Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in
  • My Cart

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • My Cart
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers

Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
From the American Academy of PediatricsClinical Practice Guideline

Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

Joseph T. Flynn, David C. Kaelber, Carissa M. Baker-Smith, Douglas Blowey, Aaron E. Carroll, Stephen R. Daniels, Sarah D. de Ferranti, Janis M. Dionne, Bonita Falkner, Susan K. Flinn, Samuel S. Gidding, Celeste Goodwin, Michael G. Leu, Makia E. Powers, Corinna Rea, Joshua Samuels, Madeline Simasek, Vidhu V. Thaker, Elaine M. Urbina and SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN
Pediatrics September 2017, 140 (3) e20171904; DOI: https://doi.org/10.1542/peds.2017-1904
Joseph T. Flynn
aDr. Robert O. Hickman Endowed Chair in Pediatric Nephrology, Division of Nephrology, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David C. Kaelber
bDepartments of Pediatrics, Internal Medicine, Population and Quantitative Health Sciences, Center for Clinical Informatics Research and Education, Case Western Reserve University and MetroHealth System, Cleveland, Ohio;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Carissa M. Baker-Smith
cDivision of Pediatric Cardiology, School of Medicine, University of Maryland, Baltimore, Maryland;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Douglas Blowey
dChildren’s Mercy Hospital, University of Missouri-Kansas City and Children’s Mercy Integrated Care Solutions, Kansas City, Missouri;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Aaron E. Carroll
eDepartment of Pediatrics, School of Medicine, Indiana University, Bloomington, Indiana;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Stephen R. Daniels
fDepartment of Pediatrics, School of Medicine, University of Colorado-Denver and Pediatrician in Chief, Children’s Hospital Colorado, Aurora, Colorado;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah D. de Ferranti
gDirector, Preventive Cardiology Clinic, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Janis M. Dionne
hDivision of Nephrology, Department of Pediatrics, University of British Columbia and British Columbia Children’s Hospital, Vancouver, British Columbia, Canada;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bonita Falkner
iDepartments of Medicine and Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Susan K. Flinn
jConsultant, American Academy of Pediatrics, Washington, District of Columbia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Samuel S. Gidding
kCardiology Division Head, Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, Delaware;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Celeste Goodwin
lNational Pediatric Blood Pressure Awareness Foundation, Prairieville, Louisiana;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael G. Leu
mDepartments of Pediatrics and Biomedical Informatics and Medical Education, University of Washington, University of Washington Medicine and Information Technology Services, and Seattle Children's Hospital, Seattle, Washington;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Makia E. Powers
nDepartment of Pediatrics, School of Medicine, Morehouse College, Atlanta, Georgia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Corinna Rea
oAssociate Director, General Academic Pediatric Fellowship, Staff Physician, Boston's Children's Hospital Primary Care at Longwood, Instructor, Harvard Medical School, Boston, Massachusetts;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joshua Samuels
pDepartments of Pediatrics and Internal Medicine, McGovern Medical School, University of Texas, Houston, Texas;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Madeline Simasek
qPediatric Education, University of Pittsburgh Medical Center Shadyside Family Medicine Residency, Clinical Associate Professor of Pediatrics, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, and School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Vidhu V. Thaker
rDivision of Molecular Genetics, Department of Pediatrics, Columbia University Medical Center, New York, New York; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elaine M. Urbina
sPreventive Cardiology, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Comments
Loading

Article Information

vol. 140 no. 3 e20171904
DOI 
https://doi.org/10.1542/peds.2017-1904
PubMed 
28827377

Published By 
American Academy of Pediatrics
Print ISSN 
0031-4005
Online ISSN 
1098-4275
History 
  • Published online September 1, 2017.

