PEDI HTN Flashcards
What are guidelines for diagnosis of pedi HTN for <12 years of age?
Hypertension in children up to 12 yo is defined as average SBP and/or DBP ≥95th percentile for gender, age, and height on ≥3 occasions
What are guidelines for diagnosis of pedi HTN for >12 years of age?
Adolescents 13 yo + BP levels ≥130/80 mmHg should be considered hypertensive.
Normal BP for <12
<90th percentile age,sex, ht
Elevated BP for <12
90th-95th percentile or 120/80 to < 95th whichever is lower
Stg 1 HTN for <12
> 95th percentile to < 95th + 12 mm HG or 130/80—139/89
Stg 2 HTN for <12
> 95th percentile + 12 mm HG or >140/90
Normal BP for adolescent >12
<120/80
Elevated BP for adolescent >12
120/<80 to 129/<80
Stage 1 HTN for adolescent >12
130/80 to 139/89
Stage 2 HTN for adolescent >12
=>140/90
In young children, what is HTN most often secondary to?
renal problem
In adolescents and teens, HTN is usually due to
a primary disorder due to being overweight, sleep apnea, substance abuse, etc.
What labwork and imaging should be done on all children with persistent BP 95th percentile?
o BUN, creatinine, electrolytes
lipid profile
o Urinalysis +/- urine culture
o CBC
o Renal U/S (usually >8 yo and can cooperate)
o Fasting lipid panel, fasting glucoseWhat is no longer recommended on children with HTN?
EKG
What is recommended ONLY if considering starting medication?
echocardiogram
