Previously the “gold standard” for blood pressure measurement was mercury sphygmomanometry, now banned due to the environmental toxicity of mercury. A consensus in the present guidelines is now presented for adolescent males and females aged 16 or older, where the definition of hypertension should no longer be based on the 95th percentile but on the absolute cut off used for adults 2.įrom the 2016 European Society for Hypertension guidelines for the management of high blood pressure in children and adolescents 2. The European Society for Hypertension proposes a flow chart (see below) for hypertension based on percentile distribution of age sex and height for those age <16 years old. left ventricular hypertrophy, renal impairment, retinopathy). Stage 2 hypertension may be associated with systemic features due to target-organ damage (e.g. Published values for blood pressure for both sexes are included in the appendices 1 & 2.Ģ016 European Society for Hypertension Guideline Classification of hypertension in children and adolescents 2. As with height and weight there are specific percentiles for blood pressure measurement available for both sexes. Blood pressure rises throughout childhood relative to age and height.
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