Hipertensión arterial en la infancia. Recomendaciones para su diagnóstico y tratamiento. Parte 1.  Rama de Nefrología Infantil, Sociedad Chilena de Pediatría

Salas, Paulina; González, C.; Carrillo, David; Bolte, Lillian; Aglony, Marlene; Peredo, Soledad; Ibarra, Ximena; Rojo, Angélica; Delucchi, Angela; Pinto, Viola; Saieh, C; Ceballos, María L

doi:10.32641/rchped.v90i2.1005

Cited by 6 publications

(7 citation statements)

References 20 publications

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“…14): write down exact values without rounding. (1,30) A cuff size that is too small will overestimate the BP and one that is too large will underestimate the BP. Three measurements are required on the same day, 2-3 minutes apart.…”

Section: Diagnosismentioning

confidence: 99%

Arterial Hypertension in Children and Adolescents: state of the art

Gamboa¹,

silva²,

Araújo³

et al. 2022

JHS

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Hypertension in childhood and adolescence is a major concern, due to the increasing prevalence and evidence that suggests that adult hypertension has its genesis in childhood. In 2015, high blood pressure was the leading modifiable risk factor for cardiovascular, cerebrovascular, and kidney disease and the largest contributor to global disability-adjusted life years (DALYs) worldwide. Diagnosing high blood pressure in children and adolescents remains challenging due to high rates of false high blood pressure readings at a single visit despite clear guidelines. Our aim is to provide an overview of the state of the art on primarycause arterial hypertension in children and adolescents, highlighting the definition, prevalence, risk factors, diagnosis and treatment. This is an integrated bibliographic review of the scientific production on arterial hypertension in children and adolescents. The search for articles was carried out with the terms "Hypertension", "Children" and "Adolescents" in English and Portuguese, in the VHL databases, with the following search details: (mh:("Hypertension")) AND children AND adolescents AND (db: ("MEDLINE" OR "BINACIS" OR "LILACS" OR "IBECS" OR "CUMED" OR "MedCarib") AND mj: ("Hypertension") AND type_of_study: ("systematic_reviews" OR "prevalence_ studies" OR " diagnostic_studies") AND la: ("en" OR "pt")) AND (year_cluster: [ TO 2022). The Google Academic and Pubmed databases were used in parallel, and 36 articles published from 2017 to 2022 were selected. growth and development, lifestyle changes and results in hypertension in the first two decades of life.

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Section: Diagnosismentioning

confidence: 99%

Arterial Hypertension in Children and Adolescents: state of the art

Gamboa¹,

silva²,

Araújo³

et al. 2022

JHS

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“…Los sitios anatómicos para valoración de la presión arterial más utilizados son los siguientes: Extremidad superior: Antebrazo, punto medio entre el olecranon y acromion. 20 Extremidad inferior: Para valorar la PA se puede valorar en tercio medio del muslo (arteria femoral) alrededor de los gemelos (arteria poplítea), sobre el tobillo (arteria tibial posterior) y/o alrededor del pie (arteria pedia). 20 La Presión Arterial (PA) es la fuerza constante que ejerce la sangre en las paredes de las arterias antes, durante y posterior a la sístole.…”

Section: Sitios Anatómicos De La Valoración De La Presión Arterialunclassified

“…20 Extremidad inferior: Para valorar la PA se puede valorar en tercio medio del muslo (arteria femoral) alrededor de los gemelos (arteria poplítea), sobre el tobillo (arteria tibial posterior) y/o alrededor del pie (arteria pedia). 20 La Presión Arterial (PA) es la fuerza constante que ejerce la sangre en las paredes de las arterias antes, durante y posterior a la sístole. La PA depende de condiciones como el volumen sanguíneo por minuto (gasto cardíaco), la resistencia vascular periférica de las arterias y de características de tono muscular de las paredes de las arteriolas.…”

Section: Sitios Anatómicos De La Valoración De La Presión Arterialunclassified

“…La clasificación de la presión arterial se realiza a partir de las tablas según género, talla y edad presentadas por la Rama de Nefrología Infantil, Sociedad Chilena de Pediatría (2019). 20 Durante el año 2017, las normas internacionales cambiaron y se actualizaron los parámetros de medición y definiciones. Las tablas actualizadas según el artículo titulado "Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents" (2017) 21 fueron adoptadas por la rama de Nefrología Infantil, Sociedad Chilena de Pediatría el 2019.…”

Section: Valores Normales De La Presión Arterialunclassified

“…Las tablas actualizadas según el artículo titulado "Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents" (2017) 21 fueron adoptadas por la rama de Nefrología Infantil, Sociedad Chilena de Pediatría el 2019. 20 (Tablas 6 y 7). Sin embargo, actualmente en Chile se sigue utilizando las tablas de la Norma técnica para la supervisión de niños y niñas de 0-9 años en la Atención Primaria de Salud del Minsal (2014) 19 (Tablas 8 y 9), las cuales fueron adaptadas a partir del estudio de Lagomarcino, et al (2008).…”

Section: Valores Normales De La Presión Arterialunclassified

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Manual de signos vitales en la población pediátrica

Leyton¹,

López²

2020

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El presente manual tiene por objeto convertirse en una guía y un material de apoyo para profesionales de la salud, académicos y estudiantes afines. Su contenido se enfoca principalmente en el reconocimiento, valoración y clasificación de los rangos normales de signos vitales en la población Infantil. Adicionalmente, se proporciona tablas como una herramienta para clasificar valores que se encuentran fuera de rango de normalidad.

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Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study

Mostafaei

Kiani

Ejtahed

et al. 2020

BMC Cardiovasc Disord

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Background: Childhood hypertension is a predictor of later diseases, increases the risk for cardiovascular morbidity and mortality in adulthood and results in major economic burdens. The purpose of this study was to investigate the direct and indirect effect of anthropometric, socioeconomic and lifestyle factors on blood pressure (BP) in a large population-based sample of children and adolescents using a path analysis. Methods: This multi-centric nationwide study was performed on students aged 7-18 years. Anthropometric indices and blood pressure were measured by standard methods and demographic data, socioeconomic status, dietary habits and health related behaviors were obtained using validated questionnaires. Path analysis was applied to evaluate the relationships among the study variables and to implement the subsequent structural modeling. Results: Totally, 7235 students (50.6% boys; the mean age 12.3 ± 3.1 years) were assessed. Systolic and diastolic BP positively correlated with age (r = 0.35 and 0.26; respectively), BMI (r = 0.06 and 0.04; respectively) and WC (r = 0.05 and 0.03; respectively). According to path analysis, age had significant direct effect on BMI, WC, and BP (β = 0.035, 0.043 and 0.345; respectively), which was greater for BP. BMI and WC had the greatest direct effect on BP (β = 0.05 and 0.03; respectively). Education level, subjective health complaints, health-related behaviors and dietary habits had positive direct effects on BP (β = 0.036, 0.030, 0.018 and 0.017; respectively). Socioeconomic status and positive changes in diet had negative indirect effect on BP (β = − 0.001 for both). Conclusion: Our findings strengthen the importance of weight and body composition in BP control. It is suggested to improve diet and health related behaviors especially in families with low socioeconomic position.

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Hipertensión arterial en la infancia. Recomendaciones para su diagnóstico y tratamiento. Parte 1. Rama de Nefrología Infantil, Sociedad Chilena de Pediatría

Cited by 6 publications

References 20 publications

Arterial Hypertension in Children and Adolescents: state of the art

Arterial Hypertension in Children and Adolescents: state of the art

Manual de signos vitales en la población pediátrica

Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study

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