Article Versions

  • previous version (August 21, 2017 - 09:56).
  • You are viewing the most recent version of this article.
Copyright & Usage 
Copyright © 2017 by the American Academy of Pediatrics

Author Information

  1. Joseph T. Flynn, MD, MS, FAAPa,
  2. David C. Kaelber, MD, PhD, MPH, FAAP, FACP, FACMIb,
  3. Carissa M. Baker-Smith, MD, MS, MPH, FAAP, FAHAc,
  4. Douglas Blowey, MDd,
  5. Aaron E. Carroll, MD, MS, FAAPe,
  6. Stephen R. Daniels, MD, PhD, FAAPf,
  7. Sarah D. de Ferranti, MD, MPH, FAAPg,
  8. Janis M. Dionne, MD, FRCPCh,
  9. Bonita Falkner, MDi,
  10. Susan K. Flinn, MAj,
  11. Samuel S. Gidding, MDk,
  12. Celeste Goodwinl,
  13. Michael G. Leu, MD, MS, MHS, FAAPm,
  14. Makia E. Powers, MD, MPH, FAAPn,
  15. Corinna Rea, MD, MPH, FAAPo,
  16. Joshua Samuels, MD, MPH, FAAPp,
  17. Madeline Simasek, MD, MSCP, FAAPq,
  18. Vidhu V. Thaker, MD, FAAPr,
  19. Elaine M. Urbina, MD, MS, FAAPs,
  20. SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN
  1. aDr. Robert O. Hickman Endowed Chair in Pediatric Nephrology, Division of Nephrology, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington;
  2. bDepartments of Pediatrics, Internal Medicine, Population and Quantitative Health Sciences, Center for Clinical Informatics Research and Education, Case Western Reserve University and MetroHealth System, Cleveland, Ohio;
  3. cDivision of Pediatric Cardiology, School of Medicine, University of Maryland, Baltimore, Maryland;
  4. dChildren’s Mercy Hospital, University of Missouri-Kansas City and Children’s Mercy Integrated Care Solutions, Kansas City, Missouri;
  5. eDepartment of Pediatrics, School of Medicine, Indiana University, Bloomington, Indiana;
  6. fDepartment of Pediatrics, School of Medicine, University of Colorado-Denver and Pediatrician in Chief, Children’s Hospital Colorado, Aurora, Colorado;
  7. gDirector, Preventive Cardiology Clinic, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;
  8. hDivision of Nephrology, Department of Pediatrics, University of British Columbia and British Columbia Children’s Hospital, Vancouver, British Columbia, Canada;
  9. iDepartments of Medicine and Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania;
  10. jConsultant, American Academy of Pediatrics, Washington, District of Columbia;
  11. kCardiology Division Head, Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, Delaware;
  12. lNational Pediatric Blood Pressure Awareness Foundation, Prairieville, Louisiana;
  13. mDepartments of Pediatrics and Biomedical Informatics and Medical Education, University of Washington, University of Washington Medicine and Information Technology Services, and Seattle Children's Hospital, Seattle, Washington;
  14. nDepartment of Pediatrics, School of Medicine, Morehouse College, Atlanta, Georgia;
  15. oAssociate Director, General Academic Pediatric Fellowship, Staff Physician, Boston's Children's Hospital Primary Care at Longwood, Instructor, Harvard Medical School, Boston, Massachusetts;
  16. pDepartments of Pediatrics and Internal Medicine, McGovern Medical School, University of Texas, Houston, Texas;
  17. qPediatric Education, University of Pittsburgh Medical Center Shadyside Family Medicine Residency, Clinical Associate Professor of Pediatrics, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, and School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;
  18. rDivision of Molecular Genetics, Department of Pediatrics, Columbia University Medical Center, New York, New York; and
  19. sPreventive Cardiology, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio
  1. Drs Flynn and Kaelber served as the specialty and primary care chairs of the Subcommittee and had lead roles in developing the framework for the guidelines and coordinating the overall guideline development; Dr Baker-Smith served as the epidemiologist and led the evidence review and synthesis; Ms. Flinn compiled the first draft of the manuscript and coordinated manuscript revisions; All other authors were significantly involved in all aspects of the guideline creation including initial scoping, literature review and synthesis, draft manuscript creation and manuscript review; and all authors approved the final manuscript as submitted.

