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August 4, 2005

High Blood Pressure in Children and Adolescents: New Tools for Clinicians

If you are a pediatrician, pediatric nurse practitioner, or school nurse, you may have already read about The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents in Pediatrics the official journal of the American Academy of Pediatrics. However family physicians, community clinics, physician assistants, Women, Infants, and Children (WIC) centers, and hospitals also come into contact with children who may be hypertensive or prehypertensive. All health professionals who work with children or train others to work with children can benefit from the additional tools featured below that have been developed since the report appeared.


Get the Report

Considerable advances have been made in detection, evaluation, and management of hypertension in children and adolescents. It is now apparent that primary hypertension is detectable in the young and occurs commonly. The long-term health risks for hypertensive children and adolescents can be substantial; therefore, it is important that clinical measures be taken to reduce these risks and optimize health outcomes.

HBP in Children ReportThe purpose of this report is to update clinicians on the latest scientific evidence regarding blood pressure in children and to provide recommendations based on available evidence and consensus expert opinion of the working group when evidence was lacking. The report is now available as an attractive publication from the NHLBI.

Features:
  • Definitions for high blood pressure and prehypertension in children
  • Revised blood pressure tables that now include the 50th, 90th, 95th, and 99th percentiles by gender, age, and height
  • Therapeutic lifestyle changes for hypertensive children
  • Evaluation for early target-organ damage, secondary causes, and co-existing conditions in children and adolescents with hypertension
  • Reduction of other cardiovascular risk factors
  • Identification of hypertensive children who need evaluation for sleep disorders
  • Revised recommendations for use of antihypertensive drug therapy
Order item #05-5267 at http://emall.nhlbihin.net/product2.asp?source=&sku=05-5267 for ONLY $3.50 each.


HBP in Children PDA

Download a Synopsis in Personal Digital Assistant (PDA) Form

Here's a useful tool to help the busy clinician at the point of care. It distills key clinical concepts and decision points from the full report, and offers simple menus for evaluation steps. It also has two interactive calculators. One gives blood pressure percentile from patient parameters and a second calculates left ventricular mass from echo cardio data.

*No cost* to download the version for your PDA:

PalmOS® version
PocketPC 2003 version
PocketPC 2002 version


Need to Give a Talk?

HBP in Children Slide SetNeed informational slide sets on high blood pressure in children? Click the following link to retrieve slides for use in computer slide shows, conventional slide presentations, or for online viewing via the NHLBI Web site. Great for faculty in medical schools and colleges who train nurses and allied health professionals! Also good for local professional meetings or in-service training.

Choose your format and download from:
http://hin.nhlbi.nih.gov/nhbpep_slds/menu.htm#hbpch


We would greatly appreciate a quick note to let us know how you use this information.




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