Saini Priya, Betcherman Laura, Radhakrishnan Seetha, Etoom Yousef
Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario.
Division of Paediatric Nephrology, The Hospital for Sick Children, Toronto, Ontario.
Paediatr Child Health. 2020 Jul 2;26(2):93-98. doi: 10.1093/pch/pxaa069. eCollection 2021 Apr-May.
The prevalence of hypertension has increased in the paediatric and adolescent populations, and is estimated between 1% and 2% in Canada. Paediatric and adolescent hypertension differs from adult hypertension in many ways, and primary care providers may not be up to date with current guidelines and recommendations. Recently, the American Academy of Pediatrics updated and published guidelines on the diagnosis, evaluation, and management of hypertension in children and adolescents. This paper summarizes these new guidelines in addition to the existing Canadian guidelines in a simple four-step approach, catered to a primary care setting, detailing the diagnosis, evaluation, workup, and management of hypertension in children and adolescents.
高血压在儿童及青少年人群中的患病率呈上升趋势,在加拿大估计为1%至2%。儿童及青少年高血压在许多方面与成人高血压不同,基层医疗服务提供者可能未及时了解当前的指南和建议。最近,美国儿科学会更新并发布了关于儿童及青少年高血压诊断、评估和管理的指南。本文除了现有的加拿大指南外,还以一种简单的四步法总结了这些新指南,该方法适用于基层医疗环境,详细阐述了儿童及青少年高血压的诊断、评估、检查和管理。