Hypertension in children and adolescents A consensus document from ESC Council on Hypertension, European Association of Preventive Cardiology, European Association of Cardiovascular Imaging, Association of Cardiovascular Nursing & Allied Professions, ESC Council for Cardiology Practice and Association for European Paediatric and Congenital Cardiology
Hypertension in children and adolescents A consensus document from ESC Council on Hypertension, European Association of Preventive Cardiology, European Association of Cardiovascular Imaging, Association of Cardiovascular Nursing & Allied Professions, ESC Council for Cardiology Practice and Association for European Paediatric and Congenital Cardiology
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DOI：
10.1093/eurheartj/ehac328
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发表时间：
2022-07-27
影响因子：
39.3
通讯作者：
Williams, Bryan
中科院分区：
文献类型：
--
作者：
de Simone, Giovanni;Mancusi, Costantino;Williams, Bryan
由于当前指南的不同立场，儿童和青少年中动脉高血压的定义和管理是不确定的。由对动脉高血压感兴趣的协会和理事会组成的欧洲心脏病学会工作组审查了当前的文献和证据，以制定一份共识文件，重点关注6-16岁年龄段高血压的各个方面，包括定义、测量血压的方法、临床评估、评估高血压介导的靶器官损害、评估可能的血管、肾脏和激素原因、评估和管理伴随的危险因素并特别关注肥胖，以及抗高血压策略，特别是关注生活方式的改变。协商一致小组还建议应高度优先研究的方面，包括生成多种族性别、年龄和身高特定的欧洲标准表，实施关于不同诊断和治疗方面的随机临床试验，以及与成人心血管风险挂钩的长期队列研究。最后，还为成功执行本协商一致文件的内容提出了建议。
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.