolic blood pressure classification for initial reading

Average systolic blood pressure

Average diastolic blood pressure

Classification

Isolated systolic hypertension?

Followup recommendation

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Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Systolic Hypertension
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer
- Indications to Refer Patient with Hypertension to Specialist

Therapy

Options
- Management of Hypertension in African Americans
Selection
- Risk Score of Pocock et al for Death from Cardiovascular Disease in Adults with Raised Blood Pressure
- Indications to Refer Patient with Hypertension to Specialist
Pharmacogenetics
Dosage Calculations
- Aldosterone Breakthrough in Patient Receiving ACE Inhibitor or ARB Therapy for Hypertension
Dosage Adjustments
- Rebound Hypertension on Discontinuation of Beta-Blockers or Other Medications
Diet
- Management of Hypertension in African Americans
Physical And Lifestyle
- Hypertension Lifestyle Modifications
- Blood Pressure Control in Patient with Diabetes Mellitus
Failure Handling And Therapy Escalation
- Causes and Risk Factors for Resistant Hypertension
Prevention

Monitoring

Response To Therapy
Adverse Effects
Overdose And Reversal
- Causes of Secondary Hypertension
Comorbid Conditions

Patient Concerns

Quality Of Life
- Blood Pressure Control in Patient with Diabetes Mellitus
Psychological Response
- White Coat Hypertension

Specialty

Cardiology

Objective

other testing
severity
prognosis
stage

ICD-10

I10 - Essential (primary) hypertension
I11 - Hypertensive heart disease
I12 - Hypertensive renal disease
I13 - Hypertensive heart and renal disease
I15 - Secondary hypertension

Info

Purpose: To diagnose hypertension in children by careful assessment of the clinical data.

Specialty: Cardiology

Objective: other testing, severity, prognosis, stage

ICD-10: I10, I11, I12, I13, I15,

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