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NEW! Pocket Guide to
Blood Pressure
Measurement in Children
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This colorful, laminated card takes the scientific
information from NHLBI’s The Fourth Report on the
Diagnosis, Evaluation, and Treatment of High Blood Pressure in
Children and Adolescents (Fourth Report) and converts it
into a readily accessible, easy-to-use screening tool. You can
go directly from measuring a child’s height and blood pressure
to categorizing the blood pressure status for that child. The
new Pocket Guide to Blood Pressure Measurement in
Children (Pocket Guide) covers ages 3 through 17 with
separate tables for boys and girls organized by age and height
in centimeters. The Pocket Guide uses the cut points from the
Fourth Report for stages of pediatric hypertension for age,
sex and height. Categories of hypertension defined in the
Fourth Report are given directly in the tables of the Pocket
Guide.
Category
| Normal: |
Less than 90 th percentile |
| Prehypertension: |
> or = 90 th percentile to < 95 th
percentile |
| Stage I hypertension: |
> or = 95 th %tile to < or = 99 th
%tile + 5
mmHg |
| Stage 2 hypertension: |
> 99 th %tile + 5
mmHg |
Because diastolic hypertension rarely occurs without
systolic hypertension in children, and because the Pocket
Guide is a screening tool, it lists systolic pressures only.
If, on screening, a child is classified with any stage of
hypertension, the diastolic values should be determined from
the full tables in the Fourth Report.
Order the Pocket Guide (item #07-5268) at http://emall.nhlbihin.net/product2.asp?sku=07-5268
for ONLY $1.50 each. |
Shorter and Newly Labeled Tables Make
Assessment Easier
Take a look at the example below for 10 year old boys from
the Pocket Guide:
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Compare the New Pocket Guide to the Tables in the Fourth
Report
The blood pressure tables on pages 10-13 of the Fourth
Report are comprehensive and accurate, but they are somewhat
hard to use in a clinical setting. Cut points for stages of
hypertension in children and adolescents vary based on sex,
age, and height. In the Fourth Report, heights are given
literally as percentiles, but are not converted to real world
centimeters or inches. Also the BP readouts that define the
ranges for prehypertension and stage 1 and stage 2
hypertension are associated with percentiles of the blood
pressures seen for each age, sex, and height group, but are
not converted to categories of hypertension in the tables
themselves. Since stage 2 hypertension is defined as greater
than or equal to the 99 th percentile + 5 mm Hg, the clinician
has to mentally add 5 to the readouts for the 99 th percentile
in the Fourth Report tables. In contrast, this has already
been done for you in the Pocket Guide.
*To reference The Fourth Report on the Diagnosis,
Evaluation, and Treatment of High Blood Pressure in Children
and Adolescents, order item #05-5267 at http://emall.nhlbihin.net/product2.asp?sku=05-5267
for ONLY $3.50 each.
HIN1207PEDHBP |
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at NHLBIHIC@air.org
to let us know how you use this information.
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Discoveries
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Building
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Bethesda, MD
20892-2480
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