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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;
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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;
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Carissa M. Baker-Smith
cDivision of Pediatric Cardiology, School of Medicine, University of Maryland, Baltimore, Maryland;
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Douglas Blowey
dChildren’s Mercy Hospital, University of Missouri-Kansas City and Children’s Mercy Integrated Care Solutions, Kansas City, Missouri;
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Aaron E. Carroll
eDepartment of Pediatrics, School of Medicine, Indiana University, Bloomington, Indiana;
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Stephen R. Daniels
fDepartment of Pediatrics, School of Medicine, University of Colorado-Denver and Pediatrician in Chief, Children’s Hospital Colorado, Aurora, Colorado;
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Sarah D. de Ferranti
gDirector, Preventive Cardiology Clinic, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;
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Janis M. Dionne
hDivision of Nephrology, Department of Pediatrics, University of British Columbia and British Columbia Children’s Hospital, Vancouver, British Columbia, Canada;
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Bonita Falkner
iDepartments of Medicine and Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania;
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Susan K. Flinn
jConsultant, American Academy of Pediatrics, Washington, District of Columbia;
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Samuel S. Gidding
kCardiology Division Head, Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, Delaware;
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Celeste Goodwin
lNational Pediatric Blood Pressure Awareness Foundation, Prairieville, Louisiana;
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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;
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Makia E. Powers
nDepartment of Pediatrics, School of Medicine, Morehouse College, Atlanta, Georgia;
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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;
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Joshua Samuels
pDepartments of Pediatrics and Internal Medicine, McGovern Medical School, University of Texas, Houston, Texas;
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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;
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Vidhu V. Thaker
rDivision of Molecular Genetics, Department of Pediatrics, Columbia University Medical Center, New York, New York; and
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Elaine M. Urbina
sPreventive Cardiology, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio
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  • Article
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Loading

Data supplements

  • AAP Pediatric Hypertension Guidelines Calculator

    The AAP Pediatric Hypertension Guidelines Calculator, which is based on the 2017 Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents, is designed to aid primary care pediatricians and subspecialists in determining blood pressure percentiles at the point of care. The calculator aims to improve the early identification and treatment of hypertension in the outpatient setting.

    The calculator was developed in collaboration with MDCalc, which specializes in creating evidence- and guideline-based clinical tools for providers to utilize at the point of care.

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    Pediatrics
    Vol. 140, Issue 3
    1 Sep 2017
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    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

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    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
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    • 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
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    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
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