View Full Text

Article usage

Article usage: August 2017 to January 2021

AbstractFullPdf
Aug 20173682034013668
Sep 201791806510354
Oct 2017152323412455
Nov 201711161528451
Dec 201716102806568
Jan 20189126997179
Feb 201854109326153
Mar 201838122076387
Apr 201815123576364
May 20184112556269
Jun 2018193655792
Jul 20182107308401
Aug 20181113546738
Sep 20181120615906
Oct 20180147426557
Nov 201817120177021
Dec 20182397185873
Jan 201950117247216
Feb 201993100806356
Mar 2019183122917422
Apr 2019222115866597
May 2019211106686537
Jun 201971100646314
Jul 201946102386237
Aug 201926103415843
Sep 201918110196880
Oct 201928111525599
Nov 20195089893915
Dec 201912277833212
Jan 20206493623927
Feb 2020135102003496
Mar 202014986723221
Apr 202018878842763
May 202015886403077
Jun 20209582233102
Jul 2020692923871
Aug 20201292283914
Sep 20204100014574
Oct 20207107664799
Nov 20206100485101
Dec 2020685983709
Jan 2021499044423

Cited By...

  • 363 Citations
  • Google Scholar
PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics
Vol. 140, Issue 3
1 Sep 2017
  • Table of Contents
  • Index by author
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents
Joseph T. Flynn, David C. Kaelber, Carissa M. Baker-Smith, Douglas Blowey, Aaron E. Carroll, Stephen R. Daniels, Sarah D. de Ferranti, Janis M. Dionne, Bonita Falkner, Susan K. Flinn, Samuel S. Gidding, Celeste Goodwin, Michael G. Leu, Makia E. Powers, Corinna Rea, Joshua Samuels, Madeline Simasek, Vidhu V. Thaker, Elaine M. Urbina, SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN
Pediatrics Sep 2017, 140 (3) e20171904; DOI: 10.1542/peds.2017-1904

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents
Joseph T. Flynn, David C. Kaelber, Carissa M. Baker-Smith, Douglas Blowey, Aaron E. Carroll, Stephen R. Daniels, Sarah D. de Ferranti, Janis M. Dionne, Bonita Falkner, Susan K. Flinn, Samuel S. Gidding, Celeste Goodwin, Michael G. Leu, Makia E. Powers, Corinna Rea, Joshua Samuels, Madeline Simasek, Vidhu V. Thaker, Elaine M. Urbina, SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN
Pediatrics Sep 2017, 140 (3) e20171904; DOI: 10.1542/peds.2017-1904
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Abstract
    • 1. Introduction
    • 2. Epidemiology and Clinical Significance
    • 3. Definition of HTN
    • 4. Measurement of BP
    • 5. Primary and Secondary Causes of HTN
    • 6. Diagnostic Evaluation
    • 7. Treatment
    • 8. Treatment in Special Populations
    • 9. Comorbidities
    • 10. Sex, Racial, and Ethnic Differences in BP and Medication Choice
    • 11. Special Populations and Situations
    • 12. Lifetime HTN Treatment and Transition to Adulthood
    • 13. Prevention of HTN
    • 14. Challenges in the Implementation of Pediatric HTN Guidelines
    • 15. Other Topics
    • 16. Evidence Gaps and Proposed Future Directions
    • Authors
    • Subcommittee on Screening and Management of High Blood Pressure in Children (Oversight by the Council on Quality Improvement and Patient Safety)†
    • Liaisons
    • Medical Writer
    • Staff
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Comments

Related Articles

  • Flynn JT, Kaelber DC, Baker-Smith CM, et al; SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017; 140(3):e20171904
  • Flynn JT, Kaelber DC, Baker-Smith CM, et al; Subcommittee on Screening and Management of High Blood Pressure in Children. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017;140(3):e20171904
  • PubMed
  • Google Scholar

Cited By...

