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AAP Guideline Updates Practice for Pediatric Hypertension

New normative blood pressure tables, revised screening protocols, and recommendations for initiating antihypertensive medication are among the central points of an updated clinical practice guideline developed by the American Academy of Pediatrics (AAP) for the diagnosis and management of high blood pressure in children.

The new document, which replaces the 2004 pediatric hypertension (HTN) guideline issued by the National Heart, Lung, and Blood Institute, also includes more limited recommendations on when to screen for abnormal blood pressures in children, an expanded role for ambulatory BP monitoring, and a decreased role for cardiac echocardiogram.


The guideline is published online  and in Pediatrics.  Full text