Abstract • The efforts of physicians Involved in the early detection and treatment of hypertension in children and adolescents will be greatly enhanced with the recent publication of the National Heart, Lung, and Blood Institute's Task Force on Blood Pressure Control in Children. Although little Is known regarding the relationship of hypertension in childhood and later cardiovascular morbidity and mortality, such preventive efforts toward controlling hypertension should not be delayed. In addition, the availability of distribution curves in children based on repeated observations, and using phase V of Korotkoff sound for the diastolic blood pressures, would be particularly helpful during the transition period from childhood to adolescence. Prospective studies in children in areas of relatively stable population and from the different parts of the world will promote our understanding of pediatric hypertension. (AJDC 1987;141:893-894) References 1. Paffenbarger RS, Thorne MC, Wing AL: Chronic disease in former college students: VII. Characteristics in youth predisposing to hypertension in later years . Am J Epidemiol 1968;88: 25-32. 2. Miall WE, Chinn S: Blood pressure and aging: Results of a 15- to 17-year follow-up study in South Wales . Clin Sci 1973;45:23s-33s. 3. Zinner SH, Martin LF, Sacks F, et al: A follow-up study of familial aggregation of blood pressure in childhood . Am J Epidemiol 1975;100: 437-442. 4. Blumenthal S, Epps RP, Heavenrich R, et al: Report of the Task Force on Blood Pressure Control in Children (NHLBI) . Pediatrics 1977; 59( (suppl) ):797-820. 5. Londe S: Blood pressure standards for normal children as determined under office conditions . Clin Pediatr 1968;7:400-403.Crossref 6. Voors AW, Foster TA, Frerichs RR, et al: Studies of blood pressures in children, ages 5-14 years, in a total biracial community: The Bogalusa Heart Study . Circulation 1976;54:319-327.Crossref 7. DeSwiet M, Fayers P, Shinebourne EA: Systolic blood pressure in a population of infants in the first year of life: The Brompton Study . Pediatrics 1980;65:1028-1035. 8. Londe S, Klitzner TS, Moss AJ: Effects of pressure exerted on the stethoscope head on asculatory blood pressure , in Loggie JMH, Horan MJ, Gruskin AB, et al (eds): NHLB1 Workshop on Juvenile Hypertension: Proceeding From a Symposium, Bethesda, Md, May 26, 27, 1983 . New York, Biomedical Information Corp, 1984, pp 107-109. 9. Dahl LK: Possible role of salt intake in the development of essential hypertension , in Bock KD, Cottier PT (eds): Essential Hypertension . Berlin, Springer-Verlag, 1960, p 53. 10. Lauer RM, Clarke WR, Beaglehole R: Level, trend, and variability of blood pressure during childhood: The Muscatine study . Circulation 1984;69:242-249.Crossref
American Journal of Diseases of Children – American Medical Association
Published: Aug 1, 1987
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