  • Adolescent Hypertension and Risk for Early-Onset Type 2 Diabetes: A Nationwide Study of 1.9 Million Israeli Adolescents
  • Stability of Blood Pressure and Diagnosis of Hypertension in Childhood
  • Persistent Hypertension in Children and Adolescents: A 6-Year Cohort Study
  • Missed diagnosis of imperforate hymen later presenting with hypertension
  • Screening and Diagnosis of Prediabetes and Diabetes in US Children and Adolescents
  • Single blood pressure chart for children up to 13 years to improve the recognition of hypertension based on existing normative data
  • The Improving Renal Outcomes Collaborative: Blood Pressure Measurement in Transplant Recipients
  • Electronic Documentation in Pediatrics: The Rationale and Functionality Requirements
  • Low Serum Bicarbonate and CKD Progression in Children
  • 2017 American Academy of Pediatrics Clinical Practice Guideline: Impact on Prevalence of Arterial Hypertension in Children and Adolescents With Type 1 Diabetes
  • Worldwide Increase in Diagnosis of Hypertension in Children
  • Plasma Biomarkers of Tubular Injury and Inflammation Are Associated with CKD Progression in Children
  • Prognostic Value of Ambulatory Blood Pressure Load in Pediatric CKD
  • Impact of valve morphology, hypertension and age on aortic wall properties in patients with coarctation: a two-centre cross-sectional study
  • Effects of Exercise in Addition to a Family-Based Lifestyle Intervention Program on Hepatic Fat in Children With Overweight
  • Prevalence of sustained hypertension and obesity among urban and rural adolescents: a school-based, cross-sectional study in North India
  • The Hypertensive Adolescent
  • Pediatric Hypertension: Review of Updated Guidelines
  • Free Water Transport and Its Association with Cardiovascular Status in Children on Peritoneal Dialysis
  • Adolescent Hypertension and End-Stage Renal Disease
  • Research Gaps in Primary Pediatric Hypertension
  • Treating Hypertension in Children With n-of-1 Trials
  • Validity of Blood Pressure Measurement in a Study of Children Born by Assisted Reproductive Technologies
  • Hematuria and Proteinuria in Children
  • Dynamic prediction of childhood high blood pressure in a population-based birth cohort: a model development study
  • Income Disparities and Cardiovascular Risk Factors Among Adolescents
  • Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents
  • Secular Trends in Blood Pressure and Overweight and Obesity in Chinese Boys and Girls Aged 7 to 17 Years From 1995 to 2014
  • Clinical Implications of the Revised AAP Pediatric Hypertension Guidelines
  • Blood Pressure Thresholds and Mortality in Pediatric Traumatic Brain Injury
  • Pharmacological Treatment of Arterial Hypertension in Children and Adolescents: A Network Meta-Analysis
  • High Blood Pressure at Early School Age Among Extreme Preterms
  • 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
  • 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
  • Hypertension Across a Womans Life Cycle
  • The Importance of Repeating Initial High Blood Pressure Readings
  • Obesity, Hypertension, and Dyslipidemia in Childhood Are Key Modifiable Antecedents of Adult Cardiovascular Disease: A Call to Action
  • The Enigma of Blood Pressure Measurement in Children with CKD
  • Longitudinal analysis of cardiovascular disease risk profile in neighbourhood poverty subgroups: 5-year results from an afterschool fitness programme in the USA
  • Clinical Decision Support for Recognition and Management of Hypertension: A Randomized Trial
  • Google Scholar

More in this TOC Section

  • Recommended Childhood and Adolescent Immunization Schedule: United States, 2021
  • Ethical Considerations in Pediatricians’ Use of Social Media
  • 2021 Recommendations for Preventive Pediatric Health Care
Show more From the American Academy of Pediatrics

Similar Articles

Subjects

  • AAP Policy Collections by Authoring Entities
    • Subcommittee on Screening and Management of High Blood Pressure in Children
  • Current Policy
  • Cardiology
    • Cardiology
    • Cardiovascular Disorders
  • Journal Info
  • Editorial Board
  • Editorial Policies
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Open Access
  • Reviewer Guidelines
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
American Academy of Pediatrics

© 2021 American Academy of Pediatrics